The Effectiveness of Multimedia Education for Patients With Type 2 Diabe Mellitus
Multimedia Education on Knowledge, Injection Skill, Insulin Injection Self-efficacy, Injection Performance Rate, Educational Satisfaction, Nursing Hours, and Biophysical Indicators
1 other identifier
interventional
72
0 countries
N/A
Brief Summary
A total of 72 type 2 diabetes who began insulin therapy using a pen injector participated in this study. The experimental (n = 36) and control (n = 36) groups received multimedia and regular health education program. Four structured questionnaires were used, and videotapes were applied to demonstrate injection skills.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable type-2-diabetes-mellitus
Started Aug 2013
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 16, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
August 31, 2014
CompletedFirst Submitted
Initial submission to the registry
October 28, 2018
CompletedFirst Posted
Study publicly available on registry
November 2, 2018
CompletedNovember 2, 2018
August 1, 2013
1 year
October 28, 2018
November 1, 2018
Conditions
Outcome Measures
Primary Outcomes (5)
diabetes and insulin injection related knowledge scale
The 20-item diabetes and insulin injection related knowledge scale consists of 4 domains: brief introduction to diabetes, precautions for diabetes medications and insulin injection, management of hyper- and hypoglycemia, and complications of diabetes. Total scores ranged from 0 to 20. Higher scores represent a better outcome.
Change from Baseline diabetes and insulin injection related knowledge to the thirteenth week after discharge from hospital
insulin injection skills scale
The insulin injection skills scale was rated by a certified diabetes educator according to each participant's performance on the 12 steps of operating a prefilled pen injector (12 items; scores ranged from 0 to 12) and the 10 steps of operating a disposable pen injector (10 items; scores ranged from 0 to 10 ). Participants scored 1 point for each correct operation and 0 points for each incorrect operation. Higher scores represent a better outcome.
Change from Baseline insulin injection skills to the thirteenth week after discharge from hospital
self-efficacy in insulin injection scale
The 10-item self-efficacy in insulin injection scale was modified based on the General Self-Efficacy Scale. Total scores ranged from 10 to 50. Higher scores represent a better outcome.
Change from Baseline self-efficacy in insulin injection to the thirteenth week after discharge from hospital
The health education satisfaction scale
The 10 items health education satisfaction scale consisted of 10 items, with total scores ranging from 10 to 50. Higher scores represent a better outcome.
Change from the day prior to discharge satisfaction with health education to the thirteenth week after discharge from hospital
nursing hours
The nursing hours were calculated by adding up the total time spent by the diabetes educator instructing each participant to perform insulin injection.
Through intervention to the day prior to discharge from hospital, an average of 1 week
Secondary Outcomes (3)
glycated hemoglobin(HbA1C)
Change from Baseline HbA1C to the thirteenth week after discharge from hospital
blood creatinine
Change from Baseline blood creatinine to the thirteenth week after discharge from hospital
insulin performance rate
Change from the first week after discharge insulin performance rate from hospital to the thirteenth week after discharge
Study Arms (2)
multimedia health education
EXPERIMENTALThe program (flat touch computer) consisted of knowledge and technology levels. Knowledge: diabetic introduction, treatment, management of hyper- and hypoglycemia, complications, and experience sharing of insulin injection by a patient group. Technology: steps of insulin injection skills and complete technology demonstration . The program contents were organized using a unit-based piecemeal teaching approach. Participants could adjust their learning pace according to individual situations and could practice injection skills using an injection mold during hospitalization. A diabetes educator has assessed the learning outcome of each participant after intervention. At the day of discharge from hospital, each participant would acquire a copy of the multimedia health education compact disc.
regular health education
ACTIVE COMPARATORThe regular (traditional) education program (a diabetes educator) consisted of knowledge and technology levels. Knowledge: diabetic introduction, treatment, management of hyper- and hypoglycemia, and complications. Technology: steps of insulin injection skills and complete technology demonstration.
Interventions
The program (flat touch computer) consisted of knowledge and technology levels. Knowledge: diabetic introduction, treatment, management of hyper- and hypoglycemia, complications, and experience sharing of insulin injection by a patient group. Technology: steps of insulin injection skills and complete technology demonstration . The program contents were organized using a unit-based piecemeal teaching approach. Participants could adjust their learning pace according to individual situations and could practice injection skills using an injection mold during hospitalization. A diabetes educator has assessed the learning outcome of each participant after intervention. At the day of discharge from hospital, each participant would acquire a copy of the multimedia health education compact disc.
The traditional education program (a diabetes educator) consisted of knowledge and technology levels. Knowledge: diabetic introduction, treatment, management of hyper- and hypoglycemia, and complications. Technology: steps of insulin injection skills and complete technology demonstration.
Eligibility Criteria
You may qualify if:
- Diagnosis of type 2 diabetes.
- First received insulin injection with Lantus, Levemir or Novomix.
- Ability to communicate in Mandarin or Taiwanese.
- Ability to self-inject insulin.
You may not qualify if:
- Cognitive impairment or dementia, inability to manage self-care.
- Severe or unstable medical conditions.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Mei-Chuan Huang, PHD
National Tainan Junior College of Nursing
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 28, 2018
First Posted
November 2, 2018
Study Start
August 16, 2013
Primary Completion
August 31, 2014
Study Completion
August 31, 2014
Last Updated
November 2, 2018
Record last verified: 2013-08
Data Sharing
- IPD Sharing
- Will not share