Abstract
OBJECTIVE: The objective of the study was to develop and validate a set of infographics tailored for self-management by patients with Type 2 diabetes mellitus (T2DM) in rural Kenya, to prevent chronic kidney disease. DESIGN: In collaboration with two graphic designers and through an iterative participatory process, the authors developed self-management infographics tailored for patients with T2DM. The authors followed the following steps in the development process: goal identification, target audience identification, definition of the intended message, identification of relevant symbols or graphics and infographic compilation. SAMPLE: The images were validated by using participatory groups with patients with T2DM (n = 13) and healthcare workers (n = 7) caring for patients with T2DM. The International Organization for Standardization (ISO) 9186 testing guided the comprehension level of images. RESULTS: In total, 28 infographics received a score greater than 66%. The following characteristics significantly affected the comprehensibility of the infographics: whether written text was included, prior knowledge, viewers' frames, image characteristics, whether images were familiar/commonly encountered, the positioning of images, and colors and measurements that could be interpreted intuitively. CONCLUSIONS: The authors conclude that an iterative approach is viable for developing tailored infographics for specific populations.