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

Trial Summary

What is the purpose of this trial?

An online survey (n=1,500) and 4 focus groups will be conducted with Latinx patients with diabetes (n=20) to obtain preliminary data regarding whether and how patient and clinician video testimonial interventions (n=6) increase eye health literacy and trust in healthcare.

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 data supports the effectiveness of the video-based patient education treatment for diabetic retinopathy?

Research shows that video-based education can improve patient understanding and behavior in eye care, with several studies indicating significant improvements in patient knowledge and task performance. Additionally, online education has been effective in increasing awareness and self-care actions in diabetic retinopathy management. ^{1 2 3 4 5}

Is video education safe for people with 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 found the videos helpful, and no safety concerns were reported in the studies reviewed. ^{1 2 6 7 8}

How does video education for diabetic retinopathy differ from other treatments?

Video education for diabetic retinopathy is unique because it uses video-based media to improve patient understanding and self-care, which can be more effective than traditional written materials, especially for those with visual impairments or low literacy. This approach focuses on enhancing patient knowledge and motivation, which can lead to better management of the condition. ^{1 2 6 9 10}

Research Team

Yao Liu, MD

Principal Investigator

University of Wisconsin, Madison

Eligibility Criteria

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

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

Treatment Details

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.

Participant Groups

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

Group II: Patient Only Testimonials 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+

Findings from Research

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]

References

1. England pubmed.ncbi.nlm.nih.gov

Watch this space: a systematic review of the use of video-based media as a patient education tool in ophthalmology. [2023]

2. United States pubmed.ncbi.nlm.nih.gov

Strategies to Improve Prevention and Management in Diabetic Retinopathy: Qualitative Insights from a Mixed-Methods Study. [2020]

3. Ireland pubmed.ncbi.nlm.nih.gov

Video-assisted patient education to modify behavior: a systematic review. [2022]

4. United States pubmed.ncbi.nlm.nih.gov

A diabetes education multimedia program in the waiting room setting. [2022]

5. Ireland pubmed.ncbi.nlm.nih.gov

The relationship between health literacy and knowledge improvement after a multimedia type 2 diabetes education program. [2022]

6. England 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. [2022]

7. United States pubmed.ncbi.nlm.nih.gov

Impact of Video Technology on the Comprehension of Patients With First Insulin Injection and the Efficiency of Nurse Education. [2022]

8. England pubmed.ncbi.nlm.nih.gov

The use of videos for diabetes patient education: A systematic review. [2023]

9. United States pubmed.ncbi.nlm.nih.gov

Diabetes education in a Mexican-American population: pilot testing of a research-based videotape. [2017]

10. France pubmed.ncbi.nlm.nih.gov

Evaluation of YouTube videos as a patient information source on intravitreal injection procedures. [2022]