Implementation and Evaluation of a Low-Literacy Diabetes Education Computer Multimedia Application

• DOI: 10.2337/diacare.28.7.1574
• Publication Date: 2007-03-05T22:51:27Z
• Authors: Ben S. Gerber; Irwin G. Brodsky; Kimberly A. Lawless; Louanne I. Smolin; Ahsan M. Arozullah; Everett V. Smith; Michael L. Berbaum; Paul S. Heckerling; Arnold R. Eiser
• Keywords: Health Literacy; Interactive kiosk

OBJECTIVE—To evaluate a clinic-based multimedia intervention for diabetes education targeting individuals with low health literacy levels in diverse population. RESEARCH DESIGN AND METHODS—Five public clinics Chicago, Illinois, participated the study computer kiosks installed waiting room areas. Two hundred forty-four subjects were randomized to receive either supplemental use (intervention) or standard of care only (control). The includes audio/video sequences communicate information, provide psychological support, and promote self-management skills without extensive text complex navigation. HbA1c (A1C), BMI, blood pressure, knowledge, self-efficacy, self-reported medical care, perceived susceptibility complications evaluated at baseline 1 year. Computer usage patterns implementation barriers also examined. RESULTS—Complete 1-year data available 183 (75%). Overall, there no significant differences change A1C, weight, between control groups. However, was an increase group. This effect greatest among lower literacy. Within group, time spent on greater higher CONCLUSIONS—Access lessons resulted complications, particularly Despite measures improve informational access literacy, relatively less these participants.