Barriers and enablers to proper diabetic foot care amongst community dwellers in an Asian population: a qualitative study

Sayampanathan, Andrew Arjun; Cuttilan, Amit Nirmal; Pearce, Christopher J.

doi:10.21037/atm.2017.04.31

Cited by 20 publications

(19 citation statements)

References 32 publications

(25 reference statements)

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“…In our study, participants described a lack of income as being a barrier to performing foot care practices. This supports the findings of several previous studies that found inadequate income to be one of barriers to performing foot care (D'Souza et al., 2016 ; Sayampanathan et al., 2017 ). In our study, financial barriers meant participants were unable to buy moisturizer for their feet.…”

Section: Discussionsupporting

confidence: 91%

The barriers and facilitators of foot care practices in diabetic patients in Indonesia: A qualitative study

et al. 2021

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Diabetes mellitus (DM) is a chronic disease and a major health problem globally. Estimates suggest that in 2019, there were 63 million people in the world living with DM and that number is expected to rise to 578 million by 2030 and 700 million by 2045 (International Diabetes Federation, 2019). In Indonesia, there are approximately 10.7 million people living with DM in 2019 and that number is predicted to rise to 13.7 million in 2030, and 16.6 million by 2045 (International Diabetes Federation, 2019). An increasing number of people with DM will lead to increasing numbers of DM-related complications, such as retinopathy, nephropathy, and foot ulcers

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Section: Discussionsupporting

confidence: 91%

The barriers and facilitators of foot care practices in diabetic patients in Indonesia: A qualitative study

et al. 2021

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“…Our study highlighted a lack of knowledge as an important barrier to diabetes self-management practices, in line with previous review articles [ 60 , 61 ]. A qualitative study from South Asia supports our finding that lack of knowledge hindered people with diabetes to practice foot care [ 62 ]. Further, a review article from India found people with diabetes were unable to follow recommended medication and dietary guidelines, because of low health literacy about disease and its self-management [ 63 ].…”

Section: Discussionsupporting

confidence: 75%

Barriers to and facilitators of diabetes self-management practices in Rupandehi, Nepal- multiple stakeholders’ perspective

2021

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Background Self-management of diabetes is associated with glycaemic control and adherence to medication and healthy lifestyle practices. There is lack of information on the barriers to and facilitators of diabetes self-management practices in low income country, Nepal. This study aimed to explore the barriers to and facilitators of Type 2 diabetes self-management practices taking multiple stakeholders’ perspectives in Nepal. Methods Four focus group discussions and 16 semi-structured interviews with people with Type 2 diabetes, caregivers, health care providers and health managers were conducted from April to May 2018 in Rupandehi district of Western Nepal. They were audio-recorded, transcribed, and analysed using a thematic approach. Results Five main themes emerged that influenced diabetes self-management practices: individual factors, socio-cultural and economic factors, health system and policy factors, availability and accessibility of resources, and environmental factors. The important barriers were: lack of knowledge about diabetes self-management practices, cultural practices, insufficient counselling, lack of guidelines and protocols for counselling, and financial problems. The major facilitators were: motivation; support from family, peers, and doctors; and availability of resources in the community. Conclusion Based on our findings, a multilevel approach is needed to address these barriers and facilitators. These findings will help guide strategies to develop programs that impart knowledge and skills to improve the diabetes self-management practices of people with Type 2 diabetes.

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“…Other studies that used qualitative approach have also suggested factors associated with delayed presentation of diabetic foot complications. Those factors include use of experimentation in healthseeking process and treatment strategies (Low et al, 2016a), switch between different alternative health care providers (Atwine et al, 2015), economic factors such as poverty and the high cost of biomedical care (Abdulrehman et al, 2016), a mixture of proper and improper information and beliefs (Sayampanathan et al, 2017) and delay in the health care process due to patients' beliefs (Hjelm & Beebwa, 2013 (Chithambo & Forbes, 2015). The causes of delayed presentation in a Nigerian sample of patients presenting with diabetic foot may differ from that of a developed economy like the UK as the level of education are higher in the later.…”

Section: Introductionmentioning

confidence: 99%

Qualitative exploration into reasons for delay in seeking medical help with diabetic foot problems

Ogunlana

Govender

Oyewole

et al. 2021

International Journal of Qualitative Studies on Health and Well

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Purpose: Delay in reporting foot symptoms in patients with diabetes to health-care professionals is said to be responsible for limb amputation. While reasons for these delays have been investigated elsewhere, they are not well documented in Nigeria. This study explored the causes of delayed presentation in a Nigerian sample of patients with diabetic foot ulcers. Method: The study followed an explorative qualitative design in which the lived experience of eight participants with diabetes were explored. The participants completed in-depth interviews which were digitally audio-recorded and transcribed verbatim. Data were analysed thematically using deductive reasoning. Results: The study identified four themes which included knowledge and awareness of foot challenges, risk perception, health seeking triggers and behaviours and competing priority as the factors responsible for delay in presentation of diabetic foot complications. Conclusions: Limited knowledge and awareness and negative health seeking behaviours including self-management and consultation of traditionalists were the major reasons for delays.

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Barriers and enablers to proper diabetic foot care amongst community dwellers in an Asian population: a qualitative study

Cited by 20 publications

References 32 publications

The barriers and facilitators of foot care practices in diabetic patients in Indonesia: A qualitative study

The barriers and facilitators of foot care practices in diabetic patients in Indonesia: A qualitative study

Barriers to and facilitators of diabetes self-management practices in Rupandehi, Nepal- multiple stakeholders’ perspective

Qualitative exploration into reasons for delay in seeking medical help with diabetic foot problems

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