Booklet-Based Education in Diabetes Mellitus Patients: A Scoping Review

Nining Saritessa; Kusman Ibrahim; Hartiah Haroen

doi:10.56303/jhnresearch.v4i1.372

Authors

Nining Saritessa Master of Nursing Students, Universitas Padjadjaran, Bandung, Indonesia
Kusman Ibrahim Department of Surgical-Medical Nursing, Universitas Padjadjaran, Bandung, Indonesia
Hartiah Haroen Department of Community Nursing, Universitas Padjadjaran, Bandung, Indonesia

Keywords:

Diabetes Mellitus, Health Education, Booklet, Self-Care, Patient Education Material

Abstract

Diabetes mellitus (DM) is a significant global health issue requiring effective patient self-management to prevent severe complications like cardiovascular disease and organ damage. Health education is crucial for empowering patients, and booklets offer a cost-effective, accessible, and structured medium for delivering essential information. This scoping review investigated the use and impact of booklet-based education for DM patients. Following the Arksey and O'Malley framework, researchers searched CINAHL, PubMed, and Scopus databases for original English-language studies published between 2015 and 2024, using keywords related to diabetes, education, and booklets. From the search, 11 relevant articles were selected for analysis. The findings consistently showed that using booklets as an educational intervention effectively improved DM patients' knowledge, self-efficacy, and self-care behaviours. Key themes identified included the direct impact of booklets on knowledge enhancement, the benefit of combining theoretical information with practical application advice within the booklets, and the important role of family support in successful diabetes management, which can be facilitated by shared educational materials. The success of booklets is attributed to their structured format, ease of understanding, and continuous accessibility for patients. Factors influencing the effectiveness of this educational approach include patient literacy levels, the degree of family involvement, and the frequency of educational reinforcement. In conclusion, booklet-based education is a proven, effective strategy for improving self-management components in DM patients. The review highlights booklets as affordable and flexible tools, while also suggesting areas for future research, particularly concerning long-term clinical outcomes and the potential for integrating booklet content with modern digital health.

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References

International Diabetes Federation. IDF Diabetes Atlas – 10th Edition [Internet]. Belgium: International Diabetes Federation; 2021. Available from: http://www.diabetesatlas.org/

Kemenkes RI. Situasi Penyakit Kronis di Indonesia. [Internet]. 2019. Available from: https://pusdatin.kemkes.go.id/

Böhm A-K, Jensen ML, Sørensen MR, Stargardt T. Real-World Evidence of User Engagement With Mobile Health for Diabetes Management: Longitudinal Observational Study. JMIR mHealth uHealth. 2020;8(11):e22212–e22212.

Signal V, McLeod M, Stanley J, Stairmand J, Sukumaran N, Thompson D-M, et al. A Mobile- and Web-Based Health Intervention Program for Diabetes and Prediabetes Self-Management (BetaMe/Melon): Process Evaluation Following a Randomized Controlled Trial. J Med Internet Res. 2020;22(12):e19150–e19150.

Maleki Chollou K, Gaffari-Fam S, Babazadeh T, Daemi A, Bahadori A, Heidari S. The Association of Health literacy level with Self-Care Behaviors and Glycemic Control in a Low Education Population with type 2 diabetes Mellitus: a cross-sectional study in Iran. Diabetes Metab Syndr Obes [Internet]. 2020;13. Available from: https://doi.org/10.2147/DMSO.S253607

Huang I, Lim MA, Pranata R. Diabetes mellitus is associated with increased mortality and severity of disease in COVID-19 pneumonia – a systematic review, meta-analysis, and meta-regression: diabetes and COVID-19. Diabetes Metab Syndr [Internet]. 2020;14. Available from: https://doi.org/10.1016/j.dsx.2020.04.018

Albikawi ZF, Petro-Nustas W, Abuadas M. Self-care Management Intervention to Improve Psychological Wellbeing for Jordanian Patients with Type Two Diabetes Mellitus. Issues Ment Health Nurs. 2016;37(3):190–201.

Haas J, Persson M, Brorsson AL, Toft EH, Olinder AL. Guided self-determination-young versus standard care in the treatment of young females with type 1 diabetes: study protocol for a multicentre randomized controlled trial. Trials. 2017;18(1):562.

Ee C, de Courten B, Avard N, de Manincor M, Al-Dabbas MA, Hao J, et al. Shared Medical Appointments and Mindfulness for Type 2 Diabetes-A Mixed-Methods Feasibility Study. Front Endocrinol (Lausanne). 2020;11:570777.

