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Diabete Type 2NCT07087496

Mobile Augmented Reality Learning On Insulin Administration Knowledge And Skills Of Patients

A study testing Insulin application training with mobile augmented reality and insulin administration training with brochure in people with Diabete Type 2 and Augmented Reality, run by Izmir Bakircay University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this study to determine the effectiveness of insulin administration with augmented reality on increasing the knowledge and skills of patients newly diagnosed with type 2 diabetes on insulin administrations, determining patients' satisfaction with education and comparing the following two strategies… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Insulin application training with mobile augmented reality and insulin administration training with brochure
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Nov 2023to 31 Dec 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Being newly diagnosed with Type 2 diabetes at Izmir Bakırçay University Çiğli Training and Research Hospital,
  • Not having received diabetes training,
  • Not knowing the insulin application,
  • Not having used augmented reality before,
  • Being 18 years of age or older,
  • Being able to use a smartphone.

Who cannot join

  • To be diagnosed with Type 2 diabetes at Izmir Bakırçay University Çiğli Training and Research Hospital,
  • To have received diabetes education,
  • To be familiar with insulin application, -To have used augmented reality before,-
  • To be under the age of 18
  • To be unable to use a smartphone.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • İzmir Bakırçay University Çiğli Education and Research Hospital

    Izmir

Other trials in Turkey (Türkiye)

About this study

Official title: Effects Of Mobile Augmented Reality Learning On Insulin Administration Knowledge And Skills Of Patients With Type 2 Diabetes

The goal of this study to determine the effectiveness of insulin administration with augmented reality on increasing the knowledge and skills of patients newly diagnosed with type 2 diabetes on insulin administrations, determining patients' satisfaction with education and comparing the following two strategies: education with the Mobile Augmented Reality and education with the brochure.

  • Is Mobile augmented reality application effective on the knowledge scores and insulin application skills of patients with type 2 diabetes on insulin applications?
  • Does training with a mobile augmented reality application affect patients' satisfaction with patient education?
  • Other patients with type 2 diabetes were given insulin administration training with a brochure prepared by the researcher. All patients who participated in the study were evaluated for insulin administration knowledge and skills after the training.
Read the detailed description

The study was aimed at determining the effectiveness of insulin administration with augmented reality on increasing the knowledge and skills of patients newly diagnosed with type 2 diabetes on insulin administrations, determining patients' satisfaction with education and comparing the following two strategies: education with the Mobile Augmented Reality and education with the brochure.

Methods: The study was conducted between November 1, 2023 and December 31, 2024 with patients newly diagnosed with type 2 diabetes who volunteered to participate in the study and were hospitalized in the first and second wards of the Internal Medicine Department of a state hospital (n=100).

In this quasi-experimental study with the pre-test and post-test design, the participants were allocated into two groups. While the participants in The Intervention Group 1 were given education on insulin administration with a brochure in line with the literature, the participants in the Intervention Group 2 were given education with "Mobile Augmented Reality (MAR)".

The data were collected using the "Individual Information Form", "Knowledge Test", "Scale for Satisfaction with Patient Education", and "Insulin Administration Skill Assessment Checklist".

Being tested
Insulin application training with mobile augmented reality, insulin administration training with brochure
Keywords
diabete type 2, Augmented Reality, Patient Education, Subcutaneous injection
Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Insulin application training with mobile augmented realityOther

    Also called Interventation group 2

    Intervention Group 2 (MAR group): Before the training, the participants were briefly informed about how the application would be performed, and their written consent was obtained. Before the insulin administration training was started, the MAR program was shown to them on the tablet by the researcher and the process steps containing QR codes prepared for insulin administration were provided on a blue flat surface and information was given about the use of the application, and a pre-test was administered to determine their knowledge levels on insulin administration. Then, the education application program prepared for insulin administration was opened and the patients were allowed to use it. The training application was performed 20-25 times. Then the post-test was administered to the participants immediately after the training. At the post-test, they were administered the Knowledge Test and Scale for Satisfaction with Patient Education.

  • insulin administration training with brochureOther

    The Intervention Group 1 (Brochure group): Before the training, the participants were informed about the study, and their written consent was obtained.

