Investigating the effects of digital foot self-management program on enhancing self-efficacy and self-care behavior among community-dwelling older adults with type 2 diabetes: A randomized controlled trial

Shu-Ming Chen; Jo Wu

doi:10.1177/20552076231220791

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Investigating the effects of digital foot self-management program on enhancing self-efficacy and self-care behavior among community-dwelling older adults with type 2 diabetes: A randomized controlled trial

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Investigating the effects of digital foot self-management program on enhancing self-efficacy and self-care behavior among community-dwelling older adults with type 2 diabetes: A randomized controlled trial

Shu-Ming Chen and Jo Wu

Digital Health, Vol.9, pp.1-9

2023

DOI: https://doi.org/10.1177/20552076231220791

PMCID: PMC10722916

PMID: 38107978

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Abstract

digital food self-management program

self-efficacy

self-care behavior

community-dwelling

Introduction: Diabetic foot self-management intervention programs have been proven to positively influence individuals’ behaviors in preventing diabetic foot ulcers. Using digital technologies to deliver programs can facilitate compliance with diabetes self-management programs. However, few studies have focused on the effects of such digital programs on improving the self-efficacy and behaviors of older adults with type 2 diabetes in the community. Aim: To evaluate the effects of a digital foot self-management program on self-efficacy, self-care behavior, and Hemoglobin A1c levels. Design: A single-blinded, randomized controlled trial was conducted. Methods: The intervention program comprised a 4-week digital foot care program with one face-to-face education session, phone calls once weekly, and LINE messages (social media) three times per research nurse and a follow-up of three months. Patients in the control group received routine care. Results: A total of 100 participants (n = 50 in the control and n = 50 in the intervention groups) completed the study with a mean age of 67.55 (SD = 11.17). The results showed significant improvements in self-efficacy (F = 2187.24, p < 0.01) and self-care behavior (F = 614.71, p < 0.01) in foot care between the groups. The Hemoglobin A1c levels showed a 0.41% reduction over time in the experimental group (t = −3.759; p < 0.01), whereas the control group showed a 0.06% reduction (t = −0.797, p > 0.05). Conclusion: The newly developed digital foot self-management program was effective in community-dwelling older adult patients with type 2 diabetes.

Details

Title: Investigating the effects of digital foot self-management program on enhancing self-efficacy and self-care behavior among community-dwelling older adults with type 2 diabetes: A randomized controlled trial
Authors: Shu-Ming Chen (Author) - Fooyin University
Jo Wu (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health - Nursing
Publication details: Digital Health, Vol.9, pp.1-9
Publisher: Sage Publications Ltd.
Date published: 2023
DOI: 10.1177/20552076231220791
ISSN: 2055-2076
PMID: 38107978; PMC10722916
Copyright note: © The Author(s) 2023. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Grant note: This research was funded by the Fooyin University in Taiwan (grant no. FYU1300-109-02).
Organisation Unit: School of Health - Nursing
Language: English
Record Identifier: 99979798102621
Output Type: Journal article

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