Ben S. Gerber|Irwin Brodsky|Kimberly A. Lawless|Louanne Smolin|Ahsan M. Arozullah|Everett V. Smith|Michael L. Berbaum|Paul S. Heckerling|Arnold R. Eiser
Implementation and Evaluation of a Low-Literacy Diabetes Education Computer Multimedia Application
University of Illinois at Chicago|Maine Medical Center|University of Illinois at Chicago|University of Illinois at Chicago|University of Illinois at Chicago|Jesse Brown VA Medical Center|University of Illinois at Chicago|University of Illinois at Chicago|University of Illinois at Chicago|Mercy Health System|Drexel University
evaluate clinicbased multimedia intervention diabetes education targeting individuals low health literacy levels diverse populationfive public clinics chicago illinois participated study computer kiosks installed waiting room areas two hundred fortyfour subjects diabetes randomized receive either supplemental computer multimedia use intervention standard care control intervention includes audiovideo sequences communicate information provide psychological support promote diabetes selfmanagement skills without extensive text complex navigation hba1c a1c bmi blood pressure diabetes knowledge selfefficacy selfreported medical care perceived susceptibility complications evaluated baseline 1 year computer usage patterns implementation barriers also examinedcomplete 1year data available 183 subjects 75 overall significant differences change a1c weight blood pressure knowledge selfefficacy selfreported medical care intervention control groups however increase perceived susceptibility diabetes complications intervention group effect greatest among subjects lower health literacy within intervention group time spent computer greater subjects higher health literacyaccess multimedia lessons resulted increase perceived susceptibility diabetes complications particularly subjects lower health literacy despite measures improve informational access individuals lower health literacy relatively less use computer among participants