Ronny A Bell1, Thomas A Arcury2, Beverly M Snively1, Shannon L Smith1, Jeanette M Stafford1, Ron Dohanish3, Sara A Quandt1. 1. The Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina (Drs Bell, Snively, and Quandt; Ms Smith; Ms Stafford) 2. The Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina (Dr Arcury) 3. The Physician Assistant Program, Wake Forest University School of Medicine, Winston-Salem, North Carolina (Mr Dohanish)
Abstract
PURPOSE: The purposes of this study were to assess the level of foot self-care performed in a rural, multiethnic population of older adults and to identify factors associated with foot self-care. METHODS: The Evaluating Long-term Diabetes Self-management Among Elder Rural Adults study included a random sample of 701 African American, Native American, and white adults from 2 rural North Carolina counties. Participants completed in-home interviews, 5 foot self-care practices from the Summary of Diabetes Self-Care Activities (SDSCA), functional status measures, and measures of education and support for foot care. RESULTS: Foot care practices/behaviors reported at least 6 days/week ranged from 35.6% for inspecting shoes to 79.2% for not soaking feet. Four independent predictors of the SDSCA summary foot care index score were observed: having been shown how to care for feet (P < .0001), female gender (P = .03), having had a doctor check nerves in feet in past year (P = .02), and not receiving support caring for feet (P = .0425). CONCLUSIONS: These findings indicate that educating patients about foot self-care may encourage routine foot care but that those dependent on either formal or informal support to perform foot care do so less frequently than those who perform it independently.
PURPOSE: The purposes of this study were to assess the level of foot self-care performed in a rural, multiethnic population of older adults and to identify factors associated with foot self-care. METHODS: The Evaluating Long-term Diabetes Self-management Among Elder Rural Adults study included a random sample of 701 African American, Native American, and white adults from 2 rural North Carolina counties. Participants completed in-home interviews, 5 foot self-care practices from the Summary of Diabetes Self-Care Activities (SDSCA), functional status measures, and measures of education and support for foot care. RESULTS: Foot care practices/behaviors reported at least 6 days/week ranged from 35.6% for inspecting shoes to 79.2% for not soaking feet. Four independent predictors of the SDSCA summary foot care index score were observed: having been shown how to care for feet (P < .0001), female gender (P = .03), having had a doctor check nerves in feet in past year (P = .02), and not receiving support caring for feet (P = .0425). CONCLUSIONS: These findings indicate that educating patients about foot self-care may encourage routine foot care but that those dependent on either formal or informal support to perform foot care do so less frequently than those who perform it independently.
Authors: Giorgia De Berardis; Fabio Pellegrini; Monica Franciosi; Maurizio Belfiglio; Barbara Di Nardo; Sheldon Greenfield; Sherrie H Kaplan; Maria C E Rossi; Michele Sacco; Gianni Tognoni; Miriam Valentini; Antonio Nicolucci Journal: Diabetes Care Date: 2004-01 Impact factor: 19.112
Authors: J Apelqvist; K Bakker; W H van Houtum; M H Nabuurs-Franssen; N C Schaper Journal: Diabetes Metab Res Rev Date: 2000 Sep-Oct Impact factor: 4.876
Authors: M E Donohoe; J A Fletton; A Hook; R Powell; I Robinson; J W Stead; K Sweeney; R Taylor; J E Tooke Journal: Diabet Med Date: 2000-08 Impact factor: 4.359
Authors: Andrew J Karter; Assiamira Ferrara; Jennifer Y Liu; Howard H Moffet; Lynn M Ackerson; Joe V Selby Journal: JAMA Date: 2002-05-15 Impact factor: 56.272
Authors: Sara A Quandt; Teresa Reynolds; Christine Chapman; Ronny A Bell; Joseph G Grzywacz; Edward H Ip; Julienne K Kirk; Thomas A Arcury Journal: J Appl Gerontol Date: 2013-10
Authors: Ha T Nguyen; Joseph G Grzywacz; Sara A Quandt; Rebecca H Neiberg; Wei Lang; Kathryn Altizer; Eleanor P Stoller; Ronny A Bell; Thomas A Arcury Journal: Aging Ment Health Date: 2012-02-03 Impact factor: 3.658
Authors: Thomas A Arcury; Ronny A Bell; Beverly M Snively; Shannon L Smith; Anne H Skelly; Lindsay K Wetmore; Sara A Quandt Journal: J Gerontol B Psychol Sci Soc Sci Date: 2006-03 Impact factor: 4.077
Authors: Ha T Nguyen; Julienne K Kirk; Thomas A Arcury; Edward H Ip; Joseph G Grzywacz; Santiago J Saldana; Ronny A Bell; Sara A Quandt Journal: Diabetes Res Clin Pract Date: 2013-06-24 Impact factor: 5.602
Authors: Sara A Quandt; Ronny A Bell; Beverly M Snively; Shannon L Smith; Jeanette M Stafford; Lindsay K Wetmore; Thomas A Arcury Journal: Ethn Dis Date: 2005 Impact factor: 1.847
Authors: Ronny A Bell; Jeanette M Stafford; Thomas A Arcury; Beverly M Snively; Shannon L Smith; Joseph G Grzywacz; Sara A Quandt Journal: Complement Health Pract Rev Date: 2006-04-01