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Completed

NCT Number: NCT03728647

The Effectiveness of Multimedia Education for Patients With Type 2 Diabe Mellitus

A total of 72 type 2 diabetes who began insulin therapy using a pen injector participated in this study. The experimental (n = 36) and control (n = 36) groups received multimedia and regular health education program. Four structured questionnaires were used, and videotapes were applied to demonstrate injection skills.

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Key information

Conditions

Type 2 Diabetes Mellitus Diabetes Mellitus Diabetes Mellitus, Type 2 Education Endocrine System Diseases Glucose Metabolism Disorders Hyperinsulinism Insulin Insulin Resistance Metabolic Diseases Nutritional and Metabolic Diseases

Age range

30 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

To explore the effectiveness of two types health education on knowledge in diabetes and insulin injection, skills in insulin injection, self-efficacy in insulin injection, injection performance rate, satisfaction with health education,nursing hours, and biophysical indicators among the type 2 diabetes who began insulin therapy using a pen injector.With a repeated measures experimental study design, a total of 72 type 2 diabetes who began insulin therapy using a pen injector participated in this study. The experimental (n = 36) and control (n = 36) groups received multimedia and regular health education program. Four structured questionnaires were used, and videotapes were applied to demonstrate injection skills.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosis of type 2 diabetes.
  • First received insulin injection with Lantus, Levemir or Novomix.
  • Ability to communicate in Mandarin or Taiwanese.
  • Ability to self-inject insulin.

Exclusion criteria

  • Cognitive impairment or dementia, inability to manage self-care.
  • Severe or unstable medical conditions.

Treatment and study plan

Multimedia Health Education

Behavioral

The program (flat touch computer) consisted of knowledge and technology levels. Knowledge: diabetic introduction, treatment, management of hyper- and hypoglycemia, complications, and experience sharing of insulin injection by a patient group. Technology: steps of insulin injection skills and complete technology demonstration . The program contents were organized using a unit-based piecemeal teaching approach. Participants could adjust their learning pace according to individual situations and could practice injection skills using an injection mold during hospitalization. A diabetes educator has assessed the learning outcome of each participant after intervention. At the day of discharge from hospital, each participant would acquire a copy of the multimedia health education compact disc.

regular health education

Behavioral

The traditional education program (a diabetes educator) consisted of knowledge and technology levels. Knowledge: diabetic introduction, treatment, management of hyper- and hypoglycemia, and complications. Technology: steps of insulin injection skills and complete technology demonstration.

Primary outcomes

  1. diabetes and insulin injection related knowledge scale

    Time frame: Change from Baseline diabetes and insulin injection related knowledge to the thirteenth week after discharge from hospital

    The 20-item diabetes and insulin injection related knowledge scale consists of 4 domains: brief introduction to diabetes, precautions for diabetes medications and insulin injection, management of hyper- and hypoglycemia, and complications of diabetes. Total scores ranged from 0 to 20. Higher scores represent a better outcome.

  2. insulin injection skills scale

    Time frame: Change from Baseline insulin injection skills to the thirteenth week after discharge from hospital

    The insulin injection skills scale was rated by a certified diabetes educator according to each participant's performance on the 12 steps of operating a prefilled pen injector (12 items; scores ranged from 0 to 12) and the 10 steps of operating a disposable pen injector (10 items; scores ranged from 0 to 10 ). Participants scored 1 point for each correct operation and 0 points for each incorrect operation. Higher scores represent a better outcome.

  3. self-efficacy in insulin injection scale

    Time frame: Change from Baseline self-efficacy in insulin injection to the thirteenth week after discharge from hospital

    The 10-item self-efficacy in insulin injection scale was modified based on the General Self-Efficacy Scale. Total scores ranged from 10 to 50. Higher scores represent a better outcome.

  4. The health education satisfaction scale

    Time frame: Change from the day prior to discharge satisfaction with health education to the thirteenth week after discharge from hospital

    The 10 items health education satisfaction scale consisted of 10 items, with total scores ranging from 10 to 50. Higher scores represent a better outcome.

  5. nursing hours

    Time frame: Through intervention to the day prior to discharge from hospital, an average of 1 week

    The nursing hours were calculated by adding up the total time spent by the diabetes educator instructing each participant to perform insulin injection.

Secondary outcomes

  1. glycated hemoglobin(HbA1C)

    Time frame: Change from Baseline HbA1C to the thirteenth week after discharge from hospital

    Record the concentration of HbA1C (%) from the lab data in medical record

  2. blood creatinine

    Time frame: Change from Baseline blood creatinine to the thirteenth week after discharge from hospital

    Record the concentration of blood creatinine (mg/dl) from the lab data in medical record

  3. insulin performance rate

    Time frame: Change from the first week after discharge insulin performance rate from hospital to the thirteenth week after discharge

    The rate of insulin injection at home

Sponsors and collaborators

Lead sponsor

Kaohsiung Medical University Chung-Ho Memorial Hospital

Other

Registry information

Official study title

Multimedia Education on Knowledge, Injection Skill, Insulin Injection Self-efficacy, Injection Performance Rate, Educational Satisfaction, Nursing Hours, and Biophysical Indicators

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
Nov 2, 2018
Registry last updated
Nov 2, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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