Journal Article

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

Molavynejad, Shahram, Miladinia, Mojtaba, Jahangiri, Mina

2022

Overview

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 ).

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Activities of daily living / Arabic language / Blood sugar / Cholesterol / Cholesterol, LDL / Chronic illnesses / Clinical trials / Comparative analysis / Diabetes / Diabetes mellitus (non-insulin dependent) / Diabetes Mellitus, Type 2 - therapy / Diet therapy / Distance learning / Education / Endocrinology / Glycated Hemoglobin A - analysis / Glycosylated hemoglobin / Hemoglobin / High density lipoprotein / Humans / Intervention / Iran - epidemiology / Lipids / Lipoproteins / Low density lipoproteins / Medicine / Medicine & Public Health / Metabolic Diseases / Methods / Nurses / Nursing care / Nutrition / Patient compliance / Patient education / Patients / Performance evaluation / Requirements / rology / Self-care / Software / Tele-education / Telecare / Telehealth / Telemedicine / Type 2 diabetes