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Type 2 diabetes requires active self-management from the time of diagnosis, but participation in traditional face-to-face diabetes self-management education is often limited by access-related and personal barriers. Online education may provide a more flexible and accessible way to deliver structured diabetes education, particularly for newly diagnosed adults who need timely support in understanding and managing their condition.
This study evaluated the effects of online diabetes self-management education compared with traditional face-to-face education on diabetes knowledge retention, body mass index (BMI), and HbA1c in adults newly diagnosed with type 2 diabetes who were not receiving antidiabetic medication. A total of 123 participants were included: 49 participants received online diabetes self-management education, 52 participants received traditional face-to-face education, and 22 participants who declined education formed a non-randomized control group. Diabetes knowledge was assessed at baseline, immediately after the intervention, and at three-month follow-up, while BMI and HbA1c were measured at baseline and follow-up.
At three-month follow-up, both online and traditional education groups showed significantly greater diabetes knowledge compared with the control group. The online education group also showed better immediate post-intervention knowledge than the traditional education group. Both education groups had significant reductions in BMI from baseline to follow-up, while no significant short-term effect on HbA1c was observed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Online Diabetes Self-Management Education | Experimental |
| |
| Traditional Face-to-Face Diabetes Self-Management Education | Active Comparator |
| |
| No Diabetes Self-Management Education (Control) | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Online Diabetes Self-Management Education | Behavioral | Participants attended a 60-minute interactive online diabetes self-management education program delivered through a Moodle learning platform using H5P interactive content. The program consisted of five modules: Diabetes Treatment and Management, Recommendations for Healthy Eating with Diabetes, Physical Activity Recommendations, Diabetes Complications and Diabetic Foot, and Planning Lifestyle Modifications. The intervention was designed to improve diabetes-related knowledge and support self-management among adults newly diagnosed with type 2 diabetes. |
| Measure | Description | Time Frame |
|---|---|---|
| Diabetes Knowledge Questionnaire (DKQ24) Score | Change in diabetes-related knowledge measured using the 24-item Diabetes Knowledge Questionnaire (DKQ24). Scores range from 0 to 24, with higher scores indicating greater diabetes knowledge. | Baseline, immediately post-intervention, and 3 months after intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Body Mass Index (BMI) | Change in body mass index (kg/m²) from baseline to follow-up. | Baseline and 3 months after intervention. |
| Glycated Hemoglobin (HbA1c) | Change in glycated hemoglobin (HbA1c) levels from baseline to follow-up. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Primary Healthcare Center Koper, Diabetes Outpatient Clinic, Koper, Slovenia | Koper | Slovenia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11194219 | Background | Garcia AA, Villagomez ET, Brown SA, Kouzekanani K, Hanis CL. The Starr County Diabetes Education Study: development of the Spanish-language diabetes knowledge questionnaire. Diabetes Care. 2001 Jan;24(1):16-21. doi: 10.2337/diacare.24.1.16. | |
| Result | CENČIČ, Ajda, 2025. The Effect of a Web-Based Educational Program for Individuals With Type 2 Diabetes [In Slovenian: Učinek spletnega edukacijskega programa za osebe s sladkorno boleznijo tipa 2]: Doctoral dissertation [online]. Izola: A. Cenčič. [Accessed 19 June 2026]. Available at: https://repozitorij.upr.si/IzpisGradiva.php?lang=slv&id=22637 |
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Anonymized individual participant data that underlie the results reported in this study will be shared if required by the journal in which the study is published. Available data include demographic characteristics, Diabetes Knowledge Questionnaire (DKQ24) scores, body mass index (BMI), and glycated hemoglobin (HbA1c) measurements collected during the study.
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Data will be available following publication of the study.
Data may be provided to qualified researchers upon reasonable request and in accordance with journal, ethical, and institutional data-sharing requirements.
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| Traditional Face-to-Face Diabetes Self-Management Education | Behavioral | Participants attended a 60-minute face-to-face diabetes self-management education session conducted in small groups of 4-6 participants. The educational content covered diabetes treatment and management, healthy eating recommendations, physical activity recommendations, diabetes complications and diabetic foot care, and planning lifestyle modifications. The intervention was designed to improve diabetes-related knowledge and support self-management among adults newly diagnosed with type 2 diabetes. |
|
| Baseline and 3 months after intervention |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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