The effect of self-care training based on e-learning and teach-back methods on the performance of patients with type...

Due to the chronic nature of the diabetes, patients who suffer from this disease need education to take care of themselves and increase self-care. Therefore, the present study was conducted with the aim of comparing the effect of e-learning and teach-back methods on the performance of diabetic patients.

In this study, 144 patients with type 2 diabetes were selected based on purposive sampling. Considering the inclusion and exclusion criteria, the subjects were divided into two groups of intervention (n = 48) and control (n = 48) by simple randomization. The two intervention groups included the e-learning group whose subjects were trained by entering the training site for three months and the teach-back group whose subjects were trained during four 60-minute sessions for three months. The control group was followed up according to routine care. Before and one month after the intervention, data were collected using self-care questionnaires in the areas of knowledge and performance based on interviews and blood glucose tests and self-reporting. The data were analyzed using SPSS 21 and statistical tests of ANOVA, independent t and Pearson's correlation coefficient.

The results showed that both e-learning (P = 0.001) and teach-back training (P = 0.008) methods were associated with a significant increase in self-care compared to before the intervention, but only in the teach-back group, this increase was significant compared to control group(P = 0.002) and the training methods showed no significant effect on blood sugar level and BMI of the patients (P > 0.05).

The results of the present study showed that both electronic and teach-back training methods have been effective on the level of self-care of diabetic patients. However, the teach-back method had a greater impact on the level of self-care.