Diabetes Care, Vol 9, Issue 5 504-508, Copyright © 1986 by American Diabetes Association

ARTICLES

Effect of computer-based learning on diabetes knowledge and control

PH Wise, DC Dowlatshahi, S Farrant, S Fromson and KA Meadows

Two interactive computer-based systems have been evaluated: a teaching program with text and animated graphics and a multiple-choice knowledge-assessment program (KAP) with optional prescriptive feedback. One hundred seventy-four routine-attending insulin-dependent diabetes mellitus (IDDM) and non-insulin-dependent diabetes mellitus (NIDDM) patients were allocated to active and control groups to determine the effect of these programs on knowledge and control after a 4- to 6-mo follow-up period. Interactive computer teaching (ICT) resulted in a significant knowledge increment in both IDDM and NIDDM patients (P less than .05), together with a mean fall of 0.8 and 0.7%, respectively, in HbA1c (P less than .05 and P greater than .1), but no changes were observed in respective control groups. The KAP with feedback also produced a significant knowledge increment in both IDDM and NIDDM patients (P less than .05), of similar magnitude to the ICT program, and a mean fall in HbA1c of 1.2 and 1.3%, respectively (P less than .05), with no changes in the corresponding control groups. Even when KAP was used without prescriptive feedback, smaller but significant mean falls in HbA1c of 0.7 and 0.8% (P less than .05) were seen in IDDM and NIDDM patients, respectively, suggesting a motivational effect resulting from program participation.(ABSTRACT TRUNCATED AT 250 WORDS)
CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				J. Lujan, S. K. Ostwald, and M. Ortiz Promotora Diabetes Intervention for Mexican Americans The Diabetes Educator, July 1, 2007; 33(4): 660 - 670. [Abstract] [Full Text] [PDF]

				C. Mensing, J. Boucher, M. Cypress, K. Weinger, K. Mulcahy, P. Barta, G. Hosey, W. Kopher, A. Lasichak, B. Lamb, et al. National Standards for Diabetes Self-Management Education Diabetes Care, January 1, 2007; 30(suppl_1): S96 - S103. [Full Text] [PDF]

				C. Mensing, J. Boucher, M. Cypress, K. Weinger, K. Mulcahy, P. Barta, G. Hosey, W. Kopher, A. Lasichak, B. Lamb, et al. National Standards for Diabetes Self-Management Education Diabetes Care, January 1, 2006; 29(suppl_1): S78 - S85. [Full Text] [PDF]

				C. Mensing, J. Boucher, M. Cypress, K. Weinger, K. Mulcahy, P. Barta, G. Hosey, W. Kopher, A. Lasichak, B. Lamb, et al. National Standards for Diabetes Self-Management Education Diabetes Care, January 1, 2005; 28(suppl_1): S72 - S79. [Full Text] [PDF]

				C. Mensing, J. Boucher, M. Cypress, K. Weinger, K. Mulcahy, P. Barta, G. Hosey, W. Kopher, A. Lasichak, B. Lamb, et al. National Standards for Diabetes Self-Management Education Diabetes Care, January 1, 2004; 27(90001): s143 - 143. [Full Text] [PDF]

				T. L. Gary, J. M. Genkinger, E. Guallar, M. Peyrot, and F. L. Brancati Meta-Analysis of Randomized Educational and Behavioral Interventions in Type 2 Diabetes The Diabetes Educator, May 1, 2003; 29(3): 488 - 501. [Abstract] [PDF]

				C. Mensing, J. Boucher, M. Cypress, K. Weinger, K. Mulcahy, P. Barta, G. Hosey, W. Kopher, A. Lasichak, B. Lamb, et al. National Standards for Diabetes Self-Management Education Diabetes Care, January 1, 2003; 26(90001): s149 - 156. [Full Text] [PDF]

				S. L. Norris, J. Lau, S. J. Smith, C. H. Schmid, and M. M. Engelgau Self-Management Education for Adults With Type 2 Diabetes: A meta-analysis of the effect on glycemic control Diabetes Care, July 1, 2002; 25(7): 1159 - 1171. [Abstract] [Full Text] [PDF]

				A. Raji, H. Gomes, J. O. Beard, P. MacDonald, and P. R. Conlin A Randomized Trial Comparing Intensive and Passive Education in Patients With Diabetes Mellitus Arch Intern Med, June 10, 2002; 162(11): 1301 - 1304. [Abstract] [Full Text] [PDF]

				D. Lewls Current Computer Use by Diabetes Educators The Diabetes Educator, March 1, 2001; 27(2): 239 - 244. [Abstract] [PDF]

				S. L. Norris, M. M. Engelgau, and K.M. Venkat Narayan Effectiveness of Self-Management Training in Type 2 Diabetes: A systematic review of randomized controlled trials Diabetes Care, March 1, 2001; 24(3): 561 - 587. [Abstract] [Full Text]

				C. Mensing, J. Boucher, M. Cypress, K. Weinger, K. Mulcahy, P. Barta, O. Hosey, W. Kopher, A. Lasichak, B. Lamb, et al. National Standards for Diabetes Self-Management Education The Diabetes Educator, July 1, 2000; 26(4): 611 - 626. [PDF]

				D. Lewis Computer-based Approaches to Patient Education: A Review of the Literature J. Am. Med. Inform. Assoc., July 1, 1999; 6(4): 272 - 282. [Abstract] [Full Text] [PDF]

				M. Peyrot and R. R. Rubin Modeling The Effect of Diabetes Education on Glycemic Control The Diabetes Educator, January 1, 1994; 20(2): 143 - 148. [PDF]