Comparison between the Impact of Video Instructions and Traditional Training on FBS Control in Type 2 Diabetics, Hamadan: A model based intervention

Background: Diabetes is a chronic progressive disorder that imposes negative effects on various aspects of an individual's life. This study was conducted to compare the effect of video instructions in comparison with traditional training on glucose control in type 2 diabetic patients of Hamadan. Methods: In this experimental study, 120 patients with type 2 diabetes who referred to diabetes center of Hamadan were divided into two groups: intervention and control. Data collection tool was a questionnaire based on health belief model completed by interviewing before, immediately after, and three months after the intervention. In addition, the serum levels of HbA1c were measured before and three months after the study. Intervention was conducted on three groups of 20 participants using video playback as well as question and answer sessions. Data were analyzed by SPSS21 using Friedman, Wilcoxon and Mann-Whitney tests. Results: This study revealed a significant difference in the median of knowledge, perceived threat, perceived benefits, and barriers in the intervention group immediately and three months after the intervention. HbA1c levels decreased after the intervention but this change was not significant. Three months after the intervention, in the intervention group both physicians and video were the most effective cues to action. Conclusion: Instructional videos for diabetes education can have a positive impact on healthy lifestyle in Patients with type 2 diabetes. It was concluded that decrease in HbA1c level needs longer intervention period; more than three months.