Jurnal Keperawatan
Vol. 17 No. 2 (2026): May

Comparing flip chart and video-based diabetes self-management education on self-care in patients with type 2 diabetes mellitus in primary care: A two-group pretest–posttest study in Indonesia

Tiara Rizkika Bella (Universitas Pendidikan Indonesia)
Popi Sopiah (Unknown)
Rafika Rosyida (Unknown)



Article Info

Publish Date
29 May 2026

Abstract

Introduction: Type 2 diabetes mellitus (T2DM) is a global concern managed in primary healthcare settings, including in Indonesia. Enhancing self-care skills is crucial for preventing complications and improving disease control. The effectiveness of various educational media in Diabetes Self-Management Education (DSME) programs requires further exploration.Objectives: This study aims to compare the effectiveness of diabetes management education using flipcharts and videos on improving self-care skills in T2DM patients at primary healthcare facilities.Methods: A quasi-experimental design with a two-group pre-test-post-test approach was used, with 30 purposively selected participants. The DSDCA instrument assessed the conditions before and after the intervention. Four education sessions were delivered, with one group using flipcharts and the other videos. Data analysis included the Shapiro-Wilk test for normality, paired t-test for within-group changes, and independent t-test for between-group differences.Results: Both groups showed significant improvement (p = 0.001), with the flipchart group’s average self-care score rising from 32.00 to 59.30, and the video group’s from 35.33 to 56.73. However, there was no significant difference between the groups (p = 0.077).Conclusions: Both flipcharts and videos significantly improved self-care skills, suggesting that low-cost, technology-based media are as effective as more expensive alternatives. These findings are particularly relevant for implementation in low- and middle-income countries, offering flexibility for primary care nurses to select appropriate educational media based on patient needs and resources.

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Journal Info

Abbrev

keperawatan

Publisher

Subject

Nursing

Description

Jurnal Keperawatan is a peer-reviewed journal published by School of Nursing at the Faculty of Health Science, University of Muhammadiyah Malang (UMM), which is focusing on several issues in nursing field. The first volume was published on 2010, and it is published twice a year, issued on January ...