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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Bibliographic Details
Published in:Asian journal of gerontology and geriatrics 2017-12, Vol.12 (2), p.60-64
Main Authors: 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
Format: Article
Language:English
Subjects:
Behavior
Brochures
Comic books
Communication
Diabetes
Health education
Health literacy
Independent sample
Intervention
Mortality
Older people
Patient education
Public health
Risk assessment
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Summary: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.
ISSN:1819-1576
1819-1576