Effectiveness of a patient education module on diabetic foot care in outpatient setting: An open-label randomized controlled study

Abstract

Background:A large number of patients with diabetes mellitus are unaware of foot care and are at risk of developing foot ulcer and amputation. This increases healthcare burden due to preventable complication of diabetes.Aims:We conducted this study to assess the effectiveness of a foot care education module for diabetes developed by us.Materials and Methods:One hundred and twenty-seven patients with diabetes mellitus attending our outpatient were randomized into intervention (n = 63) and control groups (n = 64). At first visit, 1 and 3 months later, both groups filled a questionnaire regarding foot care knowledge and practice. The intervention group was administered foot care education module and the control group received routine care at baseline and 1 month. Patient education module consisted of an audio-visual display and a pamphlet on diabetes foot care. Change in score at 3 months was assessed by Student's t-test.Results:Knowledge scores in the intervention group at first, second, and third visits were 9.8 ± 1.8, 10.2 ± 1.6, and 11.0 ± 1.7, respectively. The knowledge scores in the control group at first, second, and third visits were 9.9 ± 1.7, 9.8 ± 1.6, and 10.0 ± 1.8, respectively. The change in knowledge score was statistically significant (P < 0.001) at third visit compared to first in the intervention group but not in the control group (P = 0.62). Practice score also improved significantly (P < 0.001) in the intervention group in the second visit but not in the control group.Conclusion:Audio-visual foot care patient education module in outpatient setting is an effective means to improve foot care knowledge and practice in patients with diabetes.

Effect of a Podiatric Health Education Intervention on the Level of Self-care in Patients with Diabetes Mellitus

“…One limitation of this study is the relatively short follow-up period. Although other studies reevaluated patients after 6 months or 1 year, in this study the investigators reevaluated participants after 1 month, the same follow-up period used in the study by Rahaman et al 29 Extending this time period would help determine the curve of forgetting after the training session.…”

“…25 The education method appears to play a role in the effectiveness of the intervention. Numerous studies [19][20][21][26][27][28] have shown that with therapeutic education either by written or audiovisual means, 22,29 or through practical or theoretical interventions, 30 the levels of knowledge and self-care of patients with DM increase. In contrast, other types of interventions have not improved self-care outcomes.…”

Diabetic Foot Care: A Screening on Primary Care Providers’ Attitude and Practice in Riyadh, Saudi Arabia

“…Other forms of education can be online. This form of education can be accessed anytime and by any family member, which provides consistency and spread of knowledge about foot care [ 23 ].…”

A Knowledge, Attitude, and Practice Survey on Medication Safety in Korean Older Adults: An Analysis of an Ageing Society

“…In this study, although the survey participants had a little safe drug use education experience, they reported high satisfaction with that education and indicated that they prefer education in the form of on-site lectures and audio-visual materials rather than other methods such as textbooks. Some studies also found that education using audio-visual methods is more effective than that using brochures or pamphlets [49][50][51]. Therefore, these preferred types of educational materials need to be developed and adapted to help ensure the safety of these individuals.…”