Foot Self-Care among Patients with Diabetes in Vietnam: The Effectiveness of an Education Program to Fill the Self-Care Gap

Nguyen, Thi Phuong Lan

doi:10.5204/thesis.eprints.134465

Cited by 3 publications

(9 citation statements)

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“…Footcare outcomes expectations scale (FCOES ): 23 a 15-item tool using a 5-point Likert scale for each item, which measures patients’ expectations regarding the outcomes of performing foot self-care in preventing DFUs (eg, moisturising feet or wearing proper footwear).…”

Section: Methodsmentioning

confidence: 99%

Factors associated with adherence to using removable cast walker treatment among patients with diabetes-related foot ulcers

Ababneh

Finlayson

Edwards

et al. 2022

BMJ Open Diab Res Care

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IntroductionAdherence to using knee-high offloading treatment is critical for healing diabetes-related foot ulcers (DFUs). However, few studies have investigated patients’ adherence to using knee-high offloading treatment. We aimed to investigate the levels and factors associated with adherence to using knee-high removable cast walker (RCW) treatment among patients with DFUs.Research design and methodsIn this multicenter cross-sectional study, we investigated adherence to using knee-high RCWs in 57 participants with DFUs. All participants were clinically examined for multiple sociodemographic, physiological, and psychosocial factors. Each participant’s adherence level to using RCWs was then objectively measured using dual activity monitors (attached to the wrist and RCW) over a 1-week period. Multiple linear regression was undertaken to determine those factors independently associated with adherence levels.ResultsThe mean adherence level to using RCWs was 33.6% (SD 16.5) of weight-bearing activity. Factors independently associated with lower adherence levels were being male, longer diabetes duration, not having peripheral artery disease (PAD), and having higher perceived RCW heaviness (p≤0.05). No associations were found with psychosocial factors.ConclusionsPatients with DFUs adhered to using their RCWs on average for only a third of their prescribed weight-bearing treatment duration. Factors linked to lower RCW adherence levels were being male, longer diabetes duration, not having PAD, and perceived heavier RCWs. These findings highlight the importance of using gold standard non-removable knee-high offloading device treatment. Furthermore, these findings suggest, when gold standard devices are containdicated, that these factors be considered when prescribing the second choice RCW offloading treatment to optimise adherence. Regardless, further longitudinal studies are needed to confirm these factors.

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Section: Methodsmentioning

confidence: 99%

Factors associated with adherence to using removable cast walker treatment among patients with diabetes-related foot ulcers

Ababneh

Finlayson

Edwards

et al. 2022

BMJ Open Diab Res Care

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“…This is in line with the previous positive internal consistency of translation to Vietnamese. 11 The translation stability showed good agreement. However, several items of this scale were adapted from a previous reliable scale which showed moderate agreement.…”

Section: Discussionmentioning

confidence: 86%

“…It has 15 Likert items related to outcome expectations from performing foot self-care activities (ie, moisturizing feet, wearing socks, or wearing proper footwear) in preventing DFUs. Previous testing 11 showed this scale to be valid and reliable (content validity index = 0.97, Cronbach's α = 0.97).…”

Section: Methodsmentioning

confidence: 90%

“…The original testing of the PINS by Vileikyte et al 5 found that the PIN “physical causes” and “acute ulcer onset” had acceptable Cronbach's α while the PIN self/practitioner blame had Cronbach's α of 0.62. However, testing of the reliability of Vietnamese translation by Nguyen 11 showed a Cronbach's α ≥ 0.70 for both PIN “physical causes” and “acute ulcer onset”. Regarding stability (test–retest), our testing showed poor agreement (ICC < 0.5) for both PIN “physical causes” and “acute ulcer onset” while PIN self/practitioner blame showed good agreement (ICC = 0.83).…”

