Volume 12, Issue 3 (2024)                   Health Educ Health Promot 2024, 12(3): 399-405 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Negara C, Sukartini T, Dewi Y, Nursalam N, Yunara Y. Effect of Animaker and Augmented Reality on knowledge, Attitude, and Behavior toward Non-Ulcer Foot Care in Patients with Type 2 Diabetes. Health Educ Health Promot 2024; 12 (3) :399-405
URL: http://hehp.modares.ac.ir/article-5-76255-en.html
1- Department of Medical Surgical Nursing, Faculty of Nursing, Airlangga University, Surabaya, Indonesia
2- Department of Community, Family, Gerontological Nursing, Faculty of Medicine and Health Science, Lambung Mangkurat University, Banjarmasin, Indonesia
Abstract:   (486 Views)
Aims: Diabetic ulcers are chronic, open wounds that penetrate through the skin’s outer layer into the deeper dermal tissue. This research aimed to discover how augmented reality media and Animaker affect non-ulcer foot care behavior among people with type 2 diabetes, specifically regarding foot care education.
Materials & Methods: This quasi-experimental study employed a pre-test-post-test design with a control group and was conducted on 44 participants. The subjects were divided into three groups, including the intervention group (augmented reality+Animaker), positive control group 1 (augmented reality), and positive control group 2 (Animaker). Data were collected using observation sheets and questionnaires, and analyzed by the Wilcoxon signed-rank and Kruskal-Wallis tests at a significance level of ≤0.05.
Findings: The post-test knowledge, attitude, and behavior scores increased in the intervention group, positive control group 1, and positive control group 2. Also, disparities were found in the effectiveness of enhancing knowledge (p=0.047), attitudes (p=0.022), and behavior (p=0.037) among the combined media of augmented reality+Animaker, augmented reality, and Animaker.
Conclusion: The use of AR media, Animaker, or a combination of both increases knowledge, attitudes, and behavior toward treating diabetic foot ulcers.
Full-Text [PDF 624 kb]   (428 Downloads) |   |   Full-Text (HTML)  (13 Views)  
Article Type: Original Research | Subject: Health Education and Health Behavior
Received: 2024/07/7 | Accepted: 2024/08/18 | Published: 2024/09/11
* Corresponding Author Address: Department of Medical Surgical Nursing, Faculty of Nursing, Airlangga University, Mulyorejo, St, Surabaya-East Java, Indonesia. Postal Code: 60112 (tintin-s@fkp.unair.ac.id)

References
1. Harreiter J, Roden M. Diabetes mellitus: Definition, classification, diagnosis, screening and prevention (update 2023). Wiener Klinische Wochenschrift. 2023;135(Suppl 1):7-17. [German] [Link] [DOI:10.1007/s00508-022-02122-y]
2. Fan W, Pang H, Xie Z, Huang G, Zhou Z. Circular RNAs in diabetes mellitus and its complications. Front Endocrinol. 2022;13:885650. [Link] [DOI:10.3389/fendo.2022.885650]
3. Chowdhury TA. Post-transplant diabetes mellitus. Clin Med. 2019;19(5):392-5. [Link] [DOI:10.7861/clinmed.2019-0195]
4. Webber S. International diabetes federation. Diabetes Res Clin Pract. 2013;102:147-8. [Link] [DOI:10.1016/j.diabres.2013.10.013]
5. Ministry of Health Indonesia. Prevalence, impact, and hypertension & diabetes prevention in Indonesia. Jakarta: Indonesia Health Survey; 2023. [Indonesian] [Link]
6. Popoviciu MS, Paduraru L, Nutas RM, Ujoc AM, Yahya G, Metwally K, et al. Diabetes mellitus secondary to endocrine diseases: An update of diagnostic and treatment particularities. Int J Mol Sci. 2023;24(16):12676. [Link] [DOI:10.3390/ijms241612676]
