Educational comic book versus pamphlet for improvement of health literacy in older patients with type II diabetes mellitus: a randomised controlled trial
Background. This study aimed to compare the efficacy of an educational comic book versus a pamphlet in improving the health literacy of older patients with type II diabetes mellitus (T2DM) in Hong Kong. Methods. Between August and October 2016, T2DM patients aged >50 years were recruited from the...
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| Veröffentlicht in: | Asian journal of gerontology and geriatrics 2017-12, Vol.12 (2), p.60-64 |
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| container_title | Asian journal of gerontology and geriatrics |
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| creator | Yu, Stephanie W Y Tse, Desmond T M Chui, Jacqueline C Y Wong, Bo-Hang Wong, Kelly K H Cheng, Christie C Chiang, Carilyn Y W Lee, Chi-Ming Li, Henry M H Leung, Angela Y M |
| description | Background. This study aimed to compare the efficacy of an educational comic book versus a pamphlet in improving the health literacy of older patients with type II diabetes mellitus (T2DM) in Hong Kong. Methods. Between August and October 2016, T2DM patients aged >50 years were recruited from the Risk Assessment and Management Clinic of Tsan Yuk Hospital. Their health literacy was assessed using the Chinese Health Literacy Scale for Diabetes - Multiple Choice Version (CHLSD-MC). Those with an imperfect health literacy score were randomised to the intervention or control group and to read an educational comic book or a pamphlet, respectively. Health literacy was reassessed immediately after the intervention. Results. A total of 165 patients were assessed. The mean CHLSD- MC score was 59.99 out of 68; health literacy was inadequate in 13.3% of patients. Among patients with an imperfect CHLSD-MC score, 88 agreed to participate and were randomised to the intervention (n=42) or control (n=46) group. After the intervention, the intervention group had a significantly higher absolute change in CHLSD-MC score (3.48 vs. 0.93, t(80)=3.28, p=0.002). Conclusion. An educational comic book is more effective than a pamphlet in improving the health literacy of older patients with T2DM in Hong Kong. |
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This study aimed to compare the efficacy of an educational comic book versus a pamphlet in improving the health literacy of older patients with type II diabetes mellitus (T2DM) in Hong Kong. Methods. Between August and October 2016, T2DM patients aged >50 years were recruited from the Risk Assessment and Management Clinic of Tsan Yuk Hospital. Their health literacy was assessed using the Chinese Health Literacy Scale for Diabetes - Multiple Choice Version (CHLSD-MC). Those with an imperfect health literacy score were randomised to the intervention or control group and to read an educational comic book or a pamphlet, respectively. Health literacy was reassessed immediately after the intervention. Results. A total of 165 patients were assessed. The mean CHLSD- MC score was 59.99 out of 68; health literacy was inadequate in 13.3% of patients. Among patients with an imperfect CHLSD-MC score, 88 agreed to participate and were randomised to the intervention (n=42) or control (n=46) group. After the intervention, the intervention group had a significantly higher absolute change in CHLSD-MC score (3.48 vs. 0.93, t(80)=3.28, p=0.002). Conclusion. An educational comic book is more effective than a pamphlet in improving the health literacy of older patients with T2DM in Hong Kong.</description><identifier>ISSN: 1819-1576</identifier><identifier>EISSN: 1819-1576</identifier><language>eng</language><publisher>Hong Kong: Hong Kong Academy of Medicine</publisher><subject>Behavior ; Brochures ; Comic books ; Communication ; Diabetes ; Health education ; Health literacy ; Independent sample ; Intervention ; Mortality ; Older people ; Patient education ; Public health ; Risk assessment</subject><ispartof>Asian journal of gerontology and geriatrics, 2017-12, Vol.12 (2), p.60-64</ispartof><rights>2017. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785</link.rule.ids></links><search><creatorcontrib>Yu, Stephanie W Y</creatorcontrib><creatorcontrib>Tse, Desmond T M</creatorcontrib><creatorcontrib>Chui, Jacqueline C Y</creatorcontrib><creatorcontrib>Wong, Bo-Hang</creatorcontrib><creatorcontrib>Wong, Kelly K H</creatorcontrib><creatorcontrib>Cheng, Christie C</creatorcontrib><creatorcontrib>Chiang, Carilyn Y W</creatorcontrib><creatorcontrib>Lee, Chi-Ming</creatorcontrib><creatorcontrib>Li, Henry M H</creatorcontrib><creatorcontrib>Leung, Angela Y M</creatorcontrib><title>Educational comic book versus pamphlet for improvement of health literacy in older patients with type II diabetes mellitus: a randomised controlled trial</title><title>Asian journal of gerontology and geriatrics</title><description>Background. This study aimed to compare the efficacy of an educational comic book versus a pamphlet in improving the health literacy of older patients with type II diabetes mellitus (T2DM) in Hong Kong. Methods. Between August and October 2016, T2DM patients aged >50 years were recruited from the Risk Assessment and Management Clinic of Tsan Yuk Hospital. Their health literacy was assessed using the Chinese Health Literacy Scale for Diabetes - Multiple Choice Version (CHLSD-MC). Those with an imperfect health literacy score were randomised to the intervention or control group and to read an educational comic book or a pamphlet, respectively. Health literacy was reassessed immediately after the intervention. Results. A total of 165 patients were assessed. The mean CHLSD- MC score was 59.99 out of 68; health literacy was inadequate in 13.3% of patients. Among patients with an imperfect CHLSD-MC score, 88 agreed to participate and were randomised to the intervention (n=42) or control (n=46) group. After the intervention, the intervention group had a significantly higher absolute change in CHLSD-MC score (3.48 vs. 0.93, t(80)=3.28, p=0.002). Conclusion. An educational comic book is more effective than a pamphlet in improving the health literacy of older patients with T2DM in Hong Kong.