Foot self‐care behaviour in type 2 diabetes adults with and without comorbid heart failure

Aga, Fekadu; Dunbar, Sandra B.; Kebede, Tedla; Guteta, Senbeta; Higgins, Melinda; Gary, Rebecca

doi:10.1002/nop2.1265

Cited by 3 publications

(6 citation statements)

References 119 publications

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“…This is similar to previous studies which linked low household income with poor self‐care behaviors in PwD. 39 , 40 People experiencing economic insecurity are more likely to be diagnosed with Type 2 diabetes and experience serious health complications. 41 Additionally, it is well‐documented that adherence to diabetes self‐care practices, in general, is significantly lower among socio‐economically disadvantaged PwD.…”

Section: Discussionsupporting

confidence: 90%

“…Monthly household income independently predicted improved adherence to FSC practices. This is similar to previous studies which linked low household income with poor self‐care behaviors in PwD 39,40 . People experiencing economic insecurity are more likely to be diagnosed with Type 2 diabetes and experience serious health complications 41 .…”

Section: Discussionsupporting

confidence: 89%

“…This is similar to previous studies which linked low household income with poor self-care behaviors in PwD. 39,40 People experiencing economic insecurity are more likely T A B L E 5 FSC practices and frequency of performing among participants. to be diagnosed with Type 2 diabetes and experience serious health complications.…”

Section: Discussionsupporting

confidence: 87%

“… 42 Individuals with low‐income shoulder most of the burden of diabetes care; they are often unable to access care and may be unable to afford healthy food, appropriate footwear, or diabetes medications. 40 PwD living in rural and remote areas (almost like NWS) were nearly four times more likely to have poor FSC practice. 11 Moreover, lower income is often associated with lower education attainment, 43 impacting health literacy and self‐care behaviors like diabetes FSC.…”

Section: Discussionmentioning

confidence: 99%

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Level of and factors associated with foot self‐care among people with diabetes in Idlib Province of Northwest Syria: A cross‐sectional study

Al‐Ashkar,

Alhussein,

Eido

et al. 2024

Health Science Reports

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Background and aimsDiabetic foot and lower limb problems are among the most neglected complications during the Syrian armed conflict due to the absence of a functioning health infrastructure, including early detection and timely management of limb‐threatening wounds. This study aimed to determine self‐reported diabetes‐related foot disease (DRFD), adherence to recommended foot self‐care (FSC) practices, and associated factors among people with diabetes in war‐torn Northwest Syria (NWS).MethodsThis was a cross‐sectional study conducted at six primary care clinics in Idlib, NWS, between March 27 and April 17, 2022, utilizing the validated interviewer‐administered Diabetes Foot Disease and Foot Care Questionnaire. Data on demographic characteristics, DRFD, and FSC practices were collected. FSC score was determined by adding the points from all 12 FSC items, with a maximum score of 48, and were categorized into very poor (≤12), poor (13–24), moderate (25–36), and good (37–48). A convenience sample of 331 consecutive Syrians, aged ≥18 years, with diabetes, were invited. Multiple linear regression was used to identify variables associated with FSC practices.ResultsA total of 328 patients completed the questionnaire (response rate: 99.1%). The overall FSC score was average (mean total score 27.24, SD 7.03). Over one‐third (37.8%) had a very poor/poor score, 50.3% had an average score, and 11.9% had a good score. Household income/month of ≥51 USD (β = 2.6, 95% confidence interval [95% CI]:1.06–4.1, p = 0.001) and diabetes duration of ≥10 years (β = 1.8, 95% Cl: 0.2–3.4, p = 0.027) significantly predicted better FSC practice.ConclusionA significant proportion of participants had inadequate adoption FSC behaviors. Higher socioeconomic status was associated with better FSC practices. Future research should evaluate diabetic foot education and professional foot care in this population.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Level of and factors associated with foot self‐care among people with diabetes in Idlib Province of Northwest Syria: A cross‐sectional study

Al‐Ashkar,

Alhussein,

Eido

et al. 2024

Health Science Reports

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“…Previous investigations found conditions such as retinopathy, heart failure, and PAD as predictors of higher adherence and foot self-care among people with diabetesrelated foot disease. [42][43][44] However, we found that all the above variables were not associated significantly with the overall foot self-care in our study. Last, participants from the KAUH were potentially exposed to further empowerment or engagement to perform the needed foot self-care, which could have been another plausible explanation.…”

Section: Discussioncontrasting

confidence: 86%

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 behaviour in type 2 diabetes adults with and without comorbid heart failure

et al. 2022

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Aims To compare the correlates of foot self‐care behaviours among type 2 diabetes mellitus (T2D) adults with and without comorbid heart failure (HF). Design Cross‐sectional, correlational, comparative design. Methods A 210 T2D adults (105 with HF and 105 without HF) participated from August–December 2020. Foot self‐care behaviour was measured using the foot care subscale of the Summary of Diabetes Self‐Care Activities (SDSCA) instrument. A stepwise logistic regression analysis was used to explore variables predicting foot self‐care behaviour. Results The participants' mean age was 58.7 ± 10.9 years. Poor foot self‐care behaviour was reported in T2D adults both with (53.3%) and without (54.3%) HF. Participants with HF‐comorbidity were statistically significantly older and had higher total daily medication intake. Household income and the total number of daily medications statistically significantly predicted foot self‐care behaviour in HF‐comorbid T2D adults. Marital status, social support and body mass index predicted foot self‐care behaviour in the non‐HF group.

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Foot self‐care behaviour in type 2 diabetes adults with and without comorbid heart failure

Cited by 3 publications

References 119 publications

Level of and factors associated with foot self‐care among people with diabetes in Idlib Province of Northwest Syria: A cross‐sectional study

Level of and factors associated with foot self‐care among people with diabetes in Idlib Province of Northwest Syria: A cross‐sectional study

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

Foot self‐care behaviour in type 2 diabetes adults with and without comorbid heart failure

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