Cheng Man Leong|Ting-I Lee|Yu-Mei Chien|Li?Na Kuo|Yu-Feng Kuo|Hsiang?Yin Chen
Social Media–Delivered Patient Education to Enhance Self-management and Attitudes of Patients with Type 2 Diabetes During the COVID-19 Pandemic: Randomized Controlled Trial
Taipei Medical University|Taipei Medical University|Wan Fang Hospital|Taipei Medical University|Wan Fang Hospital|Taipei Medical University|Wan Fang Hospital|Taipei Medical University|Taipei Medical University|Wan Fang Hospital
use mobile health technologies necessary deliver patient education patients diabetes covid19 pandemicthis openlabel randomized controlled trial evaluated effects diabetes educational platformtaipei medical universityline oriented video educationdelivered social media apppatients type 2 diabetes recruited clinic physician referral social mediabased program included 51 videos 10 understanding diabetes 10 daily care 6 nutrition care 21 diabetes drugs 4 containing quizzes intervention group received two three videos every week care messages every 2 weeks social media platform 3 months addition usual care control group received usual care outcomes measured clinical visits selfreported facetoface questionnaires baseline 3 months intervention including simplified diabetes knowledge scale truefalse version diabetes care profileattitudes toward diabetes scales summary diabetes selfcare activities glycated hemoglobin hba1c levels health literacy measured baseline using newest vital sign tool differences hba1c levels questionnaire scores intervention compared groups associations knowledge attitudes selfcare activities health literacy assessedpatients type 2 diabetes completed 3month study 91 181 503 patients intervention group 90 497 control group change hba1c significantly differ groups intervention group mean 69 sd 08 mean 70 sd 09 p34 control group mean 67 sd 06 mean 67 sd 07 p91 groups showed increased mean knowledge scores 12 weeks increasing 683 sd 164 767 sd 117 p001 intervention group 648 sd 182 732 sd 126 p001 control group positive improvements attitudes selfcare activities observed intervention group attitudes mean difference 02 sd 05 p001 selfcare activities mean difference 03 sd 12 p03 100 utility rate achieved 8 21 38 medicationrelated videos low health literacy significant risk factor baseline knowledge scores intervention group odds ratio 280 95 ci 128612 p01 became insignificant 3 monthsthe social mediabased program effective enhancing knowledge attitudes selfcare activities patients diabetes intervention also helpful patients low health literacy diabetes knowledge program represents potentially useful tool delivering diabetes education patients social media especially covid19 pandemicclinicaltrialsgov nct04876274 httpsclinicaltrialsgovct2showresultsnct04876274