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Background: An interactive video tutorial guiding students to understand a material through visualization. students can interactively participate in practicum activities in accordance with what is taught in the videos . Research methodology: This research is an experimental study using pre-test and post-test control groups. This study used 60 respondents who came from nursing students. Analysis of the data to test pre and post in the treatment group and pre and post in the control group is the Dependent t test if the data are normally distributed, if not normally use Wilcoxon. Analysis of the data to test the post in the treatment and control group is the Independent t test if the data is normally distributed, if not normally using Mann Whitney. Data normality test uses Kolmogor Smirnov. The results of the study p value of the control group and the treatment after and before the intervention are both 0.000 this means that the p value <0.05 This means that the use of instructional media with audio visual has a better influence on the ability of students to do diabetes foot exercises compared to using learning media using audi visual.