Perceptions of Australians with diabetes-related foot disease on requirements for effective secondary prevention

IntroductionSecondary prevention is essential in reducing recurrence of diabetes-related foot disease (DFD) but is frequently poorly implemented in clinical practice. ObjectiveTo explore the perceptions of people with diabetes-related foot disease (DFD) on their self-perceived knowledge in managing DFD, facilitators and barriers influencing their DFD care, and ideas and preferences for a secondary prevention program. DesignSixteen people with a history of DFD from Queensland and Victoria, Australia, underwent semi-structured interviews. Interviews were audio-recorded over telephone and transcribed and analysed following a thematic framework. Participants were asked about their experiences and perceptions relating to DFD and factors influencing the care they receive for DFD relevant to the development of a secondary prevention program for DFD. Findings and discussionParticipants had high self-perceived knowledge in managing DFD, especially in implementing healthy lifestyle changes and conducting daily foot checks and foot care, though most received support from family members acting as carers. However, issues with access and adherence to offloading footwear, and a lack of clear education received on footwear and other aspects of DFD care were perceived as major barriers. Improved patient education, provided in a consistent manner by proactive clinicians was perceived as an essential part of secondary prevention. Telehealth was perceived positively through facilitating faster care and considered a good adjunct to standard care. Health and technological literacy were considered potentially major barriers to the effectiveness of remote care. ConclusionPeople with DFD require improved access to offloading footwear and education about secondary prevention, which could be provided by telehealth with adequate support.

Automated summary

In a study conducted in Queensland and Victoria, Australia, 16 individuals with a history of diabetes-related foot disease (DFD) were interviewed to explore their perceptions and experiences related to DFD management. The study found that improved access to offloading footwear and education about secondary prevention, provided through telehealth with support, is necessary for DFD patients.