Volume 26, Issue 4 pp. 317-328

A Comparison of Diabetes Learning With and Without Interactive Multimedia to Improve Knowledge, Control, and Self-Care Among People With Diabetes in Taiwan

Ju-Ping Huang,

Ju-Ping Huang

R.N., M.S.N., is Doctoral Student, School of Nursing, National Taipei College of Nursing, Taipei, Taiwan, ROC

Instructor, Department of Nursing, Tajen University, Yanpu Shiang, Pingtung, Taiwan, ROC.

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Hsing-Hsia Chen,

Hsing-Hsia Chen

Ph.D., is Professor Department of Applied Mathematics, Chung-Yuan Christian University, Chung-Li, Taiwan, ROC.

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Mei-Ling Yeh,

Mei-Ling Yeh

R.N., Ph.D., is Professor, School of Nursing, National Taipei College of Nursing, Peitou, Taipei, Taiwan, ROC.

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Ju-Ping Huang,

Ju-Ping Huang

R.N., M.S.N., is Doctoral Student, School of Nursing, National Taipei College of Nursing, Taipei, Taiwan, ROC

Instructor, Department of Nursing, Tajen University, Yanpu Shiang, Pingtung, Taiwan, ROC.

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Hsing-Hsia Chen,

Hsing-Hsia Chen

Ph.D., is Professor Department of Applied Mathematics, Chung-Yuan Christian University, Chung-Li, Taiwan, ROC.

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Mei-Ling Yeh,

Mei-Ling Yeh

R.N., Ph.D., is Professor, School of Nursing, National Taipei College of Nursing, Peitou, Taipei, Taiwan, ROC.

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First published: 01 July 2009

https://doi.org/10.1111/j.1525-1446.2009.00786.x

Citations: 30

Mei-Ling Yeh, School of Nursing, National Taipei College of Nursing, No.365, MingTe Road, Peitou 112, Taipei, Taiwan, ROC. E-mail: [email protected]

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Abstract

ABSTRACT Objective: Given the increased popularity of complementary and alternative medicine (CAM) and traditional Chinese medicine (TCM), this study aimed to evaluate the effects of interactive media on self-directed learning in patients' knowledge of diabetes and related CAM/TCM strategies, the ability to control blood sugar levels, and self-care in people with diabetes.

Design: An experimental study design was used. The experimental group received patient education through interactive multimedia about diabetes for 3 months, while the control group received a routine 3-month patient education.

Sample: On completion, 60 subjects from Taiwan were evaluated—30 in an experimental group and 30 in a control group.

Measurements: Data were collected from both groups at baseline and at the completion of the patient education. The findings were then compared to evaluate the effects of the intervention on the subjects' knowledge of diabetes, blood sugar control, and self-care.

Results: The experimental group showed greater improvement in understanding diabetes than the control (t=3.29, p<.001). There was no significant difference in control of blood sugar levels (t=−1.72, p=.10) and self-care (F=1.03, p=.32).

Conclusions: The use of an interactive multimedia device to intervene in diabetes self-care was effective only in raising the subjects' knowledge about the disease. Additionally, the subjects may need more time to implement more effective blood sugar control and self-care activities after receiving instruction.

