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Published VersionCC BY V4.0, Open Access
Journal article
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
Digital Health, Vol.9, pp.1-9
2023
Appears in UniSC Supported Open Access Outputs
Abstract
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 UniversityJo 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
- 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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