Section: Discussionmentioning

confidence: 98%

“…8 Self-efficacy and outcome expectations were studied previously in patients with diabetic foot disease using validated scales such as the Foot care Confidence Scale (FCCS) which was developed by Sloan; 10 and the Foot care Outcomes Expectations Scale (FCOES), which was originally developed by Vileikyte et al, 5 then adapted and validated by Nguyen. 11 However, to our knowledge, there are no available Arabic-specific scales related to diabetic foot disease to measure these cognitive aspects. For instance, one study from Jordan 12 investigated patients’ knowledge about foot self-care practices using a nonreliable scale, while patients’ perceptions of the causes of DFU, self-efficacy to perform footcare, and the outcome expectations from performing footcare were not investigated.…”

Section: Introductionmentioning

confidence: 99%

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Cross-Cultural Adaptation and Reliability Testing of Arabic Versions of Several Diabetic Foot Psychosocial Scales

Ababneh

Finlayson

Lazzarini

et al. 2021

The International Journal of Lower Extremity Wounds

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The main aims of this study were cross-cultural adaptation and reliability testing of an Arabic version of Foot Care Confidence Scale (FCCS), Foot Care Outcomes Expectations Scale (FCOES), Patient Interpretation of Neuropathy Scales (PINS), Neuropathy-specific Quality of Life Scales (NQOLS), and offloading-related Visual Analog Scales (VAS). Two phases of translation and reliability testing were conducted in Jordan. Phase 1 included 2 forward and backward translations with 2 panel consensuses (translators, clinicians, and experts). In Phase 2, Cronbach’s alpha ( α) and intraclass correlation coefficient (ICC) were used to test the internal consistency and stability (test–retest) of the Arabic scales in a sample of a total of 90 Jordanian participants with diabetic foot ulcers. Phase 1 resulted in Arabic translation and cross-cultural adaptation of the study scales. Phase 2 resulted in acceptable internal consistency of the translated scales ( α = 0.74-0.91), except for the PIN “self/practitioner blame” and “acute ulcer onset” scales ( α = 0.57, 0.49, respectively). Test–retest results (ICC) were: FCCS (0.85); FCOES (0.78); PINS (0.043-0.85); NQOLS (0.76-0.90); and offloading-related VAS (0.43-0.90). This study showed evidence of cultural appropriateness and reliability of most of the translated scales, for possible future implementation for the Arabic population.

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Factors Associated With Foot Self-Care in Patients With Diabetes-Related High-Risk Feet: A Cross-Sectional Design

Ababneh,

Moosa,

Aljarrah

et al. 2023

INQUIRY

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Foot self-care has been commonly studied among people with diabetes. Previous research on foot self-care among those with diabetes-related high-risk feet is almost unavailable or very limited. The current study aims to fill this gap and provide a contemporary unprecedented analysis of this area of specialization. To assess the levels of, and factors associated with foot self-care among people with diabetes-related high-risk feet. A multi-center cross-sectional study from Jordan assessed the foot self-care of 107 participants with diabetes-related high-risk feet. Multiple socio-demographic, physiological, and psychosocial factors were collected, and the Arabic version of the diabetes foot self-care behavior scale was used to estimate the foot self-care of the study population. A multiple linear regression model was employed to identify factors associated with foot self-care. The mean score of foot self-care was 25.4 ± 7.1 (35 is the highest) indicating ~73% of adherence to foot self-care. Factors associated with higher foot self-care were being treated at the King Abdullah University Hospital (β = .30, P < .01) and reporting higher scores of patients’ interpretations about neuropathy physical causes of foot ulcers (β = “.22,” P = .02). People with diabetes-related high-risk feet reported a relatively adequate foot self-care practice. However, clinicians are still required to enhance foot self-care among this population. Health promotion programs may benefit from engaging people in understanding the pathophysiology of diabetes-related foot ulcers to improve foot self-care practices.

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Foot Self-Care among Patients with Diabetes in Vietnam: The Effectiveness of an Education Program to Fill the Self-Care Gap

Cited by 3 publications

References 0 publications

Factors associated with adherence to using removable cast walker treatment among patients with diabetes-related foot ulcers

Factors associated with adherence to using removable cast walker treatment among patients with diabetes-related foot ulcers

Cross-Cultural Adaptation and Reliability Testing of Arabic Versions of Several Diabetic Foot Psychosocial Scales

Factors Associated With Foot Self-Care in Patients With Diabetes-Related High-Risk Feet: A Cross-Sectional Design

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