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The Effects of Web-Based Diabetes Education on Diabetes Care Results: A Randomized Control Study


CIN: Computers, Informatics, Nursing: February 2011 - Volume 29 - Issue - p TC29-TC34
doi: 10.1097/NCN.0b013e3182155318
Feature Article

This study aimed to test the effects of providing Web-based diabetes education to individuals with type 2 diabetes on the A1c level and health check attendance. The study participants comprised 122 individuals with type 2 diabetes, who had access to the Internet, had completed their basic diabetes education, and had similar basic situational factors. Using a randomization method, these participants were chosen from the patients being monitored by the diabetes nurses. The experimental group (n = 61) was monitored via the Web. From measurements recorded in the sixth month of monitoring, we found that A1c levels of the individuals with diabetes who were monitored through the Web decreased (t = 6.63; P < .05), and the rate of attending health check visits increased (z = 5.97; P< .05), while no difference was detected in the control group (t = −0.63; P = .534; z = −0.80; P = .426). To maintain glycemic control, Web use could be adopted as a complementary tool for monitoring individuals with diabetes.

Author Affiliations: Department of Internal Medicine Nursing, School of Health, Uludağ University, Görükle, Bursa (Ms Avdal); School of Nursing Department of Internal Medicine, Dokuz Eylül University, Balçova, İzmir (Dr Kizilci); Department of Statistics, Dokuz Eylül University Faculty of Arts and Sciences, Tınaztepe, İzmir (Dr Demirel), Turkey.

Reprinted from Avdal EÜ, Kizilci S, Demirel N. The effects of web-based diabetes education on diabetes care results: a randomized control study. Comput Inform Nurs. 2011;29(2):101-106. DOI: 10.1097/NCN.0b013e3181fcbdc6.

This study took an award of first oral presentation and good research at International Internal Medicine Congress in Antalya, Turkey (September 30 to October 4, 2009).

Dokuz Eylül University Scientific Research Project Directorate was applied for financial support, and the necessary financial support was granted.

Corresponding author: Elif Ünsal Avdal, PhD, BSN, RN, Department of Internal Medicine Nursing, School of Health, Uludağ University, Görükle, Bursa, Turkey (

© 2011 Lippincott Williams & Wilkins, Inc.