Video Education for Diabetic Retinopathy

Overseen By Yao Liu, MD, MS

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Wisconsin, Madison

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 5

1526 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine whether video testimonials can enhance eye health knowledge and trust in healthcare among Latinx individuals with diabetes. Participants will watch various videos: some featuring only patients, others only clinicians, and some with both. The video-based patient education intervention includes an online survey and focus groups to collect feedback. Potential participants are Latinx individuals diagnosed with diabetes and receiving care at specific health centers in Madison, WI. As an unphased trial, this study provides a unique opportunity to contribute to innovative educational strategies that could improve healthcare experiences for the Latinx community.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this video-based patient education intervention is safe?

Research has shown that using videos to educate patients is safe and enhances their understanding of their health. For instance, people who watched videos about diabetes gained a better understanding of their condition and how to manage it effectively. These videos are generally well-received, with few reported issues.

In another study, digital tools like videos helped patients learn more about their illnesses. This suggests that using videos to educate about diabetic retinopathy (an eye problem caused by diabetes) is likely safe. Reports of negative effects from these educational tools are absent.

Overall, evidence suggests that video education safely aids people in understanding and managing diabetic retinopathy better. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores innovative ways to educate patients with diabetic retinopathy through video-based interventions. Unlike traditional methods that might rely on in-person consultations or brochures, these videos incorporate testimonials from patients and clinicians, making the content more relatable and engaging. This approach could improve patients' understanding and management of their condition by providing firsthand experiences and expert insights in an accessible format. By comparing different testimonial combinations and a control group, the trial aims to identify the most effective educational strategy for empowering patients and potentially improving their health outcomes.

What evidence suggests that this trial's video-based patient education interventions could be effective for increasing eye health literacy and trust in healthcare?

This trial will compare different video-based patient education interventions for diabetic retinopathy. Studies have shown that videos effectively improve understanding of health information and increase trust in healthcare. Research indicates that educational videos lead to more significant behavior changes than pamphlets, particularly in encouraging diabetes patients to get screened for diabetic retinopathy, a condition where high blood sugar harms the eye. Initial findings suggest that videos can also enhance knowledge, attitudes, and actions related to diabetes care. Overall, using video stories from patients, doctors, or both shows promise for improving understanding and involvement in eye health management for people with diabetes. ^{1 2 6 7 8}

Who Is on the Research Team?

Yao Liu, MD

Principal Investigator

University of Wisconsin, Madison

Are You a Good Fit for This Trial?

This trial is for Latinx individuals with diabetes. It aims to gather data on whether video testimonials can improve their understanding of eye health and trust in healthcare.

Inclusion Criteria

(online survey participants) Self-Identifies as Hispanic or Latino

I am Hispanic or Latino, diagnosed with diabetes, and treated in Madison, WI.

(clinician video testimonials) Self-Identifies as Hispanic or Latino, clinician who treats patients with diabetes at Access Community Health Centers and UW Health in Madison, WI

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Video Testimonial Development

Latinx patients and clinicians record video testimonials about diabetic eye screening and teleophthalmology

4 weeks

Community Stakeholder Meetings

Community outreach specialist facilitates meetings to develop culturally-adapted, video-based patient education intervention

4 weeks

4 meetings (in-person)

Online Survey and Focus Groups

Conduct online survey and focus groups to test video-based patient education intervention

4 weeks

1 online survey, 1 focus group session

Follow-up

Participants are monitored for changes in eye health literacy and trust in healthcare after the intervention

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

• Video-based Patient Education Intervention

Trial Overview The study involves an online survey and focus groups to evaluate the impact of patient and clinician video testimonials on diabetic eye screening education among Latinx communities.

How Is the Trial Designed?

Group I: Patient Only Testimonials Active Control 1 Intervention

Group II: National Eye Institute video Control Active Control 1 Intervention

Group III: Patient plus Clinician Combined Testimonials Active Control 1 Intervention

In addition to being randomized for online survey participants, focus groups will view patient plus clinician combined testimonials.

Group IV: Clinician Only Testimonials Active Control 1 Intervention

Group V: Pre-video questionnaire-only Control Active Control 1 Intervention

Who Is Running the Clinical Trial?

University of Wisconsin, Madison

Lead Sponsor

Trials

1,249

Recruited

3,255,000+

National Eye Institute (NEI)

Collaborator

Trials

572

Recruited

1,320,000+

Published Research Related to This Trial

In a pilot evaluation of internet-based education films for type 2 diabetes patients, 28% of participants engaged with the films.

Patients who watched the films experienced a significant reduction in HbA1c levels, with a mean difference of -9.0 mmol/mol compared to those who did not watch, indicating improved blood sugar control over a three-month period.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A pilot service-evaluation examining change in HbA1c related to the prescription of internet-based education films for type 2 diabetes. Rice, S., Cranch, H., Littlemore, K., et al.[2022]

Educational videos for diabetes management can lead to a statistically significant reduction in HbA1C levels, with decreases ranging from -0.1% to -2.1% in several studies, indicating improved blood sugar control.

Participants reported positive feedback on the videos, highlighting the importance of cultural appropriateness and representation, which suggests that tailored educational content can enhance self-care and management of diabetes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The use of videos for diabetes patient education: A systematic review. Hoe, CYW., Ahmad, B., Watterson, J.[2023]

Citations

1. clinicaltrials.gov clinicaltrials.gov/study/NCT06257082

Video-based Patient Education Intervention for Diabetic ... Together with the online survey results, the investigators will test the intervention's ability to increase eye health literacy and trust in healthcare for ...

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC7001174/

Evaluation of whether health education using video ... Educational videos led to greater behavior change than pamphlets in motivating diabetics for DR screening. Keywords: Advocacy, diabetic ...

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC6023855/

Long-term Comparative Effectiveness of Telemedicine in ... Minimal information exists regarding the long-term comparative effectiveness of telemedicine to provide diabetic retinopathy screening exams.

4. onlinelibrary.wiley.com onlinelibrary.wiley.com/doi/full/10.1002/dmrr.3722

The use of videos for diabetes patient education: A ... The intervention group received a video on knowledge, attitude, behaviour, and psychological barriers towards insulin therapy based on the ADA ...

5. journals.sagepub.com journals.sagepub.com/doi/abs/10.1177/00178969241258818

Needs assessment and patient-guided development of a ... (2020) Evaluation of whether health education using video technology increases the uptake of screening for diabetic retinopathy among individuals with diabetes ...

6. withpower.com withpower.com/trial/phase-diabetic-retinopathy-8-2024-c2cc3

Video Education for Diabetic Retinopathy Video education has been used safely in various studies to improve patient understanding and self-care in diabetes and other conditions. Participants generally ...

7. bmchealthservres.biomedcentral.com bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-07915-5

Ranked determinants of telemedicine diabetic retinopathy ... Diabetic retinopathy (DR) is a leading cause of blindness worldwide, despite easy detection and effective treatment.

8. europe.ophthalmologytimes.com europe.ophthalmologytimes.com/view/harnessing-digital-media-for-enhanced-patient-engagement-and-outcomes

Harnessing digital media for enhanced patient ... Patients who received digital education using CheckedUp demonstrated a better understanding of their disease and its management.