Suematsu M, Joseph S, Abe K, Yasui H, Takahashi N, Okazaki K, et al. A Scottish and Japanese experience of patient-centred diabetic care: descriptive study of interprofessional education on live webinar. Nagoya J Med Sci. 2018;80(4):465–73.

Oyama Y, Abiru N, Kit A, Eyama D, Noda A, Nagata A. Thoughts and attitudes toward disasters among Japanese patients with type 1 diabetes: A qualitative descriptive study. Japan J Nurs Sci [Internet]. 2022;19(2):1–13. Available from: http://10.0.4.87/jjns.12459

Boucher SE, Gray AR, de Bock M, Wiltshire EJ, Galland BC, Tomlinson PA, et al. Effect of 6 months’ flash glucose monitoring in adolescents and young adults with type 1 diabetes and suboptimal glycaemic control: managing diabetes in a “flash” randomised controlled trial protocol. BMC Endocr Disord. 2019;19(1):50.

Ahern AL, Griffin SJ, Wheeler GM, Sharp SJ, Aveyard P, Boyland EJ, et al. The effect of referral to an open-group behavioural weight-management programme on the relative risk of normoglycaemia, non-diabetic hyperglycaemia and type 2 diabetes: Secondary analysis of the WRAP trial. Diabetes Obes Metab. 2020;22(11):2069–76.

Simangunsong BR, Antoro B, Utama D, Putri P, Health P, Program S, et al. The Influence Of Self Management Education Through Booklet. Proc Int Conf Nurs Heal Sci. 2024;5(2):801–10.

House A, Bryant L, Russell AM, Wright-Hughes A, Graham L, Walwyn R, et al. Managing with Learning Disability and Diabetes: OK-Diabetes - a case-finding study and feasibility randomised controlled trial. Health Technol Assess. 2018;22(26):1–328.

Arksey H, O’Malley L. Scoping studies: Toward a methodological framework. Int J Soc Res Methodol [Internet]. 2005;8. Available from: https://doi.org/10.1080/1364557032000119616

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:1–11.

Eroglu N, Sabuncu N. The effect of education given to type 2 diabetic individuals on diabetes self-management and self-efficacy: Randomized controlled trial. Prim Care Diabetes [Internet]. 2021;15(3):451–8. Available from: https://www.sciencedirect.com/science/article/pii/S175199182100036X

Wahyuni S. THE EFFECT OF HEALTH EDUCATION USING E-BOOKLETS ON MEDICATION ADHERENCE IN TYPE II DM PATIENTS. JOSS J Soc Sci [Internet]. 2024;3(3):1264–82. Available from: https://joss.al-makkipublisher.com/index.php/js

Mohammadi S, Karim NA, Talib RA, Amani R. The impact of self-efficacy education based on the health belief model in Iranian patients with type 2 diabetes: A randomised controlled intervention study. Asia Pac J Clin Nutr. 2018;27(3):546–55.

Hailu FB, Moen A, Hjortdahl P. Diabetes self-management education (DSME) – Effect on knowledge, self-care behavior, and self-efficacy among type 2 diabetes patients in Ethiopia: A controlled clinical trial. Diabetes, Metab Syndr Obes. 2019;12:2489–99.

Fitri DE, Sari SM, Krianto T. Perbandingan Diabetes Self Management Education Metode Ceramah Menggunakan Booklet dengan Metode Group Whatsapp terhadap Self Care BehaviorPasien Diabetes Mellitus. J Kesehat Komunitas. 2019;4(3):126–31.

Lee SK, Shin DH, Kim YH, Lee KS. Effect of diabetes education through pattern management on self-care and self-efficacy in patients with type 2 diabetes. Int J Environ Res Public Health. 2019;16(18).

Ha M, Hu J, Petrini MA, McCoy TP. The Effects of an Educational Self-Efficacy Intervention on Osteoporosis Prevention and Diabetes Self-Management Among Adults With Type 2 Diabetes Mellitus. Biol Res Nurs. 2014;16(4):357–67.

Taha NM, Zaton HK, Abd Elaziz NA. Impact of a health educational guidelines on the knowledge, self-management practice and self-efficacy of patients with type-2 diabetes. J Nurs Educ Pract. 2016;6(9).

George NG, Moosabba MS, Sivakumar MR, Suvarna M. Educative booklet for elders with type 2 diabetes mellitus. Int J Community Med Public Heal. 2021;8(11):5425.

Romalina R, Daniati M, Putri RN, Jasda A. The effectiveness of booklets on family knowledge of diabetes mellitus patients about the management of hypoglycaemia. Healthc Low-Resource Settings. 2024;12(1).

