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Effectiveness of a structured diabetes self-management education program using high-definition video technology in

Mohamed Hosny Nagla1, Mostafa A Khalifa2, Marwa Farouk Mira3

  • 1Pediatric Intensive Care Unit, Al Salama Hospital, Jeddah, Saudi Arabia.

Frontiers in Endocrinology
|July 2, 2026
PubMed

Insights

Audio-visual technology significantly improved type 1 diabetes (T1D) knowledge and glycemic control in children. This scalable video-based education enhances self-management and clinical outcomes for pediatric T1D patients.

Area of Science:

  • Pediatric Endocrinology
  • Medical Education Technology
  • Diabetes Self-Management

Background:

  • Type 1 Diabetes (T1D) is a common chronic childhood disorder requiring diligent management.
  • Effective patient education is crucial for glycemic control and disease self-management.
  • Traditional education methods may have limitations in engagement and retention.

Purpose of the Study:

  • To evaluate the effectiveness of audio-visual technology for T1D self-management education.
  • To assess the impact of video-based education on knowledge and glycemic control in pediatric T1D patients.
  • To determine the long-term retention of knowledge gained through video interventions.

Main Methods:

  • An interventional pre-post study involving 100 pediatric T1D patients.
  • Utilized a structured questionnaire to assess diabetes self-management knowledge at baseline, post-intervention, and 2- and 4-month follow-ups.
  • Intervention consisted of a structured, high-definition video-based educational program.

Main Results:

  • Significant improvements in diabetes knowledge scores were observed post-intervention and sustained at 4 months (p<0.001).
  • HbA1c levels significantly decreased by 4 months (mean change -0.81 ± 1.18%, p<0.001), with 78% showing improvement.
  • The proportion of patients achieving target glycemic control increased from 19% to 29%, while poor control decreased.

Conclusions:

  • Structured diabetes self-management education using high-definition video technology significantly enhances knowledge and glycemic control.
  • Video-based interventions represent an effective and scalable strategy for improving clinical outcomes in pediatric T1D.
  • This approach offers a valuable tool for improving diabetes education and self-management in children with T1D.
Abstract

Keywords:
diabetes managementglycemic controlpediatric endocrinologyself-management educationtype 1 diabetes

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