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Effectiveness of a theory-based foot care education program (3STEPFUN) in improving foot self-care behaviours and foot risk factors for ulceration in people with type 2 diabetes. | LitMetric

AI Article Synopsis

  • - The study aimed to assess the effectiveness of the 3STEPFUN foot care education program for individuals with type 2 diabetes who are at low risk of foot ulcers.
  • - Using a pre-test/post-test design, 119 participants were split into a control group receiving standard care and an intervention group participating in intensive education and follow-ups.
  • - Results showed that the intervention group significantly improved their foot care behavior and reduced risk factors for ulcers over six months, suggesting the need for further research with a more formal design.

Article Abstract

Aims: To evaluate the effectiveness of a theory-based foot care education intervention program (3STEPFUN) for people with type 2 diabetes at low risk of developing a foot ulcer.

Methods: A controlled, pre-test/ post-test quasi-experimental design was used. From 119 participants, 60 participants in the control group received usual care and a foot care brochure. Those in the intervention group received (1) a small group intensive education and hands-on skills session; (2) a foot care kit and documents; and (3) three regular booster follow-up phone calls over 6 months. Generalised Estimating Equations models were undertaken to examine the impact of the intervention on outcomes over time.

Results: The intervention group had significantly improved outcomes compared to the control group over 6 months in the following aspects: improved preventive foot care behaviour (p = 0.001); and decreased prevalence of foot risk factors for ulceration (i.e. dry skin, corns/ callus) (OR: 0.04, 95% CI 0.01 - 0.13, p < 0.001).

Conclusions: The study's findings provide evidence of 3STEPFUN on improving foot self-care behaviour and preventing minor foot problems. Further study with formal RCT design and longer follow-up time to examine the effects on decreasing foot ulcer incidence is recommended.

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Source
http://dx.doi.org/10.1016/j.diabres.2019.05.003DOI Listing

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