Challenges of foot self‐care in older people: a qualitative focus‐group study

Miikkola, Maija; Suhonen, Riitta; Stolt, Minna

doi:10.1186/s13047-019-0315-4

Cited by 23 publications

(34 citation statements)

References 53 publications

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“…Our study found that age was one of the predictor of foot self-care behavior. Our study is not in accordance with a recent study which showed that foot self-care behavior in elderly patients were poor since they have physical difficulties and inadequate knowledge [37]. This difference might be due to that in our study we exclude elderly patients who have any physical difficulties such as patients who have loss of vision and who are immobile.…”

Section: Discussioncontrasting

confidence: 86%

Foot self-care behavior and its predictors in diabetic patients in Indonesia

et al. 2020

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Objectives: Previous studies have shown that diabetic foot ulcers are principally associated with improper foot selfcare. Since appropriate foot self-care is essential to prevent diabetic foot-ulcers, any factors which can predict foot self-care behavior should be identified. However, until now, foot self-care behavior data and predictors of foot-care behavior in Indonesia remain unclear since such studies on Indonesian diabetic patients is very limited. Therefore, the purpose of this study was to investigate foot self-care behavior and to identify its predictors in Indonesia. The design of this study was cross-sectional. Cluster sampling was used, involving 546 type 2 diabetes mellitus patients registered in 22 primary healthcare centers. The questionnaires used in this study included the Diabetes Distress Scale, Beck Depression Inventory II, Family APGAR, Foot-Care Knowledge and Modified Diabetic Foot Care Behaviors. Results: Foot self-care behavior and knowledge about foot care were poor. The predictors of foot self-care behavior were age, educational level, diabetes distress, family support, and knowledge. It needs the program to improve foot self-care knowledge and the program to reduce the diabetes distress in Indonesian diabetic patients. In performing of these programs, families should be involved to improve the support toward foot self-care behavior in patients.

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Section: Discussioncontrasting

confidence: 86%

Foot self-care behavior and its predictors in diabetic patients in Indonesia

et al. 2020

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“…There was no significant association between changes in knowledge and performance scores, indicating that time constraints affect the ability to learn various topics in a short time. Community-dwelling older people with foot problems must seek help [5,42]. Tinea pedis and tinea unguium are among the top five skin disorders in individuals aged ≥ 60 years [43].…”

Section: Discussionmentioning

confidence: 99%

“…Community-dwelling older people with foot problems must seek help [ 5 , 42 ]. Tinea pedis and tinea unguium are among the top five skin disorders in individuals aged ≥ 60 years [ 43 ].…”

Section: Main Textmentioning

confidence: 99%

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Evaluation of the development process and effects of a foot care program with educational tools for nurses and care workers as in-home service providers

Fujii

Stolt

2020

BMC Res Notes

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Objective: Nurses and care workers who provide in-home services play important roles in assessing and providing care for older people who lack foot self-care abilities. We aimed to evaluate the development process and effects of a foot care program with educational tools for nurses and care workers as in-home service providers. This is a process evaluation with a descriptive mixed-methods study of quantitative and qualitative data conducted from July to October 2019 in Japan. Results: Foot care education tools were developed to address the issues faced by participants with various work patterns and insufficient foot care education in Japan. The contents of these tools were discussed by a panel and reviewed by experts. Three outcomes were analyzed using descriptive statistics and Pearson's correlation. Changes in foot care practice scores were significantly correlated with performance scores. The evaluations of five of the eight field nurses suggested that excess information was included in the foot care booklet. Overall, 29 nurses and care workers showed higher than average evaluation scores [3.8-4.1 (standard deviation, 0.62-0.91)] for the motion pictures and PowerPoint presentation. A program according to this conceptual framework must be established and periodically evaluated for refinement.

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“…This is the first study to consider the views and opinions of older people, from the UK and from Portugal, about a tailored home-based lower limb, ankle and foot exercise programme aimed at preventing falls. Only one recent study has explored older adults views of selffootcare practices, including exercise in general 41 . This study provides relevant feedback from end-users that can be built into a culturally suitable future intervention in Scotland and Portugal.…”

Section: Discussionmentioning

confidence: 99%

The Footfall Programme: participant experiences of a lower limb, foot and ankle exercise intervention for falls prevention - an exploratory study

Conde¹,

Hendry²,

Skelton³

2019

JFSF

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Exercise-based interventions offer a multitude of health benefits to community-dwelling older adults, including reducing falls risk, falls rate and falls-induced injuries 1,2. Home-based exercise interventions, if adhered to, offer effects similar to group based programmes. But such interventions are only effective when meeting sufficient 'dosage', progression and individual tailoring requirements 2. Programme characteristics (e.g. convenience of setting; home-based vs group exercise) 3 and sociocultural aspects appear to be factors that influence uptake and completion of falls prevention exercise interventions 4. Franco et al 5 reported that both home-based exercise formats and avoidance of the need to travel to were rated as the highest value attributes of exercise programmes by mobility-impaired and older adults who had suffered falls. Given the barriers to exercise faced by older adults, home-based solutions offer advantages by Abstract Objectives: Despite growing evidence that foot and ankle exercise programmes are effective for falls prevention, little is known about older adults' views and preferences of programme components for long-term maintenance. The aims of this study were to explore the experiences and acceptability of Scottish and Portuguese older adults of undertaking a home-based foot, ankle and lower limb exercise intervention. Methods: Ten Scottish (mean age 76 years, 7 female) and fourteen Portuguese (mean age 66 years, 12 female) community-dwelling older adults undertook the programme for one week, followed by focus group discussions (2-6 people per group), guided by a semi-structured interview guide. Data was analysed using thematic analysis. Results: Seven themes were identified: Assessment, Group exercise taster, Home based exercise; Footfall programme kit, Midweek phone call, Reasons for participation and the Research Process. Programme components, support telephone calls and research procedures were generally well accepted by participants and they valued having a contribution to the design. They preferred a blended home and intermittent groupbased programme format for motivation and progression and recommended changes to some of the exercises and equipment to reduce barriers to participation. Some cultural differences emerged, including importance of the functional assessments for Portuguese participants, time issues and difficulty in completion of the exercise diary, reflecting lower literacy levels. Conclusions: Participants found the programme acceptable but preferred a blended home and occasional group-based programme for adherence and motivation. A strong educational component to improve health literacy and simple paperwork completion to avoid data loss in future studies with Portuguese older adults is important.

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Challenges of foot self‐care in older people: a qualitative focus‐group study

Cited by 23 publications

References 53 publications

Foot self-care behavior and its predictors in diabetic patients in Indonesia

Foot self-care behavior and its predictors in diabetic patients in Indonesia

Evaluation of the development process and effects of a foot care program with educational tools for nurses and care workers as in-home service providers

The Footfall Programme: participant experiences of a lower limb, foot and ankle exercise intervention for falls prevention - an exploratory study

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