This pilot randomized prospective controlled pilot study looked at computer based health information resources and their impact on control of diabetes. The study site was a large urban community health center with many Spanish-speaking patients. Both the intervention (n = 58) and control (n = 50) groups of the study received standard of care diabetes treatment. The intervention group received additional computer based diabetes education in either English or Spanish from the Medline-Plus.gov website. Clinical measures and survey results were followed in both groups. In patients with diabetes, the Hemoglobin A 1c is a lab test that measures the level of blood sugar control over the past three months; a higher level is associated with increased diabetes-related complications. LDL cholesterol is the type of cholesterol that is most relevant as a clinical indicator in diabetes. The intervention group had a small decline in Hemoglobin A 1c (−0.3%), and LDL cholesterol (−9.9 mg/dl), two important clinical indicators, while the control group had a small increase in both Hemoglobin A 1c (+0.1%) and LDL cholesterol (+0.5 mg/dl). The discussion also explores the benefits and challenges of introducing computer-based patient education resources into a low-literacy population.
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