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Randomized Controlled Trial
. 2022 May 2;22(1):116.
doi: 10.1186/s12902-022-01032-4.

A randomized trial of comparing video telecare education vs. in-person education on dietary regimen compliance in patients with type 2 diabetes mellitus: a support for clinical telehealth Providers

Shahram Molavynejad  1 , Mojtaba Miladinia  2   3 , Mina Jahangiri  4
Affiliations
Randomized Controlled Trial

A randomized trial of comparing video telecare education vs. in-person education on dietary regimen compliance in patients with type 2 diabetes mellitus: a support for clinical telehealth Providers

Shahram Molavynejad et al. BMC Endocr Disord. .

Abstract

Background: Compliance to dietary recommendations by patients is the most difficult part of diabetes management. The nature of any educational method is to increase patients' awareness. But the question is, what is the effect of each method and for this purpose a comparative method should be considered. Therefore, this study was conducted to compare the effects of in-person education versus video tele-education on dietary regimen compliance in patients with T2DM.

Methods: In this trial, 378 patients with type 2 diabetes mellitus (T2DM) were random allocated into video tele-education, in-person education and control groups. The patients' weight and biochemical parameters were measured before educational programs and three-month later.

Results: The mean changes of patients' weight, glycemic parameters, and Lipid profiles decreased more in the two educational groups than the control group in a three-month period. There were no significant differences in the all study variables between the in-person and video education groups in post interventions except Total Cholesterol (TC). The pre- and post-intervention changes in the weight, TC, hemoglobin A1c, Triglyceride, and Very Low-density Lipoprotein Cholesterol were significant in both in-person group and video group. None of the educational programs had a significant impact on the Fasting blood sugar, Low-Density Lipoprotein Cholesterol, and High-Density Lipoprotein Cholesterol.

Discussion: Video tele-education was just as effective as in-person educational method on dietary regimen compliance among patients with T2DM in a three-month period. Therefore, it is recommended to use video tele-education in combination with or as an alternative to the in-person education method. This study provides support for diabetes educator.

Trial registration: This investigation was registered in the Iranian Registry of Clinical Trials Center ( IRCT20150302021307N4 ).

Keywords: Self-care; Tele-education; Telecare; Telehealth; Telemedicine.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Summary of study protocol
Fig. 2
Fig. 2
Consort flow diagram
Fig. 3
Fig. 3
The waterfall plots show each individual patient’s response. The x-axes show each participant and the y-axes show the percentage of changes in patients’ weight compared with baseline in the educational groups
See this image and copyright information in PMC

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References

    1. Powers MA, Bardsley JK, Cypress M, Funnell MM, Harms D, Hess-Fischl A, et al. Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Educ. 2020;46(4):350–69. doi: 10.1177/0145721720930959. - DOI - PubMed
    1. Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Educ Couns. 2016;99(6):926–43. doi: 10.1016/j.pec.2015.11.003. - DOI - PubMed
    1. Association AD. 4. Foundations of Care: Education, Nutrition, Physical Activity, Smoking Cessation, Psychosocial Care, and Immunization. Diabetes Care. 2015;38(Supplement 1):S20-S30. - PubMed
    1. Nagelkerk J, Reick K, Meengs L. Perceived barriers and effective strategies to diabetes self-management. J Adv Nurs. 2006;54(2):151–8. doi: 10.1111/j.1365-2648.2006.03799.x. - DOI - PubMed
    1. Yoo JS, Lee SJ, Lee HC, Kim MJ. The effect of a comprehensive lifestyle modification program on glycemic control and body composition in patients with type 2 diabetes. Asian Nurs Res. 2007;1(2):106–15. doi: 10.1016/S1976-1317(08)60013-4. - DOI - PubMed

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