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Published on: June 29, 2019
A diabetes education multimedia program in the waiting room setting.
Mohammad A Khan1, Sejal Shah, Aneta Grudzien
1Department of Internal Medicine/Primary Care, Care Improvement Collaborative - Strategies to Advance Rational Therapy Clinic, Stroger Cook County Hospital, Chicago, Illinois, USA.
Summary
A computer multimedia diabetes education program led to increased medication for patients, but did not improve self-management compared to brochures. This novel approach is acceptable for underserved populations.
Area of Science:
- Health education
- Diabetes management
- Health disparities
Background:
- This study assessed a low-literacy, computer multimedia diabetes education program for underserved populations.
- The program was administered in a waiting room setting to evaluate its impact on patient self-management and provider therapy intensification.
Purpose of the Study:
- To evaluate the effectiveness of a computer multimedia diabetes education program compared to a traditional brochure.
- To assess the program's impact on patient self-management, diabetes knowledge, and provider treatment decisions.
Main Methods:
- A randomized controlled trial involving 129 uninsured, ethnic minority adults with type 2 diabetes in Chicago.
- Participants received either computer multimedia education or a brochure while in the waiting room.
- Analyses included Wilcoxon test, t-test, and linear mixed models to evaluate changes over 3 months.
Main Results:
- Multimedia users showed a significant increase in oral diabetes medications prescribed (P=0.017).
- Hemoglobin A1c (HbA1c) levels decreased more in the multimedia group (1.5) than the control group (0.8), though not statistically significant (P=0.06).
- No significant differences were observed in blood pressure, self-efficacy, or most behaviors, with higher self-reported exercise in the control group.
Conclusions:
- Computer multimedia education resulted in greater intensification of diabetes therapy but not improved self-management compared to brochures.
- The waiting room computer multimedia program is a novel, acceptable method for diabetes education in underserved communities.
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