Related Experiment Videos
Comparing the effects of interactive and conventional video education on activation, treatment adherence, and weight
Sogand Sarmadi1, Akbar Zare-Kaseb1, Neda Sanaie1
1Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background:
Chronic kidney disease (CKD) patients undergoing hemodialysis (HD) often face challenges in self-management, treatment adherence, and fluid control. Video-based education has shown promise in improving these outcomes, but evidence comparing interactive versus conventional approaches is limited.
Aim:
To compare the effects of interactive and conventional video education on patient activation, treatment adherence, and interdialytic weight gain (IDWG) in patients receiving HD.
Design:
A randomized clinical trial was conducted.
Methods:
In this three-arm randomized clinical trial, 126 HD patients were randomized to interactive video education, conventional video education, or usual care (42 per group). A total of 123 (41 per group) participants completed the study. The intervention comprised ten 30-minute video modules and a one-hour consolidation workshop. Patient activation (PAM-13), adherence (ESRD-AQ), and interdialytic weight gain (IDWG) were assessed at baseline, post-intervention, and 1- and 3-month follow-ups.
Results:
Baseline characteristics were comparable across groups. Significant group × time interactions were observed for all outcomes. Compared with Conventional Video and Usual Care, the Interactive Video group achieved greater and more sustained improvements in patient activation, treatment adherence, and IDWG over the 3-month follow-up. Immediately post-intervention, PAM-13 scores were 9.66 and 19.17 points higher than those of the Conventional Video and Usual Care groups, respectively, while IDWG was 0.34 kg lower than in the Usual Care group. Treatment adherence also improved significantly, with the Interactive Video intervention consistently outperforming Conventional Video education at all follow-up assessments.
Conclusion:
Interactive video-based education significantly improved patient activation, treatment adherence, and weight management in HD patients, with greater and more sustained benefits than conventional video education or usual care. These findings highlight the added value of interactivity beyond video education alone.
Implications For Patient Care:
Incorporating interactive digital education into routine dialysis care may improve self-management and clinical outcomes.
