Thew Hui Zhu, Cheong Ai Theng, Ghazali Sazlina Shariff, Lim Poh Ying, Rashid Aneesa Abdul, Wong Ping Foo, Choon Yong Kui, Dahlan Adam Firdaus Bin, Suluraju Chitra, Othman Nadiah, Leng Yong Wai, Malek Izwan Zuhrin Bin Abdul, Chan Yoke Mun, Fong Yan Bin, Ng Chee Han, Choy Ja Shen, Chong Shen Horng
Department of Family Medicine, University Putra Malaysia, Serdang, Selangor, Malaysia.
Department of Community Health, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
PLoS One. 2025 May 5;20(5):e0323102. doi: 10.1371/journal.pone.0323102. eCollection 2025.
Diabetes Mellitus (DM)- Type 2 is increasingly prevalent in today's population. DM remains poorly controlled due to insufficient knowledge and understanding of this disease. Maintaining good diabetic self-care requires knowledge and empowerment. The COVID-19 pandemic had caused a shift of some public attention from non-communicable to communicable diseases, leading to patients becoming ignorant of their diabetic status. Therefore, we aim to develop an online education video platform that enables patients to enhance their knowledge about Diabetes Mellitus Type 2. In this blocked randomised control trial, a minimum number of 232 participants with type 2 diabetes mellitus will be needed. Patients will consent and voluntarily participate during their follow-up at public primary health care clinic (Klinik Keshihatan Cheras Baru). Patients undergoing diabetic follow-up will be divided into two groups where only patients within the intervention group will receive diabetic care video. Patients' clinical profiles such as date of birth, gender, education status, Diabetes Knowledge Test (DKT) and Diabetic Empowerment Scale (DES-28) were collected to assess diabetes self-care knowledge and empowerment using self-administered questionnaires. Patients will be reminded to complete the educational video at the 3-month and 6-month follow-ups, and the aforementioned parameters will be reassessed. The data will be assessed using an independent t-test for the difference between intervention and control groups. A Paired t-test will assess the difference between the patient pre and post-intervention after 6 months. A generalised Estimating Equation will be used to investigate the effectiveness of diabetes knowledge and clinical outcome, adjusted with covariates. P < 0.05 will be considered statistically significant. Ethical principles outlined in the Declaration of Helsinki and Malaysian Good Clinical Practice Guideline will be followed. Ethical approval will be obtained from MREC and NMRR before starting any study-related activities.
2型糖尿病(DM)在当今人群中越来越普遍。由于对这种疾病的了解和认识不足,糖尿病的控制仍然很差。保持良好的糖尿病自我护理需要知识和能力。新冠疫情使一些公众的注意力从非传染性疾病转移到了传染性疾病上,导致患者对自己的糖尿病状况变得无知。因此,我们旨在开发一个在线教育视频平台,使患者能够增强对2型糖尿病的了解。在这项分组随机对照试验中,至少需要232名2型糖尿病患者。患者将在公共初级卫生保健诊所(新街场健康诊所)随访期间同意并自愿参与。接受糖尿病随访的患者将被分为两组,只有干预组的患者将接受糖尿病护理视频。收集患者的临床资料,如出生日期、性别、教育程度、糖尿病知识测试(DKT)和糖尿病赋权量表(DES-28),使用自填问卷评估糖尿病自我护理知识和赋权情况。将提醒患者在3个月和6个月随访时完成教育视频,并重新评估上述参数。将使用独立t检验评估干预组和对照组之间的差异。配对t检验将评估患者在6个月干预前后的差异。将使用广义估计方程来研究糖尿病知识和临床结果的有效性,并根据协变量进行调整。P < 0.05将被认为具有统计学意义。将遵循《赫尔辛基宣言》和马来西亚良好临床实践指南中概述的伦理原则。在开始任何与研究相关的活动之前,将获得马来西亚医学研究伦理委员会(MREC)和国家医学研究注册处(NMRR)的伦理批准。