An evaluation of seasonal variations in footwear worn by adults with inflammatory arthritis: a cross‐sectional observational study using a web‐based survey

Brenton‐Rule, Angela; Hendry, Gordon J; Barr, Georgina; Rome, Keith

doi:10.1186/s13047-014-0036-7

Cited by 18 publications

(43 citation statements)

References 51 publications

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“…We found that respondents expressed concern about the costs associated with appropriate footwear and the provision of foot care. This is an important finding in light of the results from the parent survey, in which 71% of respondents indicated that cost was important when choosing footwear . Previous studies demonstrate that arthritic conditions have a substantial impact on economic living standards .…”

Section: Discussionmentioning

confidence: 53%

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Footwear Experiences of People With Chronic Musculoskeletal Diseases

Hendry

Brenton‐Rule

Barr

et al. 2015

Arthritis Care & Research

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Objective. Foot pain and deformities are frequently reported by people with chronic musculoskeletal diseases, but only limited research has been conducted to explore the key issues concerning footwear difficulties in this population. The aim of this study is to explore, identify, and describe the main issues surrounding the footwear experiences of people with chronic musculoskeletal diseases. Methods. A qualitative manifest content analysis of open-ended survey responses concerning footwear experiences was conducted from a national footwear survey of people with chronic musculoskeletal diseases in New Zealand. Eighty-five respondents submitted usable responses. Specific statements in the text were identified as units of analysis prior to coding and organizing these units into emerging mutually exclusive categories. Content analysis was independently undertaken by 3 researchers, and the final categories and coding were achieved through consensus. Frequencies of assigned units of analysis were calculated in order to obtain a quantitative description for each category. Results. Four categories encompassing a total of 9 subcategories related to the footwear experiences of respondents emerged from the qualitative data content analysis: difficulty finding appropriate footwear; dissatisfaction with therapeutic footwear provision and foot care access; high costs of footwear, foot care, and self-care; and satisfaction with therapeutic footwear and foot care. Conclusion. Key categories describing the important issues surrounding the footwear experiences of respondents with chronic musculoskeletal diseases were identified, which may provide important targets for improving footwear and foot care services and self-management strategies.

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Section: Discussionmentioning

confidence: 53%

“…This was a qualitative component of a larger national survey carried out in New Zealand collecting data on footwear experiences of people with chronic musculoskeletal diseases . The study sample was obtained from a population of Arthritis New Zealand members who were registered as having a chronic musculoskeletal disease.…”

Section: Methodsmentioning

confidence: 99%

Footwear Experiences of People With Chronic Musculoskeletal Diseases

Hendry

Brenton‐Rule

Barr

et al. 2015

Arthritis Care & Research

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“…Given a) the importance of offloading footwear and insert interventions, and b) the possibility that cultural commonalities may reduce adherence to closed footwear (particularly during the warm summer months [52]), further prospective research is required around footwear compliance in this population – since the efficacy of any offloading intervention among high-risk diabetic patients is entirely contingent on habitual adherence [32]. …”

Section: Discussionmentioning

confidence: 99%

Pedobarography as a clinical tool in the management of diabetic feet in New Zealand: a feasibility study

Gurney

Kersting

Rosenbaum

et al. 2017

Journal of Foot and Ankle Research

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BackgroundThe peripheral complications of diabetes mellitus remain a significant risk to lower-limb morbidity. In New Zealand, risk of diabetes, comorbidity and lower-limb amputation are highly-differential between demographic groups, particularly ethnicity. There is growing and convincing evidence that the use of pedobarography – or plantar pressure measurement – can usefully inform diabetic foot care, particularly with respect to the prevention of re-ulceration among high-risk patients.MethodsFor the current feasibility study, we embedded pedobarographic measurements into three unique diabetic foot clinic settings in the New Zealand context, and collected pedobarographic data from n = 38 patients with diabetes using a platform-based (Novel Emed) and/or in-shoe-based system (Novel Pedar). Our aim was to assess the feasibility of incorporating pedobarographic testing into the clinical care of diabetic feet in New Zealand.Results and ConclusionsWe observed a high response rate and positive self-reported experience from participants. As part of our engagement with participants, we observed a high degree of lower-limb morbidity, including current ulceration and chronic foot deformities. The median time for pedobarographic testing (including study introduction and consenting) was 25 min. Despite working with a high-risk population, there were no adverse events in this study. In terms of application of pedobarography as a clinical tool in the New Zealand context, the current feasibility study leads us to believe that there are two avenues that deserve further investigation: a) the use of pedobarography to inform the design and effectiveness of offloading devices among high-risk diabetic patients; and b) the use of pedobarography as a means to increase offloading footwear and/or orthoses compliance among high-risk diabetic patients. Both of these objectives deserve further examination in New Zealand via clinical trial.Electronic supplementary materialThe online version of this article (doi:10.1186/s13047-017-0205-6) contains supplementary material, which is available to authorized users.