7. Monteiro-Soares M, Boyko EJ, Jeffcoate W, Mills JL, Russell D, Morbach S, et al. Diabetic foot ulcer classifications: A critical review. Diabetes Metab Res Rev. 2020;36(Suppl 1):e3272. [Link] [DOI:10.1002/dmrr.3272]
8. Rai V, Moellmer R, Agrawal DK. Clinically relevant experimental rodent models of diabetic foot ulcer. Mol Cell Biochem. 2022;477(4):1239-47. [Link] [DOI:10.1007/s11010-022-04372-w]
9. McDermott K, Fang M, Boulton AJM, Selvin E, Hicks CW. Etiology, epidemiology, and disparities in the burden of diabetic foot ulcers. Diabetes Care. 2023;46(1):209-21. [Link] [DOI:10.2337/dci22-0043]
10. Alsabek MB, Abdul Aziz AR. Diabetic foot ulcer, the effect of resource-poor environments on healing time and direct cost: A cohort study during Syrian crisis. Int Wound J. 2022;19(3):531-7. [Link] [DOI:10.1111/iwj.13651]
11. Jiang P, Li Q, Luo Y, Luo F, Che Q, Lu Z, et al. Current status and progress in research on dressing management for diabetic foot ulcer. Front Endocrinol. 2023;14:1221705. [Link] [DOI:10.3389/fendo.2023.1221705]
12. Huang H, Xin R, Li X, Zhang X, Chen Z, Zhu Q, et al. Physical therapy in diabetic foot ulcer: Research progress and clinical application. Int Wound J. 2023;20(8):3417-34. [Link] [DOI:10.1111/iwj.14196]
13. Ramachandran V, Mohanasundaram T, Karunakaran D, Gunasekaran M, Tiwari R. Physiological and pathophysiological aspects of diabetic foot ulcer and its treatment strategies. Curr Diabetes Rev. 2023;19(8):e031122210617. [Link] [DOI:10.2174/1573399819666221103141715]
14. Urlings J, Sezer S, Ter Laan M, Bartels R, Maal T, Boogaarts J, et al. The role and effectiveness of augmented reality in patient education: A systematic review of the literature. Patient Educ Couns. 2022;105(7):1917-27. [Link] [DOI:10.1016/j.pec.2022.03.005]
15. Vaughan N. Virtual reality meets diabetes. J Diabetes Sci Technol. 2024;19322968231222022. [Link] [DOI:10.1177/19322968231222022]
16. Yeung AWK, Tosevska A, Klager E, Eibensteiner F, Laxar D, Stoyanov J, et al. Virtual and augmented reality applications in medicine: Analysis of the scientific literature. J Med Internet Res. 2021;23(2):e25499. [Link] [DOI:10.2196/25499]
17. Christova M, Strohmaier R, Fuchs-Neuhold B, Guggenberger B, Loder-Fink B, Draxler T, et al. Mixed reality prototype of multimodal screening for early detection of cognitive impairments in older adults: Protocol development and usability study. JMIR Res Protoc. 2022;11(10):e39513. [Link] [DOI:10.2196/39513]
18. Taha BA, Addie AJ, Kadhim AC, Azzahran AS, Haider AJ, Chaudhary V, et al. Photonics-powered augmented reality skin electronics for proactive healthcare: Multifaceted opportunities. Mikrochim Acta. 2024;191(5):250. [Link] [DOI:10.1007/s00604-024-06314-3]
19. Menon JC, John D, Sreedevi A, Janakiram C, Akshaya R, Sumithra S, et al. Improving medication adherence among persons with cardiovascular disease through m-health and community health worker-led interventions in Kerala; Protocol for a type II effectiveness-implementation research-(SHRADDHA-ENDIRA). Trials. 2024;25(1):437. [Link] [DOI:10.1186/s13063-024-08244-0]
20. Negara C, Sukartini T, Setiya D, Nursalam N. Effectiveness of diabetes self-management education on non-ulcer diabetic foot incidents. Health Educ Health Promot. 2024;12(1):53-8. [Link]
21. Field HT, Woodier N, Clayton J, Plichta P, Teo KS. Use of an educational, audiovisual podcast to maximise safety with variable rate intravenous insulin infusions. BMJ Open Qual. 2018;7(2):e000111. [Link] [DOI:10.1136/bmjoq-2017-000111]
