Reach and effectiveness of DVD and in-person diabetes self-management education

Chronic Illn. 2009 Dec;5(4):243-9. doi: 10.1177/1742395309343978. Epub 2009 Nov 19.


Objectives: To evaluate the reach and effectiveness of a diabetes self-management DVD compared to classroom-based instruction.

Methods: A hybrid preference/randomized design was used with participants assigned to Choice v. Randomized and DVD v. Class conditions. One hundred and eighty-nine adults with type 2 diabetes participated. Key outcomes included self-management behaviours, process measures including DVD implementation and hypothesized mediators and clinical risk factors.

Results: In the Choice condition, four times as many participants chose the mailed DVD as selected Class-based instruction (38.8 v. 9.4%, p<0.001). At the 6-month follow-up, the DVD produced results generally not significantly different than classroom-based instruction, but a combined Class plus DVD condition did not improve outcomes beyond those produced by the classes alone.

Discussion: The DVD appears to have merit as an efficient and appealing alternative to brief classroom-based diabetes education, and the hybrid design is recommended to provide estimates of programme reach.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Choice Behavior
  • Computer-Assisted Instruction / methods*
  • Diabetes Mellitus, Type 2 / therapy*
  • Female
  • Follow-Up Studies
  • Health Behavior
  • Humans
  • Male
  • Middle Aged
  • Patient Compliance
  • Patient Education as Topic / methods*
  • Program Evaluation
  • Self Care / methods*
  • Socioeconomic Factors
  • Treatment Outcome
  • Videodisc Recording*