scholarly journals Promoting Self-Care of Diabetic Foot Ulcers through a Mobile Application: A User-Centred Design and Evaluation (Preprint)

2018 ◽  
Author(s):  
Bernd Ploderer ◽  
Ross Brown ◽  
Leonard Si Da Seng ◽  
Peter Lazzarini ◽  
Jaap van Netten
Keyword(s):  
Mobile Phone ◽  
Goal Setting ◽  
Diabetic Foot ◽  
Visual Analytics ◽  
Mobile Application ◽  
Self Care ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
User Centred Design ◽  
Size Data

BACKGROUND Without effective self-care, people with diabetic foot ulcers (DFUs) are at risk of prolonged healing times, hospitalization, amputation, and reduced quality of life. Despite these consequences, adherence to DFU self-care remains low. New strategies are needed to engage people in the self-care of their DFUs. OBJECTIVE We aimed to evaluate the usability and usefulness of a new mobile application to engage people with DFUs in self-care. METHODS We developed a new mobile application, “MyFootCare”, to engage patients with DFU through goal-setting, progress monitoring, and reminders in self-care. Key features included novel visual analytics that automatically extracts and monitors DFU size information from mobile phone photos of the foot. A functional prototype of MyFootCare was created and evaluated through a user-centred design process with 11 participants with DFUs. Data were collected through semi-structured interviews discussing existing self-care practices and observations of MyFootCare with participants. Data were analysed qualitatively through thematic analysis. RESULTS Key themes were: (1) Participants already used mobile phone photos to monitor their DFU progress, but (2) had limited experience with using smartphone applications. (3) Participants desired the objective DFU size data provided by the tracking feature of MyFootCare to monitor their DFU progress. (4) Participants were ambivalent about the MyFootCare goal setting and diary features, commenting that these features were useful but also that it was unlikely that they would use them. (5) Participants desired to share their MyFootCare data with their clinicians to demonstrate engagement in self-care and to reflect on their progress. CONCLUSIONS MyFootCare shows promising features to engage people in DFU self-care. Most notably, ulcer size data is useful to monitor progress and engage people. However, more work is needed to improve the usability and accuracy of MyFootCare, i.e., by refining the process of taking and analysing DFU photos and removing unnecessary features. These findings open the door for further work to develop a system that is easy to use and functions in everyday life conditions, and to trial it with people with DFUs and their carers.

scholarly journals Promoting Self-Care of Diabetic Foot Ulcers Through a Mobile Phone App: User-Centered Design and Evaluation

JMIR Diabetes ◽  
10.2196/10105 ◽  
2018 ◽  
Vol 3 (4) ◽  
pp. e10105 ◽  
Author(s):  
Bernd Ploderer ◽  
Ross Brown ◽  
Leonard Si Da Seng ◽  
Peter A Lazzarini ◽  
Jaap J van Netten
Keyword(s):  
Mobile Phone ◽  
Diabetic Foot ◽  
Self Care ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
User Centered Design ◽  
User Centered

Investigating and Comparing the Effect of Teach-Back and Multimedia Teaching Methods on the Self-Care in Patients With Diabetic Foot Ulcers

2021 ◽  
pp. cd200010
Author(s):  
Somayyeh Babamir Satehi ◽  
Mitra Zandi ◽  
Homayoon Bana Derakhshan ◽  
Maliheh Nasiri ◽  
Tahmineh Tahmasbi
Keyword(s):  
Teaching Methods ◽  
Diabetic Foot ◽  
Self Care ◽  
The Self ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Multimedia Teaching

scholarly journals Efektivitas Telemedicine terhadap perawatan pasien diabateic foot ulcers: Tinjauan sistemastis

2021 ◽  
Vol 7 (1) ◽  
pp. 61
Author(s):  
Muhammad Anis Taslim ◽  
Kusnanto Kusnanto ◽  
Yulia Setiya Dewi
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Mobile Phone ◽  
Diabetic Foot ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Boolean Operator ◽  
Randomized Control ◽  
Quasi Experiment

Pendahuluan:Ulkus kaki diabetik merupakan salah satu komplikasi yang sering terjadi pada penderita Diabetes Mellitus. Telemedicinemerupakan pennggunaan sarana teknologi komunikasi untuk mendapatkan dan mendesiminasi data dan pelayanan medis. Sistematik review ini bertujuan mengkaji efektivitas telemedicine untuk pengelolaan perawatan ulkus kaki diabetik.Metode:kata kunci yang digunakan adalah "telemedicine" "healing" dan "diabetic foot" dan "diabetic foot ulcers", yang dihubungankan dengan Boolean operator "AND".  Pencarian artikel dengan menggunakan kerangka PICOT pada database internasional; EBSCO, Science Direct, Scopus, ProQuest, selama lima tahun, 2017-2021. Hasil:Diperoleh 15 artikel yang sesuai dengan kriteria inklusi yaitu berfokus pada telemedicine pada pasien dengan perawatan ulkus kaki diabetic, penelitian jenis Randomized Control Trialdan quasi-experiment. Studi desain lainnya dimasukkan dalam kriteria eksklusi. Artikel yang didapatkan dianalisa dengan Preferred Reporting Items for Systematic Review and Meta-Analyzes(PRISMA). Simpulan:Telemedicine memiliki beberapa inovasi yang dapat digunakan dalam mengamati, mengantisipasi, dan mengobati penderita kaki diabetik. Inovasi dalam bentuk Telemedicine skin thermography, photo imaging, dan mobile phone onlinedapat memberikan hasil yang bagus dalam pemulihan kelangsungan hidup untuk pasien dengan perawatan ulkus kaki diabetik.