22. Iskander M, Ogunsola T, Ramachandran R, McGowan R, Al-Aswad LA. Virtual reality and augmented reality in ophthalmology: A contemporary prospective. Asia Pac J Ophthalmol. 2021;10(3):244-52. [Link] [DOI:10.1097/APO.0000000000000409]
23. Tourkmani AM, Alharbi TJ, Bin Rsheed AM, Alotaibi AF, Aleissa MS, Alotaibi S, et al. A hybrid model of in-person and telemedicine diabetes education and care for management of patients with uncontrolled type 2 diabetes mellitus: Findings and implications from a multicenter prospective study. Telemed Rep. 2024;5(1):46-57. [Link] [DOI:10.1089/tmr.2024.0003]
24. Krenn C, Semlitsch T, Zipp C, Lengauer S, Shao L, Schreck T, et al. Customization options in consumer health information materials on type-2 diabetes mellitus-an analysis of modifiable features in different types of media. Front Public Health. 2024;12:1252244. [Link] [DOI:10.3389/fpubh.2024.1252244]
25. Li X, Shi Y, Wei D, Gong Y, Yan X, Cai S. Knowledge, attitude, and practice toward weight management among diabetic patients in Qidong City, Jiangsu Province. BMC Public Health. 2024;24(1):922. [Link] [DOI:10.1186/s12889-024-18392-2]
26. Bekele NT, Habtewold EM, Deybasso HA, Mekuria Negussie Y. Poor self-care practices and contributing factors among adults with type 2 diabetes in Adama, Ethiopia. Sci Rep. 2024;14(1):13660. [Link] [DOI:10.1038/s41598-024-63524-8]
27. Zhang ZC, Du QH, Jia HH, Li YM, Liu YQ, Li SB. A qualitative study on inner experience of self-management behavior among elderly patients with type 2 diabetes in rural areas. BMC Public Health. 2024;24(1):1456. [Link] [DOI:10.1186/s12889-024-18994-w]
28. Rahbar S, Zarifsanaiey N, Mehrabi M. The effectiveness of social media-based microlearning in improving knowledge, self-efficacy, and self-care behaviors among adult patients with type 2 diabetes: An educational intervention. BMC Endocr Disord. 2024;24(1):99. [Link] [DOI:10.1186/s12902-024-01626-0]
29. Zhu D, Zhu B, Zhao J, Zhang C, He J, Song D, et al. Investigation on the effectiveness of augmented reality memory training game for Chinese older adults: A randomized controlled trial. Games Health J. 2024;13(1):5-12. [Link] [DOI:10.1089/g4h.2022.0183]
30. Saeed R, Ahmed F, Danish SH, Talha M, Usmani M, Durrani N, et al. Video based educational intervention in waiting area to improve awareness about health screening among patients visiting family medicine clinics. BMC Health Serv Res. 2024;24(1):818. [Link] [DOI:10.1186/s12913-024-11143-4]
31. Motamed-Jahromi M, Kaveh MH, Vitale E. Mindfulness and self-regulation intervention for improved self-neglect and self-regulation in diabetic older adults. Sci Rep. 2024;14(1):13857. [Link] [DOI:10.1038/s41598-024-64314-y]
32. Jafari A, Naddafi F, Gholian‑Aval M, Tehrani H. Relationship between diabetes health literacy, distress, burnout, social support, complications, self-care behaviors, and quality of life among patients with type 2 diabetes: A path analysis study. Diabetol Metab Syndr. 2024;16(1):150. [Link] [DOI:10.1186/s13098-024-01391-z]
33. Mamone V, Fonzo MD, Esposito N, Ferrari M, Ferrari V. Monitoring wound healing with contactless measurements and augmented reality. IEEE J Transl Eng Health Med. 2020;8:2700412. [Link] [DOI:10.1109/JTEHM.2020.2983156]
34. Benčurik V, Skrovina M, Martínek L, Bartoš J, Macháčková M, Dosoudil M, et al. Fluorescent angiography in colorectal surgery, the influence of augmented reality in the operating room on the anastomotic leakage after low rectal resection. Rozhl Chir. 2021;100(11):543-51. [Link] [DOI:10.33699/PIS.2021.100.11.543-551]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.