Assessment of multimedia-supported intervention in Muslim diabetic patients treated with insulin

Abstract

This study aimed to evaluate the effect on diabetic care of an educational DVD in Jawi, the primary spoken language of Muslims in the study area, and pharmacist intervention among Muslim patients with diabetes treated with insulin. Type 2 diabetes Muslim patients on insulin treatment and poor glycemic control (N = 143) in one hospital in southern Thailand were recruited to participate in a 6-month-period pre- and post-intervention study. For the intervention, the pharmacist provided the patients with education using a DVD and then asked them to show how to use insulin injection. Afterward, the pharmacist would correct the techniques for patients individually. At 6 months after intervention, significant reductions in glycated hemoglobin (HbA1c) (8.31 ± 1.40 to 7.19 ± 1.15 %, P < 0.001), fasting blood glucose (FBG) (195.06 ± 86.14 to 115.81 ± 11.48 mg/dL, P < 0.001), systolic blood pressure (130.62 to 126.57 mmHg, P = 0.004), triglycerides (183.36 ± 90.48 to 182.31 ± 90.68 mg/dL, P < 0.001), and total cholesterol (199.57 ± 68.77 to 194.97 ± 64.77 mg/dL, P = 0.006) were detected in patients who received the intervention. Increased low-density lipoprotein cholesterol (LDL-C) level (P = 0.028) but no significant change in high-density lipoprotein cholesterol (HDL-C) were found (P = 0.900). Moreover, medication adherence, diabetes knowledge, and skill in using insulin injection improved at the end of the study (P < 0.001). In conclusion, the combination of language-specific educational DVD and pharmacist intervention appears to improve the short-term outcomes of diabetes care in Muslim patients on correctional insulin therapy.