Penn State Institute for Diabetes and Obesity and Division of Endocrinology, Diabetes and Metabolism, 500 University Drive, H044, Hershey, Pennsylvania, 17033, USA.
Diabetes Ther. 2010 Dec;1(2):93-102. doi: 10.1007/s13300-010-0009-1. Epub 2011 Jan 11.
The primary objective of this work was to develop a diabetes education book, to pilot its use, and to evaluate its impact on patient care. The secondary objective was to compare the value of providing only the book to patients versus providing the book along with a brief tutorial given by a nurse on how to use the book.
A diabetes education book was developed through a social marketing approach. The impact of the book was then tested in a pilot, prospective, randomized controlled trial evaluating diabetes knowledge, emotional distress, self-care behavior, and clinical outcomes in a primary care patient population. The three-arm study randomized one group to usual care (n=33), one group to receive the book alone (n=33), and one group to receive the book with a brief nurse tutorial (n=34). Patients completed surveys at baseline, 4 weeks, 3 months, and 6 months to assess knowledge (Knowledge Questionnaire), self-care behaviors (Summary of Diabetes Self Care Activities [SDSCA] survey), and disease-related distress (Problem Areas in Diabetes [PAID] scale).
A patient advocacy committee identified a need for information on basic diabetes knowledge, diet, medications, complications, preparing for a visit, and plans for daily life. Using social marketing with a focus on low literacy, the Penn State Hershey Diabetes Playbook was created. The pilot study showed a trend towards improved knowledge, decreased distress, and improved self-care behaviors in patients who received the book. There was no difference in outcomes in patients who were provided the book alone versus those who received a brief nurse tutorial along with the book.
Social marketing techniques and low literacy awareness are useful in developing diabetes educational materials.
本研究的主要目的是开发一本糖尿病教育书籍，对其进行试用，并评估其对患者护理的影响。次要目的是比较仅向患者提供书籍与向患者提供书籍并由护士提供使用手册的简短指导相比的价值。
通过社会营销方法开发了一本糖尿病教育书籍。然后，在一项试点前瞻性随机对照试验中对该书籍的效果进行了测试，该试验评估了初级保健患者人群中的糖尿病知识、情绪困扰、自我护理行为和临床结局。三臂研究将一组患者随机分为常规护理组（n=33）、单独接受书籍组（n=33）和接受书籍加护士简短指导组（n=34）。患者在基线、4 周、3 个月和 6 个月时完成调查问卷，以评估知识（知识问卷）、自我护理行为（糖尿病自我护理活动摘要[DSCA]调查）和疾病相关困扰（糖尿病问题区域[PAID]量表）。
患者权益委员会确定了对基本糖尿病知识、饮食、药物、并发症、就诊准备和日常生活计划的信息需求。使用注重低文化素养的社会营销方法，创建了宾夕法尼亚州立大学赫尔希糖尿病游戏手册。该试点研究表明，接受书籍的患者在知识、焦虑和自我护理行为方面均有改善趋势，但仅提供书籍的患者与接受书籍和护士简短指导的患者之间的结果无差异。
社会营销技术和低文化素养意识在开发糖尿病教育材料方面非常有用。
