A diabetes education multimedia program in the waiting room setting
Introduction This study evaluated the impact of a waiting room-administered, low-literacy, computer multimedia diabetes education program on patient self-management and provider intensification of therapy. Methods In this randomized, controlled trial, 129 participants either viewed a computer multim...
Saved in:
| Published in: | Diabetes therapy Vol. 2; no. 3; pp. 178 - 188 |
|---|---|
| Main Authors: | , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Heidelberg
Springer Healthcare Communications
01-09-2011
Springer Nature B.V |
| Subjects: | |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Introduction
This study evaluated the impact of a waiting room-administered, low-literacy, computer multimedia diabetes education program on patient self-management and provider intensification of therapy.
Methods
In this randomized, controlled trial, 129 participants either viewed a computer multimedia education program (intervention group) or read an educational brochure (control group) while in the waiting room. Participants were uninsured, primarily ethnic minority adults with type 2 diabetes receiving care from a county clinic in Chicago, Illinois. Wilcoxon test, t-test, and linear mixed model analyses evaluated changes in diabetes knowledge, self-efficacy, behaviors, medications prescribed, hemoglobin A1c (HbA
1c
), and blood pressure levels over 3 months.
Results
During the study period, there was an increase in the number of oral diabetes medications prescribed over three months to multimedia users compared with those in the control group (
P
=0.017). HbA
1c
declined by 1.5 in the multimedia group versus 0.8 in the control group (
P
=0.06). There were no differences between groups in changes in blood pressure levels, self-efficacy, and most diabetes-related behaviors. Self-reported exercise increased in the control group compared with the multimedia group (0.9 days/week vs. 0.1 days/week,
P
=0.016).
Conclusion
Multimedia users received a greater intensification of diabetes therapy, but demonstrated no difference in self-management in comparison with those receiving educational brochures. The availability of a computer multimedia program in the waiting room appears to be a novel and acceptable approach in providing diabetes education for underserved populations. |
|---|---|
| Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 1869-6953 1869-6961 |
| DOI: | 10.1007/s13300-011-0007-y |