</description><subject>Behavior</subject><subject>Brochures</subject><subject>Comic books</subject><subject>Communication</subject><subject>Diabetes</subject><subject>Health education</subject><subject>Health literacy</subject><subject>Independent sample</subject><subject>Intervention</subject><subject>Mortality</subject><subject>Older people</subject><subject>Patient education</subject><subject>Public health</subject><subject>Risk assessment</subject><issn>1819-1576</issn><issn>1819-1576</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNT0FKA0EQXETBoPlDg-fATpaN0atEzN176Oz0shNnptfpnkie4m_tgweP1qULuoqqumoWbuueVq5_3Fz_4bfNUuTUGjbtuu3covne-TqgBs4YYeAUBjgyf8CZilSBGdM8RVIYuUBIc-EzJcoKPMJEGHWCGJQKDhcIGTh6KmbSYBqBr2B_vcwE-z34gEdSEkgUzVPlGRAKZm-hQt7CsxaO0aiWgPG-uRkxCi1_713z8Lp7f3lbWYnPSqKHE9diteWw7vutzetc1_1P9QPkylzY</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Yu, Stephanie W Y</creator><creator>Tse, Desmond T M</creator><creator>Chui, Jacqueline C Y</creator><creator>Wong, Bo-Hang</creator><creator>Wong, Kelly K H</creator><creator>Cheng, Christie C</creator><creator>Chiang, Carilyn Y W</creator><creator>Lee, Chi-Ming</creator><creator>Li, Henry M H</creator><creator>Leung, Angela Y M</creator><general>Hong Kong Academy of Medicine</general><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>KB0</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20171201</creationdate><title>Educational comic book versus pamphlet for improvement of health literacy in older patients with type II diabetes mellitus: a randomised controlled trial</title><author>Yu, Stephanie W Y ; Tse, Desmond T M ; Chui, Jacqueline C Y ; Wong, Bo-Hang ; Wong, Kelly K H ; Cheng, Christie C ; Chiang, Carilyn Y W ; Lee, Chi-Ming ; Li, Henry M H ; Leung, Angela Y M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_25581573133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Behavior</topic><topic>Brochures</topic><topic>Comic books</topic><topic>Communication</topic><topic>Diabetes</topic><topic>Health education</topic><topic>Health literacy</topic><topic>Independent sample</topic><topic>Intervention</topic><topic>Mortality</topic><topic>Older people</topic><topic>Patient education</topic><topic>Public health</topic><topic>Risk assessment</topic><toplevel>online_resources</toplevel><creatorcontrib>Yu, Stephanie W Y</creatorcontrib><creatorcontrib>Tse, Desmond T M</creatorcontrib><creatorcontrib>Chui, Jacqueline C Y</creatorcontrib><creatorcontrib>Wong, Bo-Hang</creatorcontrib><creatorcontrib>Wong, Kelly K H</creatorcontrib><creatorcontrib>Cheng, Christie C</creatorcontrib><creatorcontrib>Chiang, Carilyn Y W</creatorcontrib><creatorcontrib>Lee, Chi-Ming</creatorcontrib><creatorcontrib>Li, Henry M H</creatorcontrib><creatorcontrib>Leung, Angela Y M</creatorcontrib><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Asian journal of gerontology and geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Stephanie W Y</au><au>Tse, Desmond T M</au><au>Chui, Jacqueline C Y</au><au>Wong, Bo-Hang</au><au>Wong, Kelly K H</au><au>Cheng, Christie C</au><au>Chiang, Carilyn Y W</au><au>Lee, Chi-Ming</au><au>Li, Henry M H</au><au>Leung, Angela Y M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Educational comic book versus pamphlet for improvement of health literacy in older patients with type II diabetes mellitus: a randomised controlled trial</atitle><jtitle>Asian journal of gerontology and geriatrics</jtitle><date>2017-12-01</date><risdate>2017</risdate><volume>12</volume><issue>2</issue><spage>60</spage><epage>64</epage><pages>60-64</pages><issn>1819-1576</issn><eissn>1819-1576</eissn><abstract>Background. This study aimed to compare the efficacy of an educational comic book versus a pamphlet in improving the health literacy of older patients with type II diabetes mellitus (T2DM) in Hong Kong. Methods. Between August and October 2016, T2DM patients aged >50 years were recruited from the Risk Assessment and Management Clinic of Tsan Yuk Hospital. Their health literacy was assessed using the Chinese Health Literacy Scale for Diabetes - Multiple Choice Version (CHLSD-MC). Those with an imperfect health literacy score were randomised to the intervention or control group and to read an educational comic book or a pamphlet, respectively. Health literacy was reassessed immediately after the intervention. Results. A total of 165 patients were assessed. The mean CHLSD- MC score was 59.99 out of 68; health literacy was inadequate in 13.3% of patients. Among patients with an imperfect CHLSD-MC score, 88 agreed to participate and were randomised to the intervention (n=42) or control (n=46) group. After the intervention, the intervention group had a significantly higher absolute change in CHLSD-MC score (3.48 vs. 0.93, t(80)=3.28, p=0.002). Conclusion. An educational comic book is more effective than a pamphlet in improving the health literacy of older patients with T2DM in Hong Kong.</abstract><cop>Hong Kong</cop><pub>Hong Kong Academy of Medicine</pub><oa>free_for_read</oa></addata></record> |
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| subjects | Behavior Brochures Comic books Communication Diabetes Health education Health literacy Independent sample Intervention Mortality Older people Patient education Public health Risk assessment |
| title | Educational comic book versus pamphlet for improvement of health literacy in older patients with type II diabetes mellitus: a randomised controlled trial |
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