scholarly journals Harnessing Digital Health Technologies to Remotely Manage Diabetic Foot Syndrome: A Narrative Review

Medicina ◽  
2021 ◽  
Vol 57 (4) ◽  
pp. 377
Author(s):  
Bijan Najafi ◽  
Ramkinker Mishra
Keyword(s):  
Risk Factors ◽  
Diabetic Foot ◽  
Digital Health ◽  
Self Care ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Health Technologies ◽  
Foot Disease

About 422 million people worldwide have diabetes and approximately one-third of them have a major risk factor for diabetic foot ulcers, including poor sensation in their feet from peripheral neuropathy and/or poor perfusion to their feet from peripheral artery disease. The current healthcare ecosystem, which is centered on the treatment of established foot disease, often fails to adequately control key reversible risk factors to prevent diabetic foot ulcers leading to unacceptable high foot disease amputation rate, 40% recurrence of ulcers rate in the first year, and high hospital admissions. Thus, the latest diabetic foot ulcer guidelines emphasize that a paradigm shift in research priority from siloed hospital treatments to innovative integrated community prevention is now critical to address the high diabetic foot ulcer burden. The widespread uptake and acceptance of wearable and digital health technologies provide a means to timely monitor major risk factors associated with diabetic foot ulcer, empower patients in self-care, and effectively deliver the remote monitoring and multi-disciplinary prevention needed for those at-risk people and address the health care access disadvantage that people living in remote areas. This narrative review paper summarizes some of the latest innovations in three specific areas, including technologies supporting triaging high-risk patients, technologies supporting care in place, and technologies empowering self-care. While many of these technologies are still in infancy, we anticipate that in response to the Coronavirus Disease 2019 pandemic and current unmet needs to decentralize care for people with foot disease, we will see a new wave of innovations in the area of digital health, smart wearables, telehealth technologies, and “hospital-at-home” care delivery model. These technologies will be quickly adopted at scale to improve remote management of diabetic foot ulcers, smartly triaging those who need to be seen in outpatient or inpatient clinics, and supporting acute or subacute care at home.

scholarly journals Prevalence and associated factors of foot ulcer among diabetic patients in Ethiopia: a systematic review and meta-analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tadesse Tolossa ◽  
Belayneh Mengist ◽  
Diriba Mulisa ◽  
Getahun Fetensa ◽  
Ebisa Turi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Diabetic Foot ◽  
Meta Analysis ◽  
Self Care ◽  
Foot Ulcer ◽  
Foot Ulcers ◽  
Care Practice ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers

Abstract Background Diabetes and its complications including foot ulcer constitute a global public health challenge attributing to a significant cause of morbidity and mortality. Foot ulcer is one of the long-term complication of diabetes mellitus which lead to infection and amputation of lower extremities. In Ethiopia, findings from few studies were inconsistent and there is a need to systematically pool existing data to determine the magnitude of foot ulcer in diabetics and factors contributing to it. Methods We identified articles through electronic databases such as Medline, Hinari, Pub Med, Cochrane library, the Web of Science and Google Scholar. Accordingly, we identified 95 published and one unpublished article. Finally, eleven studies which fullfilled eligibility criteria were included in final systematic review and meta-analysis. Data were extracted using a standardized data extraction checklist and the analyses were conducted using STATA version 14. The Cochrane Q test statistic and I2 tests were used to assess heterogeneity. Results The overall magnitude of foot ulcer was 12.98% (95%CI: 7.81–18.15) in diabetic patients in Ethiopia. Sub-group analyses revealed highest prevalence in Addis Ababa (19.31% (95%CI: 2.7. 41.37)). Foot ulcer was significantly associated with rural residence (OR = 2.72, 95%, CI: 1.84–4.01)), presence of callus on the feet ((OR = 12.67, 95%, CI: 6.47–24.79)), a body mass index of ≥24.5 ((OR = 2.68, 95%, CI: 1.58–4.56)), poor self- care practice ((OR = 1.47, 95%CI: 1.25–1.73)), type I diabetes mellitus ((OR = 0.42, 95%, CI: 0.22–0.79)), staying with DM for < 10 years ((OR = 0.23, 95%, CI: 0.11–0.50)), and age < 45 years ((OR = 0.44, 95%, CI: 0.21–0.92)). Conclusion The prevalence of diabetic foot ulcers in Ethiopia is relatively low, although its trend is increasing from time to time. Socio-demographic factors, body weight, and healthcare practice contribute to the development of diabetic foot ulcers. Appropriate interventions towards patient self-care practice, lifestyle modification and follow-up are wanted to prevent diabetic foot ulcers.

scholarly journals Innovative telemedicine and mobile phone technology in the management of diabetic foot ulcers

2015 ◽  
Vol 8 (S2) ◽  
Author(s):  
Damien Clark ◽  
Lloyd F Reed ◽  
Monika Janda ◽  
Petrea L Cornwell ◽  
Peter A Lazzarini
Keyword(s):  
Mobile Phone ◽  
Diabetic Foot ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Mobile Phone Technology
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