Screening for the loss of protective sensation in people without a history of diabetic foot ulceration: Validation of two simple tests in India

Chatzistergos, Panagiotis; Kumar, S. Praveen; Sumathi, C.S.; Mahadevan, Shriraam; Vas, Prashanth; Chockalingam, Nachiappan

doi:10.1016/j.diabres.2023.110810

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Emphasis is given to previously identified barriers to effective care regarding the effectiveness of referral pathways, the efficiency of communication between disciplines and NHS services, and the adequacy of available resources and patient education [9]. This protocol also recognizes the need to help people with diabetes remain ulcer-free for longer [18][19][20]. With this in mind, the experience of frontline health care professionals regarding the first-ever DFU will be also captured to inform clinical research toward more effective DFU prevention.…”

Section: Discussionmentioning

confidence: 99%

“…An exciting new approach for effective DFU care proposed in current literature is to shift medical attention from the management of active DFU to supporting people with diabetes to remain ulcer-free for longer. This can be achieved by focusing efforts to prevent the first-ever DFU from happening [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

“…Integrated care that combines frequent specialist screening with education and offloading interventions (eg, the use of therapeutic footwear or orthoses) is currently used to prevent recurrent DFU [ 11 , 23 , 24 ] and is likely to be effective also for the prevention of first-ever ulcers. However, their blanket use across all people with diabetes is practically impossible due to the sheer number of people at risk of their first-ever DFU [ 18 , 20 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

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Exploring the Pathways of Diabetes Foot Complications Treatment and Investigating Experiences From Frontline Health Care Professionals: Protocol for a Mixed Methods Study

Andrikopoulou,

Chatzistergos,

Chockalingam

2024

JMIR Res Protoc

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Background Diabetes affects more than 4.3 million individuals in the United Kingdom, with 19% to 34% developing diabetes-related foot ulceration (DFU) during their lifespan, which can lead to an amputation. In the United Kingdom, every week, approximately 169 people have an amputation due to diabetes. Preventing first-ever ulcers is the most effective strategy to reduce the occurrence of diabetes-related amputations, but research in this space is lacking. Objective This protocol seeks to document the experiences and perspectives of frontline health care professionals who work with people who have diabetes and diabetes-related foot problems. Special attention is given to their perceptions of barriers to effective care, their views about barriers to effective and inclusive engagement with people with diabetes, and their experience with the first-ever DFU. Another aspect of the study is the focus on whether clinical management is affected by data sharing, data availability, and interoperability issues. Methods This is a mixed methods explanatory protocol, which is sequential, and its purpose is to use the qualitative data to explain the initial quantitative data collected through a survey of frontline health care professionals. Data analysis of quantitative data will be completed first and then synthesized with the qualitative data analysis. Qualitative data will be analyzed using the framework method. This study will use joint displays to integrate the data. Ethical approval has been granted by the ethics committee of Staffordshire University. Results The quantitative data collection started in March 2023 and will close in May 2024. The qualitative interviews commenced in November 2023 with volunteer participants who initially completed the survey. Conclusions This study’s survey focuses on data interoperability and the interviews focus more on the perspectives and experiences of clinicians and their perceived barriers for the effective management of diabetes foot ulcers. Including a geographically relevant and diverse cohort of health care professionals that spans a wide range of roles and care settings involved in diabetes-related foot care is very important for the successful application of this protocol. Special care is given to advertise and promote participation as widely as possible. The qualitative part of this protocol is also limited to 30-40 interview participants, as it is not realistic to interview higher numbers, due to time and resource constraints. International Registered Report Identifier (IRRID) DERR1-10.2196/54852

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring the Pathways of Diabetes Foot Complications Treatment and Investigating Experiences From Frontline Health Care Professionals: Protocol for a Mixed Methods Study

Andrikopoulou,

Chatzistergos,

Chockalingam

2024

JMIR Res Protoc

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The enhanced paper grip test can substantially improve community screening for the risk of falling

Mansi,

Chockalingam,

Chatzistergos

2024

Gait & Posture

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Exploring the Pathways of Diabetes Foot Complications Treatment and Investigating Experiences From Frontline Health Care Professionals: Protocol for a Mixed Methods Study (Preprint)

Andrikopoulou,

Chatzistergos,

Chockalingam

2023

Preprint

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UNSTRUCTURED Background: Diabetes affects around 3.7 million individuals in the UK, with 19-34% developing diabetic foot ulceration (DFU) during their lifespan which can lead to an amputation. In the UK, 169 people have an amputation due to diabetes every week. Preventing first-ever ulcers is the most effective strategy to reduce the occurrence of diabetes-related amputations, but research in this space is lacking. Objective: The current protocol seeks to document the experiences and perspectives of frontline healthcare professionals who work with people who have diabetes and diabetic foot problems. Special attention is given to their perceptions of barriers for effective care, their views about barriers for effective and inclusive engagement with people with diabetes and their experience with first-ever DFU. Methods: This is a mixed methods explanatory protocol, which is sequential and its purpose is to use the qualitative data to explain the initial quantitative data collected through a survey of frontline healthcare professionals. The quantitative data collection started in March 2023 and will close in February 2024. The qualitative interviews commenced in November 2023 with volunteer participants who initially completed the survey. Data analysis of quantitative data will be completed first, and then synthesised with the qualitative data analysis. Qualitative data will be analysed using the Framework method. This study will use joint displays to integrate the data. Ethics: Ethical approval has been granted from Staffordshire University’s ethics committee.

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Screening for the loss of protective sensation in people without a history of diabetic foot ulceration: Validation of two simple tests in India

Cited by 3 publications

References 17 publications

Exploring the Pathways of Diabetes Foot Complications Treatment and Investigating Experiences From Frontline Health Care Professionals: Protocol for a Mixed Methods Study

Exploring the Pathways of Diabetes Foot Complications Treatment and Investigating Experiences From Frontline Health Care Professionals: Protocol for a Mixed Methods Study

The enhanced paper grip test can substantially improve community screening for the risk of falling

Exploring the Pathways of Diabetes Foot Complications Treatment and Investigating Experiences From Frontline Health Care Professionals: Protocol for a Mixed Methods Study (Preprint)

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