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“…Although New Zealand has a smaller general population than Australia, based on these existing published sample sizes [50,51], the current study survey response of PsA-speci c participants exceeded previous target samples by a substantial degree. Of the 43 participants who did not progress beyond the rst information page to enter the survey, a proportion may have been other researchers, health professionals and administrators promoting the study that previewed the online survey and inadvertently contributed to the number of non-completions.…”

Section: Discussionmentioning

confidence: 82%

“…The total target population was estimated from the major sites for dissemination to be 6000 people with PsA (10% response rate). Similar New Zealand-based podiatry surveys received 197 web-survey completions from people with in ammatory arthritis (49% response rate, n = 400 target sample) [50] and 131 postal survey completions (32% response rate, n = 400 target sample) were received from people with systemic lupus erythematous [51].…”

Section: Discussionmentioning

confidence: 99%

Development of a national survey on foot involvement among people with psoriatic arthritis in Australia using a best practice approach: A survey development protocol

Carter

Walmsley

Rome

et al. 2020

Preprint

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Background Limited research to date has defined the nature and extent of foot involvement in a psoriatic arthritis-specific population in Australia and the scale of the problem remains unclear. Survey research provides the ideal opportunity to sample a large population over a wide geographical area. Although quality criteria for survey research have been developed, research shows that adherence is low and that survey studies are poorly reported in peer-reviewed survey articles, which limits the ability to inform future survey design. The objective of this paper was to develop a national survey about foot involvement in people with psoriatic arthritis using a best practice approach. This is a methods paper for the development of survey research.Methods A systematic, multi-stage process of survey development was undertaken, which comprised 3 phases: 1) the generation of the conceptual framework and survey content; 2) the development of the survey and pre-testing and 3) development of the survey dissemination strategy. A survey best practice approach was adopted using iterative pre-testing techniques, which included; cognitive debriefing, cultural sensitivity review, survey design expert validation, subject expert validation and pilot testing. Targeted postal and online survey dissemination strategies were developed a priori to optimise the response rates anticipated.Results A 59-item survey with 8 sections was developed. Findings demonstrated a high survey response (n=649), high data completeness (83% of respondents reached the end of the survey) and low rates of missing data (below 5% for 95% of respondents). Extensive survey pre-testing among the target population, health professionals and experts improved the overall quality, content validity, functioning and representativeness of the survey instrument, which optimised potential response rates. Clear audit trails that mapped the analytical process at each stage substantiated the rigour of the survey development methods. Robust strategies for sampling, survey dissemination and community engagement were deemed to have made a powerful contribution to response rates and the scale of information collected.Conclusions Robust patient-centred methods in survey design were used to create a novel, high-quality survey to comprehensively evaluate psoriatic arthritis-related foot involvement. Transparent and precise description of the survey design and dissemination methods provides useful information to other researchers embarking on survey design in healthcare.

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An evaluation of seasonal variations in footwear worn by adults with inflammatory arthritis: a cross‐sectional observational study using a web‐based survey

Cited by 18 publications

References 51 publications

Footwear Experiences of People With Chronic Musculoskeletal Diseases

Footwear Experiences of People With Chronic Musculoskeletal Diseases

Pedobarography as a clinical tool in the management of diabetic feet in New Zealand: a feasibility study

Development of a national survey on foot involvement among people with psoriatic arthritis in Australia using a best practice approach: A survey development protocol

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