@Article{info:doi/10.2196/35079,
author="Alyami, Mohsen
and Serlachius, Anna
and Law, Mikaela
and Murphy, Rinki
and Almigbal, Turky H
and Lyndon, Mataroria
and Batais, Mohammed A
and Algaw, Rawabi K
and Broadbent, Elizabeth",
title="Utility and Acceptability of a Brief Type 2 Diabetes Visual Animation: Mixed Methods Feasibility Study",
journal="JMIR Form Res",
year="2022",
month="Aug",
day="9",
volume="6",
number="8",
pages="e35079",
keywords="illness perception; visualization; animation; intervention; mobile phone; type 2 diabetes mellitus",
abstract="Background: Visualizations of illness and treatment processes are promising interventions for changing unhelpful perceptions and improving health outcomes. However, these are yet to be tested in patients with type 2 diabetes mellitus (T2DM). Objective: This study assesses the cross-cultural acceptability and potential effectiveness of a brief visual animation of T2DM at changing unhelpful illness and treatment perceptions and self-efficacy among patients and family members in 2 countries, New Zealand and Saudi Arabia. Health care professionals' views on visualization are also explored. Methods: A total of 52 participants (n=39, 75{\%} patients and family members and n=13, 25{\%} health care professionals) were shown a 7-minute T2DM visual animation. Patients and family members completed a questionnaire on illness and treatment perceptions and self-efficacy before and immediately after the intervention and completed semistructured interviews. Health care professionals completed written open-ended questions. Means and 95{\%} CIs are reported to estimate potential effectiveness. Inductive thematic analysis was conducted on qualitative data. Results: All participants rated the visual animation as acceptable and engaging. Four main themes were identified: animation-related factors, impact of the animation, animation as an effective format for delivering information, and management-related factors. Effect sizes (ranged from 0.10 to 0.56) suggested potential effectiveness for changing illness and treatment perceptions and self-efficacy among patients and family members. Conclusions: Visualizations are acceptable and may improve the perceptions of patients' with diabetes in a short time frame. This brief visual animation has the potential to improve current T2DM education. A subsequent randomized controlled trial to investigate the effects on illness and treatment perceptions, adherence, glycemic control, and unplanned hospital admission is being prepared. ",
issn="2561-326X",
doi="10.2196/35079",
url="https://formative.jmir.org/2022/8/e35079",
url="https://doi.org/10.2196/35079",
url="http://www.ncbi.nlm.nih.gov/pubmed/35943787"
}