Emphasizing Better Self-Care And Patient Adherence With Cell Phone Videos

Kshitij Shankhdhar, MBBS, Dip Diab, FICN

   Patients make the mobi-films using simple cell phones with a basic camera and can transfer the videos from one cell phone to another. To make a mobi-film, one needs a basic mobile phone with a camera and a computer. The phone will record the audio and video clippings. One can use a computer to edit these audio and video clippings. Patients can easily take the mobi-films home in their phones and watch them at leisure or when required. They can also share the videos with others.

   Doctors can transfer the education videos onto a DVD/memory stick and display them in the waiting room of a diabetes center or during diabetes camps. Patients can forward the films to other mobiles as multimedia messaging services (MMS) and also upload them to the Internet. Our diabetes center has its own video channel called “diabetologist” on a common video upload website.

Assessing The Impact Of Mobi-Films

The L.K. Diabetes Centre is the first center in the world to use mobi-films for diabetes education. Since 2001, we have been taking pictures and videos in diabetes care clinical work. We maintain a well-catalogued audio/video library. People with diabetes, obesity, hypertension, diabetic foot lesions and others have donated a large number of pictures and video clips associated with their medical conditions, and these teach us many lessons.

   The SSDE is simple, economical, effective and needs no special training. This system provides an opportunity for two-way communication between diabetes care professionals and people with diabetes. Over the years, we have seen a sea change in the knowledge and day-to-day diabetes care skills of people visiting our center and benefiting from our diabetes education films.

   My colleagues and I have experience in conducting diabetes education movie-making workshops for people with diabetes and healthcare professionals in India and abroad.We encourage the development of more workshops so people interested in diabetes care could receive basic training in video making, followed by a series of diabetes care movie making contests to further popularize this concept.

Final Notes

By encouraging better communication between patients and physicians with the SSDE, and using that same method to share insights and lessons between patients with diabetes, we can make significant progress in emphasizing and promoting better self-care behaviors in this high-risk population of patients.

   Dr. Shankhdhar is a diabetologist who established the first diabetic foot clinic of North India at the Lucknow Diabetic Foot Care Clinic and Research Centre, L.K. Diabetes Centre, in Lucknow, India. He is the Secretary of the Uttar Pradesh Madhumeh Association (UPMA) in Uttar Pradesh, India. Dr. Shankhdhar is also a Fellow and Member of the Medical Advisory Board of the American Professional Wound Care Association (APWCA). He is also the Director for Outreach to Developing Countries for the APWCA International Committee.

   Dr. Shankhdhar is currently working with the UPMA to help establish the first exclusive podiatry center of India with both clinical and teaching facilities. He notes that the charitable center would offer low cost but quality clinical services and education. For those interested in donating to help establish this charitable podiatry center in India, contact Dr. Shankhdhar at consultantdiabetologist@gmail.com.

   Dr. Steinberg is an Associate Professor in the Department of Plastic Surgery at the Georgetown University School of Medicine in Washington, D.C. He is a Fellow of the American College of Foot and Ankle Surgeons.


nice job

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