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NCT07374744

Effect of Interactive Video-Based Self-Management Education in Adults With Type 2 Diabetes

Sponsor: Abant Izzet Baysal University

View on ClinicalTrials.gov

Summary

This study aims to evaluate the effectiveness of an interactive video-based self-management education program for adults with type 2 diabetes. The education program is designed to support individuals in managing their daily diabetes care and improving their blood glucose control. Participants in this study will be adults diagnosed with type 2 diabetes who are receiving outpatient care. Eligible participants will be randomly assigned to either an intervention group or a control group. Participants in the intervention group will receive an interactive video-based education program developed according to the AADE7 Self-Care Behaviors framework. The videos are based on real-life scenarios and encourage active participation and decision-making. Participants in the control group will receive standard diabetes care. The study will assess changes in blood glucose control, diabetes self-management behaviors, and empowerment levels over the study period. Data will be collected using clinical measurements and questionnaires. Participation in this study is voluntary. The results of this study may contribute to improving diabetes education practices and supporting patient-centered care in clinical settings.

Official title: The Effect Of An Interactive Video-Based Self-Management Education On Glycemic Control, Self-Management and Empowerment İn Individuals With Type 2 Diabetes: A Parallel-Group, Single-Blind, Randomized Controlled Trial

Key Details

Gender

All

Age Range

18 Years - 65 Years

Study Type

INTERVENTIONAL

Enrollment

Start Date

2026-08-01

Completion Date

2026-11-30

Last Updated

2026-01-29

Healthy Volunteers

Yes

Conditions

Type 2 Diabetes Outpatient

Interventions

BEHAVIORAL

Interactive video training

The intervention is designed to promote active learning through decision-making, question-answer interactions, and scenario-based navigation within the video content. The education program is based on the AADE7 Self-Care Behaviors framework and covers healthy coping, healthy eating, physical activity, medication use, monitoring, risk reduction, and problem-solving. Videos are structured around real-life scenarios, performed by an actor portraying a patient, and each video lasts approximately 5-10 minutes. Participants will access the web-based videos via their personal smartphones and will be given one month to complete all content, with unlimited viewing allowed. Engagement will be monitored weekly, and reminders will be provided if no viewing occurs for one week. Interactive elements include embedded questions, feedback videos, and informational prompts. Participant satisfaction will be assessed at the 3-month follow-up.

BEHAVIORAL

Standard Nursing Care

Standard nursing care is routinely provided at the outpatient clinic by a diabetes nurse educator in accordance with established institutional clinical protocols and educational practices. This care consists of face-to-face verbal education delivered during routine follow-up visits. Educational content generally includes core components of diabetes management, such as treatment approaches, self-monitoring of blood glucose, nutrition planning, physical activity recommendations, prevention of acute complications-particularly hypoglycemia-and daily self-care practices. Follow-up visits typically involve reviewing blood glucose records, assessing clinical status, and reinforcing self-management behaviors based on individual needs.

Inclusion Criteria: * Aged between 18 and 65 years (Mumcu \& İnkaya, 2022). * Able to read, write, understand, and speak Turkish. * Diagnosed with type 2 diabetes for at least one year (Onyia et al., 2023; Shahshahani et al., 2023). * Receiving oral antidiabetic agents and/or insulin therapy (Mikhael et al., 2019). * Having an HbA1c level \>7% in at least one measurement within the last 3 months (Hu et al., 2023; Lee et al., 2020; Asmat et al., 2023; TEMD, 2024). * Volunteering to participate in the study. * Owning a personal device (e.g., smartphone) capable of playing interactive videos. * Having the ability to use a smartphone capable of playing interactive videos, which will be assessed by observing the participant using an interactive video -not related to the study intervention. * Owning a smartphone with an active internet data plan. * Being able to attend scheduled follow-up visits at the frequency required for study measurements. * Having a body mass index (BMI) ≥18.5 kg/m² (Lee et al., 2022). * Not following a vegan or vegetarian diet (Dening et al., 2023). * Having hemoglobin levels within normal ranges (women: 12-16 g/dL; men: 14-18 g/dL) (Billett, 1990). Exclusion Criteria: * Having previously received video-based diabetes education. * Currently using or having previously used a video-based tool or program supporting type 2 diabetes management. * Having severe visual, auditory, cognitive impairments, or physical disabilities that may interfere with participation. * Being hospitalized as an inpatient during the intervention period. * Being pregnant, planning pregnancy within the next 6 months, or becoming pregnant during the study. * Breastfeeding during the study period (due to potential dietary restrictions). * Using any weight-loss medication or supportive pharmacological agent. * Having a diagnosis of sickle cell anemia or being diagnosed during the study period (TEMD, 2024, p.18; Eyth et al., 2025). * Receiving hemodialysis, having experienced recent bleeding or blood transfusion, or receiving erythropoietin therapy (TEMD, 2024, p.18; Eyth et al., 2025). * Having a diagnosed psychiatric disorder (e.g., major depressive disorder, bipolar disorder, schizophrenia). * Participating in another diabetes-related intervention or program during the study period. * Using an insulin pump (Lee et al., 2022). * Managing diabetes with nutrition therapy alone without pharmacological treatment. * Following a diet prescribed and supervised by a dietitian due to another medical condition or surgical procedure.

Locations (1)

Yalova

Yalova, Turkey (Türkiye)