Multimedia education program and nutrition therapy improves HbA1c, weight, and lipid profile of patients with type 2 diabetes: a randomized clinical trial

Abstract

Nutrition therapy and a multimedia diabetes education program have a favorable impact on achieving metabolic control goals in type 2 diabetes.

The use of visual risk communication and its significance for risk understanding and health literacy in out-clinic settings – a literature review

“…Shukla et al (34) found that the understanding of surgical procedures and unforeseeable risks were significantly higher in patients given conventional verbal information together with an educational DVD (p < 0.001), when compared to patients who had received verbal information only (34). Valázquez-López et al (35) concluded that adding a video-based multimedia education program to nutritional therapy in diabetic care was an effective strategy to lower HbA1c, improve the lipid profiles, and lower body weight in patients with type 2 diabetes in the long term (endpoint at 21 months). There were significant decreases in major metabolic control parameters in both groups, but none of the comparisons between the groups showed consistently and statistically significant differences through the whole study period (35).…”

“…Eleven studies examined if the understanding of risk was affected when the numerical information was presented in different graphical formats (3,(24)(25)(26)(27)(28)(29)(30)(31)(32)(33). Two studies explored if presenting risk information by a multimedia format influenced the understanding of risk factors (34) or metabolic control of patients (35). The interventions, conditions, and diseases varied but were all relevant to a general practice or outpatient setting ( Table 1) Table 1).…”

“…The database search found two randomised studies with a video intervention (34,35). The studies had several limitations (Table 1), but were included as an inspiration for further research.…”

“…Valázquez-López et al (35) concluded that adding a video-based multimedia education program to nutritional therapy in diabetic care was an effective strategy to lower HbA1c, improve the lipid profiles, and lower body weight in patients with type 2 diabetes in the long term (endpoint at 21 months). There were significant decreases in major metabolic control parameters in both groups, but none of the comparisons between the groups showed consistently and statistically significant differences through the whole study period (35).…”

“…Hence, it is relevant to study if the video format has the potential to compensate for impaired reading skills along with reduced numeracy or graph literacy and enhance risk understanding. Valázquez-López et al's findings suggest that adding a multimedia tool to conventional nutritional therapy is associated with an improvement in health outcomes (35). The two studies have only used the DVD at the clinic, but the video has the potential to be used as infinite repetition of information at home and a way to involve family members by sharing the information given.…”