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Offloading treatment in people with diabetic foot disease: A systematic scoping review on adherence to foot offloading. | LitMetric

Offloading treatment in people with diabetic foot disease: A systematic scoping review on adherence to foot offloading.

Diabetes Metab Syndr

Vascular Research Department, Charing Cross Hospital, Fulham Palace Road, Imperial College Healthcare NHS Trust, London, W6 7RF, UK; Section of Vascular Surgery, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, SW7 2AZ, UK.

Published: May 2022

Background And Aims: To identify measurement methods, proportions of adherent participants, factors affecting adherence, and concordance promoting interventions.

Methods: A systematic scoping review was conducted by searching Medline, CINAHL, PubMed, EMBASE, and EMCARE databases.

Results: Twenty-four trials were identified from 1001 citations. Only 25% of the included studies used objective methods to quantify adherence. The proportion of adherent participants (≥80% of daily steps/time) ranged from 28% to 60%. Psychosocial factors are the most common influencers of adherence. However, interventions for improving compliance are lacking.

Conclusion: There is a need to accurately quantify and optimize adherence to foot offloading in people with diabetes.

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Source
http://dx.doi.org/10.1016/j.dsx.2022.102493DOI Listing

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