Effect of Motion Graphic-Based Education on Knowledge, Practice and Recurrence of Hypoglycemia in Patients with Type 2 Diabetes: A Quasi-Experimental Study

Background: Hypoglycemia is a common and serious complication in type 2 diabetes management, often leading to adverse health and social consequences. Education aimed at improving patient knowledge and self-care behaviors may prevent recurrence of hypoglycemic episodes. Objectives: This study investigated the effect of a motion graphics-based educational intervention on knowledge, practice, and recurrence of hypoglycemia among patients with type 2 diabetes in Yazd, Iran. Methods: In this quasi-experimental study, 122 patients with type 2 diabetes who referred to the Diabetes Center and had at least one hypoglycemic episode in the previous three months were randomly assigned to an intervention group (n = 60) or a control group (n = 62). The intervention group received standard care plus an educational video clip covering hypoglycemia definition, causes, symptoms, treatment, and prevention. Knowledge and practices (as primary outcomes) were assessed by validated questionnaires before and three months after the intervention, and the recurrence of hypoglycemia (as secondary outcome) was determined by patient self-report. Statistical analyses included McNemar's test and logistic regression to compare within- and between-group differences. Results: Post-intervention, the intervention group showed significant improvements in knowledge about testing (from 76.7% to 91.7%, P = 0.022), treatment (61.7% to 90.0%, P = 0.001), and prevention (46.7% to 85.0%, P = 0.001) of hypoglycemia. Practice improvements included increased consultation with doctors (53.3% to 68.3%, P = 0.035) and implementation of preventive measures (41.7% to 66.7%, P = 0.001). Hypoglycemia recurrence decreased markedly from 100% to 35.0% (P = 0.001). Between-group comparisons confirmed statistically significant differences in key knowledge, practice, and hypoglycemia recurrence outcomes. Conclusions: Motion graphics educational content effectively enhanced hypoglycemia-related knowledge and preventive practices, leading to a significant reduction in hypoglycemic episodes among type 2 diabetic patients. Incorporating such interventions into diabetes care programs is recommended. It is worth noting that this study is limited by its reliance on self-reported hypoglycemia.