TY  - JOUR
AU  - Alyami, Mohsen
AU  - Serlachius, Anna
AU  - Law, Mikaela
AU  - Murphy, Rinki
AU  - Almigbal, Turky H
AU  - Lyndon, Mataroria
AU  - Batais, Mohammed A
AU  - Algaw, Rawabi K
AU  - Broadbent, Elizabeth
PY  - 2022
DA  - 2022/8/9
TI  - Utility and Acceptability of a Brief Type 2 Diabetes Visual Animation: Mixed Methods Feasibility Study
JO  - JMIR Form Res
SP  - e35079
VL  - 6
IS  - 8
KW  - illness perception
KW  - visualization
KW  - animation
KW  - intervention
KW  - mobile phone
KW  - type 2 diabetes mellitus
AB  - 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. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2022/8/e35079
UR  - https://doi.org/10.2196/35079
UR  - http://www.ncbi.nlm.nih.gov/pubmed/35943787
DO  - 10.2196/35079
ID  - info:doi/10.2196/35079
ER  -