The Impact of Pictograph-Based Education on medication adherence and HbA1 c Levels in Diabetic Patients: A randomize one blinded control trial

Determining the effect of training based on pictograph on the HgA1c of diabetic patients

The type of study design is parallel, with a control group, one-sided blind, randomized, phase 2 on 132 patients, the researcher selected 132 patients from among all patients with diabetes referred by simple random sampling technique. Patients were divided into two groups of 66 people based on a random table of numbers

the researcher's visit to the designated office and a diabetes clinic in Yazd, for all patients, recorded demographic information and medication adherence, health literacy based on the questionnaire, and HgA1c check at baseline and three months later. The intervention group is given drug training and the control group does not. Three months later, the quarterly blood sugar check and medication adherence questionnaire will be filled again. One-sided blinding, where only the patients do not know that the pharmacist's explanation is a type of intervention

Inclusion criteria: patients over 18 years old with type 1 and type 2 diabetes Exclusion criteria: HgA1c below 7.5, oral monotherapy agent for diabetes, impaired cognitive level

To the intervention group, by using verbal explanations and showing pictographs, he gave the necessary drug training to the patient (including the correct way to take it, the intervals between taking it, how to reduce side effects). The control group does not receive verbal or pictographic explanations and is satisfied with the brief explanations of the treating physician about the drugs

The primary outcome of this study was to examine changes in blood sugar for three months compared to baseline

Patients are entered into two groups of 66 people, drug or intervention based on permutation block method. 22 blocks of 6 are considered. Generation of random codes will be generated using random allocation using permutation block method with the help of Random allocation software version 1. The first eligible person to enter the study is given number one, and so on until the last eligible person is given number 132. Using the table generated by the random allocation software according to the number, the intervention people (A or B) will receive each of the letters A and B installed on containers of the same shape and assigned to one of the interventions. . In order to hide the random allocation, this list will be given to another person outside the study, and before allocating the type of treatment, they will be asked according to the number of the eligible person, and in this way, people will enter the study.

Information about the main results is shared

The access period starts 6 months after the results are published

Data only for researchers working in academic institutions

If access to data is effective in better method design or analysis of new studies, it will be available to them

The corresponder author should be emailed, and priority will be given to university professors and then students of specialized courses in medical sciences universities. Dr.Golnaz.Afzal@gmail.com

First, the request is made by sending an email to the corresponding author and explaining the reason for requesting access to the data, after review by the corresponding author , if the reason for the data request is acceptable, the data will be provided to them.