References

Adolfsson, E. T., Walker-Engstrom, M. L., Smide, B., & Wikblad, K. (2006). Patient education in type 2 diabetes–A randomized controlled 1-year follow-up study. Diabetes research and clinical practice, 76 (3), 341–350.
PubMed Web of Science® Google Scholar
American Association of Diabetes Educators. (2005). Measurable behavior change is the desired outcome of diabetes education. Retrieved May 12, 2008, from http//:www.diabeteseducator.org/ProfessionalResources/AADE7
Google Scholar
American Diabetes Association. (2008). Standards of Medical Care in Diabetes-2008. Diabetes Care, 31 (Suppl. 1), S12–S54.
CAS Google Scholar
Bureau of National Health Insurance (2005). The professional medical care quality report of diabetes. Retrieved May 12, 2008, from http://www.nhi.gov.tw/webdata/AttachFiles/Attach_2121_1_940422-1.pdf
Google Scholar
Centers for Disease Control and Prevention [CDC]. (2007). Crude and age-adjusted prevalence of diagnosed diabetes per 100 population, United States, 1980–2005. Retrieved May 17, 2008, from http://www.cdc.gov/diabetes/statistics/prev/national/figage.htm
Google Scholar
Centers for Disease Control and Prevention [CDC]. (2008). National Center for Health Statistics: Diabetes. Retrieved May 17, 2008, from http://www.cdc.gov/nchs/fastats/diabetes.htm
Google Scholar
Chang, L. C., & Li, I. C. (2004). Patterns of complementary therapy use by homebound cancer patients in Taiwan. Applied Nursing Research, 17 (1), 41–47.
10.1097/01.JNR.0000387487.86309.07
PubMed Web of Science® Google Scholar
Chen, H. H., Huang, J. P., Yeh, M. L., & Liao, F. (2007). Developing and testing a CD with interactive videodisk systems for DM care. Beijing Biomedical Engineering, 26 (1), 89–91.
Google Scholar
Chen, J., Li, C., Ding, P., & Ma, Y. (2001). Effect of acupuncture on plasma levels of insulin, glucagon and hypercoagulability in NIDDM complicated by acute cerebral infarction. Journal of Traditional Chinese Medicine, 21 (4), 267–269.
CAS PubMed Google Scholar
Colberg, S. R. (2006). The impact of exercise on insulin action in type 2 diabetes mellitus: Relationship to prevention and control. Insulin, 1 (3), 85–98.
10.1016/S1557-0843(06)80018-7
Google Scholar
Department of Health, Executive Yuan, Taiwan. (2008). Health and National Health Insurance Annual Statistics Information Service. Retrieved May 12, 2008, from http://www.doh.gov.tw/statistic/index.htm
Google Scholar
Flynn, D., Van Schaik, P., Van Wersch, A., Ahmed, T., & Chadwick, D. (2004). The utility of a multimedia education program for prostate cancer patients: A formative evaluation. British Journal of Cancer, 91 (5), 855–860.
CAS PubMed Web of Science® Google Scholar
Haskell, W. L., Lee, I. M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., et al. (2007). Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise, 39 (8), 1423–1434.
10.1249/mss.0b013e3180616b27
PubMed Web of Science® Google Scholar
Hausenblas, H. A., Brewer, B. W., Van Raalte, J. V., Cook, B., Downs, D. S., Weis, C. A., et al. (2008). Development and evaluation of a multimedia CD-ROM for exercise during pregnancy and postpartum. Patient Education and Counseling, 70 (2), 215–219.
10.1016/j.pec.2007.10.017
PubMed Web of Science® Google Scholar
Inzucchi, S. E. (2002). Oral antihyperglycemic therapy for type2 diabetes scientific review. Journal of the American Medical Association, 287 (3), 360–372.
10.1001/jama.287.3.360
CAS PubMed Web of Science® Google Scholar
Krishna, S., Francisco, B. D., Balas, E. A., Konig, P., Graff, G. R., & Madsen, R. W. (2003). Internet-enabled interactive multimedia asthma education program: A randomized trial. Pediatrics, 111 (3), 503–510.
10.1542/peds.111.3.503
PubMed Web of Science® Google Scholar
Kumar, D., Bajaj, S., & Mehrotra, R. (2006). Knowledge, attitude and practice of complementary and alternative medicines for diabetes. Public Health, 120 (8), 705–711.
10.1016/j.puhe.2006.04.010
CAS PubMed Web of Science® Google Scholar
Lee, J. R., Kim, S. A., Yoo, J. W., & Kang, Y. K. (2007). The present status of diabetes education and the role recognition as a diabetes educator of nurses in Korea. Diabetes Research and Clinical Practice, 77 (3), 199–204.
10.1016/j.diabres.2007.01.057
Web of Science® Google Scholar
Lee, S. Y., & Kim, J. W. (2003). Evaluation of the Tosoh HLC-723 G7 hemoglobin A1c analyzer. Korean Journal of Laboratory Medicine, 23 (3), 180–185.
Web of Science® Google Scholar
Li, W. L., Wu, J. L., Ren, B. R., Guo, R. L., Zhou, A. L., & Zheng, H. C. (2002). Effect of five Chinese traditional medicinal plants on lowering blood glucose level to mice. Journal of Plant Resources and Environment, 2, 19–32.
Google Scholar
Lou, M. L., Li, I. C., Yeh, M. C., & Chang, T. S. (2004). Family function and self management of the NIDDM patients in the community. Journal of Long Term Care, 8 (2), 195–212.
