Integrating the five pillars of diabetes management into video-based nursing education to improve dietary adherence in type 2 diabetes mellitus: A quasi-experimental study
Ardin S. Hentu, Katrina Feby Lestari, Sri Yulianti, Armawati Abidin, Saka Adhijaya Pendit, Muh Risal, Difran Nobel Bistara, Alva Cherry MustamuBackground:
Dietary nonadherence remains a major barrier to effective management of type 2 diabetes mellitus despite routine counseling. Integrative nursing offers coordinated, lifestyle-centered strategies, yet evidence linking integrative frameworks to dietary outcomes remains limited.
Objective:
The objective of this study is to evaluate the effect of integrating the five pillars of diabetes management into video-based nursing education on dietary adherence.
Materials and Methods:
A quasi-experimental pretest–posttest study with a nonequivalent control group was conducted at an internal medicine outpatient clinic in Jakarta, Indonesia, from March to June 2023. Seventy patients were allocated into an intervention group (
Results:
The intervention group showed significantly greater improvement than the control group, with an adjusted mean difference of 4.87 points (95% confidence interval = 2.74–7.00;
Conclusion:
Video-based integrative nursing education significantly improves dietary adherence and provides a scalable strategy for chronic disease management.