Back to Search
Start Over
Evaluation of usability, adherence, and clinical efficacy of therapeutic footwear in persons with diabetes at moderate to high risk of diabetic foot ulcers: A multicenter prospective study.
- Source :
- Clinical Rehabilitation; May2024, Vol. 38 Issue 5, p612-622, 11p
- Publication Year :
- 2024
-
Abstract
- Objective: To evaluate therapeutic footwear expectations and usability of individuals with diabetes and foot complications. Design: A prospective multicenter study was conducted on participants with a high risk of developing a diabetic foot ulcer. Setting: Participants were enrolled in 11 different specialized diabetic foot units in Spain between March 2022 and June 2023. Subjects: Patients with diabetes at moderate to high risk of foot ulceration receiving first therapeutic footwear prescription. Interventions: All the patients included in the research were prescribed with their first pair of therapeutic footwear. Main measures: Primary outcome measures were MOS-pre and MOS-post questionnaires evaluating use and usability of prescribed therapeutic footwear. Secondary outcome measures aimed to evaluate footwear clinical efficacy as ulceration rate and self-reported perceived walking distance per day. Results: The use of therapeutic footwear exceeded the patient's pre-provision prediction of their anticipated use in 94% of people (n = 126). Based on the visual analogic satisfaction scale, the median satisfaction of daily wearing their therapeutic footwear was 7 points, Interquartile Range (IQR) [5–8.25]. During the follow-up period, 39 participants (29.1%) experienced diabetic foot ulcer. Perceived walking distance participants reported an improvement in their perceived walking ability during various daily life activities. Conclusions: Diabetes patients at moderate to high risk of diabetic foot ulcer improved their perception of walking ability after therapeutic footwear prescription. Adherence to the therapeutic footwear prescription resulted in less ulcerations. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIABETES complications
TREATMENT of diabetic foot
DIAGNOSIS of diabetic neuropathies
FOOT care
PATIENT compliance
SELF-evaluation
ACADEMIC medical centers
T-test (Statistics)
DATA analysis
THERAPEUTICS
ORTHOPEDIC shoes
MULTIPLE regression analysis
QUESTIONNAIRES
FOOT ulcers
TREATMENT effectiveness
DESCRIPTIVE statistics
CHI-squared test
MULTIVARIATE analysis
MANN Whitney U Test
LONGITUDINAL method
ODDS ratio
WALKING
DIABETIC foot
RESEARCH
FRIEDMAN test (Statistics)
STATISTICS
CONFIDENCE intervals
DATA analysis software
PATIENTS' attitudes
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 02692155
- Volume :
- 38
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Clinical Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 176532087
- Full Text :
- https://doi.org/10.1177/02692155231225743