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Effect of computer-based learning on diabetes knowledge and control.

P H Wise, D C Dowlatshahi, S Farrant

    Diabetes Care
    |September 1, 1986
    PubMed
    Summary

    Computer-based diabetes education significantly improved patient knowledge and glycemic control (HbA1c) in both insulin-dependent (IDDM) and non-insulin-dependent (NIDDM) diabetes mellitus patients. Interactive teaching and knowledge assessment programs showed positive effects on diabetes management.

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    Area of Science:

    • Endocrinology and Metabolism
    • Medical Informatics
    • Diabetes Mellitus Research

    Background:

    • Effective patient education is crucial for managing diabetes mellitus.
    • Computer-based learning offers a scalable approach to patient education.
    • Assessing the impact of interactive systems on diabetes knowledge and control is warranted.

    Purpose of the Study:

    • To evaluate two interactive computer-based systems for diabetes education.
    • To determine the effect of these systems on knowledge and glycemic control (HbA1c) in IDDM and NIDDM patients.
    • To compare outcomes between active intervention groups and control groups.

    Main Methods:

    • 174 patients with IDDM and NIDDM were randomized into active and control groups.
    • Intervention groups used either an interactive computer teaching (ICT) program or a knowledge-assessment program (KAP) with optional feedback.

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  • Knowledge and HbA1c levels were assessed after a 4- to 6-month follow-up period.

    • Main Results:

    • Both ICT and KAP significantly increased patient knowledge in IDDM and NIDDM groups (P < .05).
    • ICT led to a mean HbA1c reduction of 0.8% (IDDM) and 0.7% (NIDDM) (P < .05 for IDDM, P > .1 for NIDDM).
    • KAP with feedback resulted in greater HbA1c reductions of 1.2% (IDDM) and 1.3% (NIDDM) (P < .05), while KAP without feedback also showed significant reductions (0.7-0.8%).

    Conclusions:

    • Interactive computer-based education programs effectively enhance diabetes knowledge.
    • These systems, particularly KAP with feedback, can significantly improve glycemic control (HbA1c) in diabetic patients.
    • Even without feedback, participation in computer-based programs may have a motivational effect on diabetes self-management.