The Effect of Web-Based Education in Patients With Type 2 Diabetes

Sponsor

Mehmet Akif Ersoy University (Other)

Overall Status

Completed

CT.gov ID

NCT04626531

Collaborator

Akdeniz University (Other)

Enrollment

Arms

27.1

Actual Duration (Months)

Study Details

Study Description

Brief Summary

This research was designed as a randomized controlled study to develop a web-based training program and evaluate the program's impact on diabetes management. This research was carried out on 89 patients diagnosed with type 2 diabetes in the Department of Endocrinology and Metabolic Diseases of Akdeniz University. The preparation of the web page and its content has benefited from the latest literature, national and international websites, and expert opinions. Individuals in the survey scope have been stratified random method with as intervention group (n=44) and control group (n=45). Individuals who were taken in the initiative group were informed by web page, SMS, e-mail prepared for a period of three months. Personal information forms Metabolic Control Variable Form, Diabetes Self-Care Activities Questionnaire, Self-Efficacy Scale for Type 2 Diabetic Individuals, Diabetes-Specific Quality of Life Scale and Web Site Analysis and Measurement Inventory were used as the data tools. The informed consent was obtained from the patients and all data were collected by author during face-to-face interviews.

Condition or Disease	Intervention/Treatment	Phase
Diabetes Mellitus, Type 2 Educational Problems	Other: Web-Based Education Other: Control Group	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

89 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Participant)

Masking Description:

They did not know if they were in the control and intervention group at the time of randomization.

Primary Purpose:

Supportive Care

Official Title:

The Effect of Web-Based Education Program on Metabolic Control, Self-Care Activities, Self-Efficacy and Quality of Life in Patients With Type 2 Diabetes: A Randomized Controlled Trial

Actual Study Start Date :

Jan 10, 2016

Actual Primary Completion Date :

Feb 15, 2017

Actual Study Completion Date :

Apr 15, 2018

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Intervention Group After the pre-tests (Self-Care Activities, Self-Efficacy, Quality of Life) , the patients were given web based education and containing information and recommendations on self-management strategies for three months.	Other: Web-Based Education Participants in the intervention group had unlimited access to the Web site, free of charge. The Web site was designed to run on personal computers and smartphones.
Experimental: Control Group The control group didn't apply any interference during the study. Participants in the control group continued their routine follow-up.	Other: Control Group The control group didn't apply any interference during the study. Participants in the control group continued their routine follow-up.

Arm

Intervention/Treatment

Experimental: Intervention Group

After the pre-tests (Self-Care Activities, Self-Efficacy, Quality of Life) , the patients were given web based education and containing information and recommendations on self-management strategies for three months.

Other: Web-Based Education

Participants in the intervention group had unlimited access to the Web site, free of charge. The Web site was designed to run on personal computers and smartphones.

Experimental: Control Group

The control group didn't apply any interference during the study. Participants in the control group continued their routine follow-up.

Other: Control Group

The control group didn't apply any interference during the study. Participants in the control group continued their routine follow-up.

Outcome Measures

Primary Outcome Measures

Metabolic Control Variable Form [5 minute]
It is a 9-item information form that questions the participants' clinical measurements including height, weight, body mass index, blood pressure, and laboratory results including blood glucose, HbA1c, cholesterol, triglyceride, and microalbuminuria level.
The Diabetes Self-Care Activities Questionnaire [5 minute]
The Diabetes Self-Care Activities Questionnaire was developed by Toobert and Glasgow to determine the self-care activities of individuals with diabetes. The Turkish validity and reliability of the questionnaire were conducted by Kav et al. (2010) and the total Cronbach alpha value was found 0.72. The tool contains 11 items, which measure the frequency of performing dia- betes self-care activities over the last seven days including diet, exercise, blood glucose testing, foot care and tobacco use. The scale total score ranges between 0-7. Higher scores indicate more self-care activities.
The Self-Efficacy Scale for Patients with Type 2 Diabetes Mellitus [5 minute]
The Self-Efficacy Scale for Patients with Type 2 Diabetes Mellitus was developed in 1999 by Van der Bijl et al. The Turkish validity and reliability of the scale were performed by Kara et al. (2006). The total Cronbach alpha value was found to be 0.88. The scale consists of 20 items in 5-point Likert type. Responses to the scale; "Yes, I'm sure" 5 points "No, I'm not sure" are evaluated as 1 point. The scale total score ranges between 20-100. High scores according to scale total scores indicate good self-efficacy.
The Diabetes Quality of Life Scale [5 minute]
The Diabetes Quality of Life Scale was developed by Jacobson et al to evaluate the quality of life of individuals with diabetes (Jacobson, Groot, & Samson, 1994). The Turkish validity and reliability study of the scale was conducted by Yıldırım et al (2007). The total Cronbach alpha value of the scale was found to be 0.89. The scale total score ranges between 46-230. High scores according to scale total scores indicate good quality of life.

Secondary Outcome Measures

Website Analysis and Measurement Inventory [5 minute]
The Website Analysis and Measurement Inventory is a scale based on software evaluation for usability and international software standards. WAMMI is used for the evaluation of websites in many areas. The inventory includes the sub-dimensions of attractiveness, controllability, efficiency, helpfulness, learnability, global usability. The scale total score ranges between 0-100. The scores on the WAMMI are given as percentages, higher percentages indicate higher usability.