Google Scholar
McDonough, S., Devine, P., & Baxter, D. (2007). Complementary and alternative medicine: Patterns of use in Northern Ireland. Retrieved March 8, 2007, from http://www.ark.ac.uk/publications/updates/update50.pdf
Google Scholar
National Center of Complementary and Alternative Medicine. (2002). What is CAM? Retrieved August 18, 2008, from http://nccam.nih.gov/health/whatiscam
Google Scholar
Neafsey, P. J., Strickler, Z., Shellman, J., & Chartier, V. (2002). An interactive technology approach to educate older adults about drug interactions arising from over-the-counter self-medication practices. Public Health Nursing, 19 (4), 255–262.
10.1046/j.1525-1446.2002.19405.x
PubMed Web of Science® Google Scholar
Nies, M. A., & Kershaw, T. C. (2002). Psychosocial and environmental influences on physical activity and health outcomes in sedentary women. Journal of Nursing Scholarship, 34 (3), 243–249.
10.1111/j.1547-5069.2002.00243.x
PubMed Web of Science® Google Scholar
Norris, S. L., Engelgau, M. M., & Narayan, K. M. (2001). Effectiveness of self-management training in type 2 diabetes: A systematic review of randomized controlled trials. Diabetes Care, 24 (3), 561–587.
10.2337/diacare.24.3.561
CAS PubMed Web of Science® Google Scholar
Norris, S. L., Lau, J., Smith, S. J., Schmid, C. H., & Engelgau, M. M. (2002). Self-management education for adults with type 2 diabetes: A meta-analysis of the effect on glycemic control. Diabetes Care, 25 (7), 1159–1171.
10.2337/diacare.25.7.1159
PubMed Web of Science® Google Scholar
Shaw, M. J., Beebe, T. J., Tomshine, P. A., Adlis, S. A., & Cass, O. W. (2001). A randomized, controlled trial of interactive, multimedia software for patient colonoscopy education. Journal of Clinical Gastroenterology, 32 (2), 142–147.
10.1097/00004836-200102000-00010
CAS PubMed Web of Science® Google Scholar
Tindle, H. A., Davis, R. B., Phillips, R. S., & Eisenberg, D. M. (2005). Trends in use of complementary and alternative medicine by US adults: 1997–2002. Alternative Therapies in Health and Medicine, 11 (1), 42–49.
PubMed Web of Science® Google Scholar
Tsujiuchi, T., Kumano, H., Yoshiuchi, K., Kuboki, T., He, D., Tsujiuchi, Y., et al. (2002). The effect of qi-gong relaxation exercise on the control of type 2 diabetes mellitus. Diabetes Care, 25 (1), 241–242.
10.2337/diacare.25.1.241
PubMed Web of Science® Google Scholar
Unachukwu, C., Babatunde, S., & Ihekwaba, A. E. (2007). Diabetes, hand and/or foot ulcers: A cross-sectional hospital-based study in Port Harcourt, Nigeria. Diabetes Research and Clinical Practice, 75 (2), 148–152.
10.1016/j.diabres.2006.05.016
PubMed Web of Science® Google Scholar
Waltz, C. F., Strickland, O. L., & Lenz, E. R. (2005). Measurement in nursing and health care research ( 3rd ed.). New York: Springer.
Google Scholar
Wang, J. S., Wang, R. H., & Lin, C. C. (1998). Self-care behaviors and related factors in outpatients newly diagnosed with non-insulin-dependent diabetes mellitus. Journal of Nursing, 45 (2), 60–73.
Google Scholar
Wild, S., Roglic, G., Green, A., Sicree, R., & King, H. (2004). Global prevalence of diabetes: Estimates for the year 2000 and projections for 20303. Diabetes Care, 27 (5), 1047–1053.
PubMed Web of Science® Google Scholar
Yeh, M. L., Chen, C. H., Chen, H. H., & Lin, K. C. (2008). An intervention of acupressure and interactive multimedia to improve visual health among Taiwanese schoolchildren. Public Health Nursing, 25 (1), 10–17.
10.1111/j.1525-1446.2008.00675.x
PubMed Web of Science® Google Scholar
Yeh, M. L., Chen, H. H., & Lin, I. H. (2004). Contemporary meridians and acupoints in practice. Taipei, Taiwan: Farseeing.
Google Scholar
Yeh, M. L., Chen, H. H., & Liu, P. H. (2005). Effects of multimedia with printed nursing guide in education on self-efficacy and functional activity and hospitalization in patients with hip replacement. Patient Education and Counseling, 57 (2), 17–224.
Google Scholar
Yeh, M. L., Yang, H. J., Chen, H. H., & Tsou, M. Y. (2007). Using a patient-controlled analgesia multimedia intervention for improving analgesia quality. Journal of Clinical Nursing, 16 (11), 2039–2046.
10.1111/j.1365-2702.2006.01770.x
PubMed Web of Science® Google Scholar

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Volume26, Issue4

July/August 2009

Pages 317-328

A Comparison of Diabetes Learning With and Without Interactive Multimedia to Improve Knowledge, Control, and Self-Care Among People With Diabetes in Taiwan

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A Comparison of Diabetes Learning With and Without Interactive Multimedia to Improve Knowledge, Control, and Self-Care Among People With Diabetes in Taiwan

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