Show simple item record

dc.contributor.authorPaton, Jen
dc.contributor.authorAbey, Sen
dc.contributor.authorHendy, Pen
dc.contributor.authorWilliams, Jen
dc.contributor.authorCollings, Ren
dc.contributor.authorCallaghan, Len
dc.date.accessioned2021-03-05T10:26:18Z
dc.date.issued2021-12en
dc.identifier.other1en
dc.identifier.urihttp://hdl.handle.net/10026.1/16925
dc.description.abstract

<jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Diabetes related foot complications are increasing in complexity, frequency and cost. The application of self-management strategies can reduce the risk of individuals developing foot complications. The type, range and nature of the literature focusing on interventions that support patients with diabetic foot self-management is unknown. This scoping review aimed to i) identify self-management actions and risky behaviour avoidance strategies within interventions, ii) map the theoretical functions through which these behaviour change interventions have an effect, iii) display gaps in the research.</jats:p> </jats:sec><jats:sec> <jats:title>Methodology</jats:title> <jats:p>Arksey and Malley’s (2003) 5 stage framework was followed to conduct the scoping study. This methodological framework was selected because it was developed specifically for scoping reviews and therefore offered clear methodological distinction from systematic review methodology. .</jats:p> <jats:p>Databases were searched from inception of the project until June 2020 supplemented by hand searching of reference lists. In total 988 papers were identified. These were independently screened by three reviewers, identifying 19 eligible papers. Data extraction and charting of data was independently conducted by three reviewers to identify study characteristics, self-management actions and risky behaviours. Data was charted against the COM-B (capability, opportunity, motivation, behaviour) model of behaviour to determine intervention function.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>In total 25 different foot self-management actions and risk behaviours were classified into three themes; routine self-management, trauma avoidance and warning signs and actions. Inspect feet daily received the most attention. The majority of interventions focused on knowledge and skills, but overlooked taking action and decision making. Intervention mapping identified four primary intervention functions (education, persuasion, training and enablement) used to address deficits in capability, opportunity and motivation that positively improved foot self-management behaviour. No studies targeted first ulcer prevention, and most either did not measure or improve foot health outcomes.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>This review charted the evidence for interventions promoting diabetic foot self-management through a theoretical behaviour change perspective. A core set of behaviour change activities and intervention functions associated with positive changes in behaviour were identified. This information will provide researchers with a useful basis for developing self-management interventions.</jats:p> </jats:sec>

en
dc.languageenen
dc.language.isoenen
dc.publisherSpringer Science and Business Media LLCen
dc.titleBehaviour change approaches for individuals with diabetes to improve foot self-management: a scoping reviewen
dc.typeJournal Article
plymouth.issue1en
plymouth.volume14en
plymouth.journalJournal of Foot and Ankle Researchen
dc.identifier.doi10.1186/s13047-020-00440-wen
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Health Professions
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
plymouth.organisational-group/Plymouth/Users by role/Professional Services staff
dcterms.dateAccepted2020-11-23en
dc.rights.embargodate2021-03-10en
dc.identifier.eissn1757-1146en
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.1186/s13047-020-00440-wen
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2021-12en
rioxxterms.typeJournal Article/Reviewen


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record


All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
@mire NV