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Nature Image Exposure in Type 2 Diabetes
Sponsor: Dicle University
Summary
Type 2 diabetes often requires repeated procedures, including insulin self-injection and self-monitoring of blood glucose. These procedures may cause pain and lead to fear of self-injection and blood glucose testing, which may negatively affect treatment adherence and diabetes self-management. Nature-based visual stimuli may serve as a simple, non-pharmacological distraction method by directing attention away from painful or fear-inducing procedures. This randomized controlled trial evaluated the effects of nature image exposure on pain, fear of self-injection, and fear of blood glucose testing in adults with type 2 diabetes. A total of 64 participants were randomly assigned to either the intervention group (n=32) or the control group (n=32). Participants in the intervention group viewed a standardized nature image displayed on a fixed wall-mounted screen for 3-5 minutes immediately before insulin self-injection and self-monitoring of blood glucose. Participants in the control group received standard care without nature image exposure. Outcomes were assessed using the Diabetes Fear of Injecting and Self-Testing Questionnaire and the Visual Analog Scale.
Official title: Effects of Nature Image Exposure on Pain, Fear of Blood Glucose Testing and Fear of Self-injection in Patients With Type 2 Diabetes: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
64
Start Date
2023-11-01
Completion Date
2024-11-30
Last Updated
2026-09-21
Healthy Volunteers
No
Conditions
Interventions
Nature Image Exposure
Participants were individually exposed to a standardized, high-resolution nature-themed visual depicting natural environments such as forests, rivers, waterfalls, and green landscapes. The visual was displayed on a fixed wall-mounted screen in the diabetes education room for 3-5 minutes immediately before self-monitoring of blood glucose and insulin injection. Environmental conditions were standardized, including uniform room lighting, minimal noise, a fixed seating position, and a consistent viewing distance. The visual display was removed immediately after each session.
Locations (1)
Dicle University Hospitals
Diyarbakır, Di̇yarbakir, Turkey (Türkiye)