Offloading treatment in people with diabetic foot disease: a systematic scoping review on adherence to foot offloading
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Published version
Author(s)
Racaru, Simona
Saghdaoui, Layla Bolton
Choudhury, Jaya Roy
Wells, Mary
Davies, Alun H
Type
Journal Article
Abstract
Background and aims
To identify measurement methods, proportions of adherent participants, factors affecting adherence, and concordance promoting interventions.
Methods
A systematic scoping review was conducted by searching Medline, CINAHL, PubMed, EMBASE, and EMCARE databases.
Results
Twenty-four trials were identified from 1001 citations. Only 25% of the included studies used objective methods to quantify adherence. The proportion of adherent participants (≥80% of daily steps/time) ranged from 28% to 60%. Psychosocial factors are the most common influencers of adherence. However, interventions for improving compliance are lacking.
Conclusion
There is a need to accurately quantify and optimize adherence to foot offloading in people with diabetes.
To identify measurement methods, proportions of adherent participants, factors affecting adherence, and concordance promoting interventions.
Methods
A systematic scoping review was conducted by searching Medline, CINAHL, PubMed, EMBASE, and EMCARE databases.
Results
Twenty-four trials were identified from 1001 citations. Only 25% of the included studies used objective methods to quantify adherence. The proportion of adherent participants (≥80% of daily steps/time) ranged from 28% to 60%. Psychosocial factors are the most common influencers of adherence. However, interventions for improving compliance are lacking.
Conclusion
There is a need to accurately quantify and optimize adherence to foot offloading in people with diabetes.
Date Issued
2022-05
Date Acceptance
2022-04-16
Citation
Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 2022, 16 (5)
ISSN
1871-4021
Publisher
Elsevier
Journal / Book Title
Diabetes and Metabolic Syndrome: Clinical Research and Reviews
Volume
16
Issue
5
Copyright Statement
© 2022 The Authors. Published by Elsevier Ltd on behalf of Diabetes India. This is an open access article under the CC BY-NC-ND license (http://creativecommons.
org/licenses/by-nc-nd/4.0/).
org/licenses/by-nc-nd/4.0/).
Identifier
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000806285600002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=a2bf6146997ec60c407a63945d4e92bb
Subjects
Adherence
ASSISTIVE DEVICES
CUSTOM-MADE FOOTWEAR
Diabetic foot
Endocrinology & Metabolism
Foot offloading
Foot ulcer management
Foot ulcer prevention
Life Sciences & Biomedicine
RISK-FACTORS
Science & Technology
ULCER RECURRENCE
Publication Status
Published
Article Number
102493
Date Publish Online
2022-04-18