    Before insulin administration training, a knowledge test was given as a pre-test to determine the participants' knowledge levels on insulin administrations. After the pre-test, a 15-20 minute practical training was given using the brochure prepared for insulin administrations. Immediately after the training, the knowledge test and Scale for Satisfaction with Patient Education were administered as a post-test. After the post-test, the participants were asked to self-administer insulin. The insulin administration skills of the patients were assessed by the researcher using the Insulin Administration Skill Assessment Checklist. After the assessment, the participants were informed about their deficiencies, or incorrect performances.

Study groups in NCT07087496
Study groupRoleWhat they receive
The Intervention Group 1ExperimentalThe Intervention Group 1 were given education on insulin administration with a brochure
Receives: Other: insulin administration training with brochure
Intervention Group 2ExperimentalIntervention Group 2 were given education with "Mobile Augmented Reality (MAR)
Receives: Other: Insulin application training with mobile augmented reality

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Insulin administration knowledge Test

    The test prepared by the researcher consists of 10 questions aimed at measuring the insulin administration knowledge levels of patients with type 2 diabetes. The content validity rate (CVR) for each question and the content validity index including all the questions were determined as 0.96. In the 10-question knowledge test, the higher the number of correct answers, the higher the score. It is assumed that the higher the score, the higher the level of knowledge about the subject. The minimum score is 1 and the maximum score is 10.It was aimed to evaluate the insulin application knowledge of patients diagnosed with type 2 diabetes who received training with mobile augmented reality and brochure after the training compared to before the training. It was expected that the mean knowledge scores of patients with Type 2 diabetes who received insulin administration training with mobile augmented reality would be higher than those who received training with brochures.

    Measured: from pre-training to immediate post-training

  2. Insulin administration skills checklist

    The 24-item checklist was developed by the researcher through the literature review to assess the patient's insulin administration skills.The checklist took its final form after expert opinions were obtained from nurse specialists using the Davis technique (1992). In the checklist, each correct step was scored as 2 points, each semi-completed step was scored as 1 point, and each step not completed at all was scored as 0 zero points. It was aimed to evaluate the insulin administration skills of patients with type 2 diabetes who received training with mobile augmented reality and brochure. It was expected that the mean skill scores of Type 2 diabetic patients who received insulin application training with mobile augmented reality would be higher than those who received training with brochure.

    Measured: from pre-training to immediate post-training

Secondary outcomes (1)
  1. Scale for Satisfaction with Patient Education

    This one-dimensional scale developed by Çiftçi et al. (2022) includes 30 items whose responses are rated on a five-point Likert-type scale (Strongly Disagree, Somewhat Agree, etc.). The mean score for the overall scale is calculated by summing the scores of all the items. The highest and lowest possible scores that can be obtained from the overall scale are 150 and 30, respectively. The Cronbach's α coefficient of the scale was calculated as 0.98 in Çiftçi et al.'s study (2022), and 0.85 in the present study.

    Measured: to immediate post-training

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jul 2025
  2. Study start1 Nov 2023
  3. Primary completion31 Dec 2024
  4. Study completion31 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
The study is a quasi-experimental study with a pre-test and post-test design.
Masking
None (open label)
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07087496
Sponsor's protocol ID
IZBU-HEM-HS-1
Other IDs
Izmir Bakırçay University
Status last verified
Jul 2025
First submitted
4 Jul 2025
Last updated
28 Jul 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The changes in the scores of insulin administration knowledge and skills of patients with type 2 diabetes before and after training and the satisfaction levels of patients with insulin administration training given with two different strategies will be given as a data set.

Publications

  • Tait AR, Connally L, Doshi A, Johnson A, Skrzpek A, Grimes M, Becher A, Choi JE, Weber M. Development and evaluation of an augmented reality education program for pediatric research. J Clin Transl Res. 2020 Feb 29;5(3):96-101. eCollection 2020 Apr 13.

    PubMed 32617424
  • Chaballout B, Molloy M, Vaughn J, Brisson Iii R, Shaw R. Feasibility of Augmented Reality in Clinical Simulations: Using Google Glass With Manikins. JMIR Med Educ. 2016 Mar 7;2(1):e2. doi: 10.2196/mededu.5159.