Romalina R, Daniati M, Putri RN, Jasda A. The effectiveness of booklets on family knowledge of diabetes mellitus patients about the management of hypoglycaemia. Healthc Low-resource Settings [Internet]. 2023 Dec 7;12(1 SE-). Available from: https://www.pagepressjournals.org/hls/article/view/11981

Supriyadi, Katmawanti S, Arviolika Y, Samah DA. Development of Educational Media For Type II Diabetes Mellitus Patients in the Work Area of Kedundung Health Center, Mojokerto City. KnE Life Sci [Internet]. 2021 Mar 25;6(2 SE-Articles). Available from: https://knepublishing.com/index.php/KnE-Life/article/view/8865

Santos CLJ dos, Silva A dos S, Nunes W de B, Oliveira J dos S, Acioly CMC, Ferreira TMC, et al. Validity of a booklet to promote the health of people with diabetes in the face of COVID-19. Vol. 76, Revista Brasileira de Enfermagem. scielo ; 2023.

Silva EQ, Suda EY, Santos DP, Veríssimo JL, Ferreira JSSP, Cruvinel Júnior RH, et al. Effect of an educational booklet for prevention and treatment of foot musculoskeletal dysfunctions in people with diabetic neuropathy: the FOotCAre (FOCA) trial II, a study protocol of a randomized controlled trial. Trials [Internet]. 2020;21(1):180. Available from: https://doi.org/10.1186/s13063-020-4115-8

Tan R, I Made Rantiasa, Sarwan Sarwan. Pengaruh Edukasi Media Booklet Terhadap Kepatuhan Diet Pada Penderita Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Ranomuut. Vitam J ilmu Kesehat Umum [Internet]. 2024 Jan 10;1(4 SE-Articles):55–64. Available from: https://journal.arikesi.or.id/index.php/Vitamin/article/view/102

Taheri R, Alamdari A k., Afrasiabi far A, Rastian ML. Comparison of the Effect of Face-to-face Training and Educational Booklet on Adherence to Regimen Therapy in Diabetic Patients: A Randomized Clinical Trial TT -. J-Clin-Care-Skill [Internet]. 2021 Sep 1;2(3):121–7. Available from: http://jccs.yums.ac.ir/article-1-103-en.html

Jiao F, Fung CSC, Wan YF, McGhee SM, Wong CKH, Dai D, et al. Long-term effects of the multidisciplinary risk assessment and management program for patients with diabetes mellitus (RAMP-DM): a population-based cohort study. Cardiovasc Diabetol. 2015 Aug;14:105.

Kabeza CB, Harst L, Schwarz PEH, Timpel P. A qualitative study of users’ experiences after 3 months: the first Rwandan diabetes self-management Smartphone application “Kir’App.” Ther Adv Endocrinol Metab [Internet]. 2020;11:2042018820914510–2042018820914510. Available from: https://doi.org/10.1177/2042018820914510

McMillan B, Easton K, Goyder E, Delaney B, Madhuvrata P, Abdelgalil R, et al. Reducing risk of type 2 diabetes after gestational diabetes: a qualitative study to explore the potential of technology in primary care. Br J Gen Pract J R Coll Gen Pract. 2018;68(669):e260–7.

Suematsu M, Okumura K, Hida T, Takahashi N, Okazaki K, Fuchita E, et al. Students’ perception of a hybrid interprofessional education course in a clinical diabetes setting: a qualitative study. Int J Med Educ. 2021;12:195–204.

Wu H, Lau ESH, Yang A, Ma RCW, Kong APS, Chow E, et al. Trends in diabetes-related complications in Hong Kong, 2001–2016: a retrospective cohort study. Cardiovasc Diabetol [Internet]. 2020;19:1–11. Available from: https://www.proquest.com/scholarly-journals/trends-diabetes-related-complications-hong-kong/docview/2404251847/se-2

Chan A, Matchar DB, Tsao MA, Harding S, Chiu C-T, Tay B, et al. Self-Care for Older People (SCOPE): a cluster randomized controlled trial of self-care training and health outcomes in low-income elderly in Singapore. Contemp Clin Trials. 2015 Mar;41:313–24.

Hannon TS, Dugan TM, Saha CK, McKee SJ, Downs SM, Carroll AE. Effectiveness of Computer Automation for the Diagnosis and Management of Childhood Type 2 Diabetes: A Randomized Clinical Trial. JAMA Pediatr. 2017 Apr;171(4):327–34.