Purpose: The purpose of this study was to examine the implementation, use, and sustainability of a computerized touch-screen diabetes education kiosk (Diosk) designed to provide "on-demand" education in a predominantly Latino community in South Texas.
Methods: A pilot study was conducted to examine the implementation, use, and sustainability of the Diosk in 5 settings (e.g., clinics, community centers, and pharmacies) serving low-income, low-literacy populations. Both quantitative and qualitative data from embedded computerized usage tracking, user surveys, and key stakeholder interviews were collected and analyzed using descriptive statistics. RESULTS; There were more than 5300 uses of the Diosk in the different sites during the 11-month study. The majority of users were female, between the ages of 36 and 64 years, and Latino, and they identified themselves as having or being at risk for type 2 diabetes. Several challenges were faced in maintaining the Diosk during the study, such as organizational capacity to host wireless Internet and establishing "office champions" responsible for overseeing the Diosk. At the end of the study, 3 of the 5 sites committed to sustaining the Diosk on their own.
Conclusions: This pilot study testing the feasibility and acceptability of the Diosk demonstrated that a Diosk can be implemented, used, and sustained in a population with high rates of diabetes and limited prior use of disease management programs. Computerized technology offers one solution to expanding the reach of diabetes education through easily accessible community and clinical settings.