    PubMed 27731862
  • Liang K, Xie Q, Nie J, Deng J. Study on the effect of education for insulin injection in diabetic patients with new simulation tools. Medicine (Baltimore). 2021 Apr 9;100(14):e25424. doi: 10.1097/MD.0000000000025424.

    PubMed 33832143
  • Ingrassia PL, Mormando G, Giudici E, Strada F, Carfagna F, Lamberti F, Bottino A. Augmented Reality Learning Environment for Basic Life Support and Defibrillation Training: Usability Study. J Med Internet Res. 2020 May 12;22(5):e14910. doi: 10.2196/14910.

    PubMed 32396128
  • Wuller H, Behrens J, Garthaus M, Marquard S, Remmers H. A scoping review of augmented reality in nursing. BMC Nurs. 2019 May 16;18:19. doi: 10.1186/s12912-019-0342-2. eCollection 2019.

    PubMed 31123428
  • Magi CE, Bambi S, Iovino P, El Aoufy K, Amato C, Balestri C, Rasero L, Longobucco Y. Virtual Reality and Augmented Reality Training in Disaster Medicine Courses for Students in Nursing: A Scoping Review of Adoptable Tools. Behav Sci (Basel). 2023 Jul 24;13(7):616. doi: 10.3390/bs13070616.

    PubMed 37504063
  • Meng K, Musekamp G, Seekatz B, Glatz J, Karger G, Kiwus U, Knoglinger E, Schubmann R, Westphal R, Faller H. Evaluation of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation: study protocol of a cluster randomized controlled trial. BMC Cardiovasc Disord. 2013 Aug 23;13:60. doi: 10.1186/1471-2261-13-60.

    PubMed 23968340
  • Ciftci B, Avsar G, Sarialioglu A. A psychometric assessment on patient education: Developing a satisfaction scale. Perspect Psychiatr Care. 2022 Oct;58(4):2237-2245. doi: 10.1111/ppc.13052. Epub 2022 Feb 16.

    PubMed 35170766
  • Kurt Y, Ozturk H. The effect of mobile augmented reality application developed for injections on the knowledge and skill levels of nursing students: An experimental controlled study. Nurse Educ Today. 2021 Aug;103:104955. doi: 10.1016/j.nedt.2021.104955. Epub 2021 May 13.

    PubMed 34051543
  • Foronda, C.L., Crenshaw, N., Briones, P.L., Snowden, K., Griffin, M.A., Mitzova- Vladinov, G., 2020. Teaching and learning the skill of intubation using Telehealth glasses. Clin. Simul. Nurs. 40, 31-35. https://doi.org/10.1016/j.ecns.2019.12.005.

  • Byrne PJ, Senk PA. Google Glass in Nursing Education: Accessing Knowledge at the Point of Care. Comput Inform Nurs. 2017 Mar;35(3):117-120. doi: 10.1097/CIN.0000000000000339. No abstract available.

    PubMed 28277435
  • Salem S, Cooper J, Schneider J, Croft H, Munro I. Student Acceptance of Using Augmented Reality Applications for Learning in Pharmacy: A Pilot Study. Pharmacy (Basel). 2020 Jul 21;8(3):122. doi: 10.3390/pharmacy8030122.

    PubMed 32708150
  • Foronda CL, Alfes CM, Dev P, Kleinheksel AJ, Nelson DA Jr, O'Donnell JM, Samosky JT. Virtually Nursing: Emerging Technologies in Nursing Education. Nurse Educ. 2017 Jan/Feb;42(1):14-17. doi: 10.1097/NNE.0000000000000295.

    PubMed 27454054
  • Van Krevelen, D. W. F., Poelman, R. (2010). A survey of augmented reality technologies, applications and limitations. International journal of virtual reality, 9(2), 1-20

  • An, J., Poly, L.-P., Holme, T.A., 2020. Usability testing and the development of an augmented reality application for laboratory learning. J. Chem. Educ. 97 (1), 97-105. https://doi.org/10.1021/acs.jchemed.9b00453

Questions about this trial

What is this clinical trial studying?

A study testing Insulin application training with mobile augmented reality and insulin administration training with brochure in people with Diabete Type 2 and Augmented Reality, run by Izmir Bakircay University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Insulin administration knowledge Test (time frame: from pre-training to immediate post-training). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07087496, which also lists 22 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jul 2025.

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