Hoe Cosette Yoon Wey, Ahmad Badariah, Watterson Jessica
Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, Selangor, Malaysia.
Action Lab, Department of Human-Centred Computing, Monash University, Clayton, VIC, Australia.
Diabetes Metab Res Rev. 2024 Feb;40(2):e3722. doi: 10.1002/dmrr.3722. Epub 2023 Sep 10.
Diabetes prevalence is rising worldwide, calling for public health concerns and interventions to improve prevention and management. Self-care is an important component in reducing the incidence of complications from diabetes, but it must be taught. This systematic review aims to synthesise the evidence for education videos for people with diabetes. Electronic databases, including Ovid (Medline, Embase, EmCare), PsychInfo, CINAHL, Web of Science and Scopus, were searched for studies on educational videos for patients with diabetes that met the inclusion criteria. A total of 36 studies met the inclusion criteria. Data extracted were synthesised through narrative synthesis. Studies examined outcomes including biological (i.e., glycated haemoglobin (HbA1C), weight, BMI), non-biological (health literacy, self-efficacy) and subjective feedback (i.e., acceptability, cultural appropriateness). The most common length of video was ≤10 min. Online dissemination was the most common method of video distribution. A statistically significant decrease (ranging from -0.1% to -2.1%) in HbA1C was noted in 7 of 12 studies examining this outcome. Other studies also found evidence of improvement in health literacy, self-efficacy, physical activity, medication adherence and other outcomes. Feedback from participants was generally positive, and emphasis was placed on the need for cultural appropriateness and representation in the educational videos.
全球糖尿病患病率正在上升,这引发了对公共卫生的关注以及改善预防和管理的干预措施。自我护理是降低糖尿病并发症发生率的重要组成部分,但必须进行传授。本系统评价旨在综合有关糖尿病患者教育视频的证据。检索了包括Ovid(医学索引、荷兰医学文摘、循证医学)、心理学文摘数据库、护理学与健康领域数据库、科学引文索引和Scopus在内的电子数据库,以查找符合纳入标准的关于糖尿病患者教育视频的研究。共有36项研究符合纳入标准。提取的数据通过叙述性综合进行整合。研究考察的结果包括生物学指标(即糖化血红蛋白(HbA1C)、体重、体重指数)、非生物学指标(健康素养、自我效能感)和主观反馈(即可接受性、文化适宜性)。视频最常见的时长为≤10分钟。在线传播是视频分发最常见的方式。在12项考察此结果的研究中,有7项研究发现HbA1C有统计学意义的下降(降幅从-0.1%至-2.1%)。其他研究也发现了健康素养、自我效能感、身体活动、药物依从性及其他结果有所改善的证据。参与者的反馈总体上是积极的,并且强调了教育视频中文化适宜性和代表性的必要性。