Kavita Vedhara1, Karen Dawe2, Mark A Wetherell3, Jeremy N V Miles4, Nicky Cullum5, Colin Dayan6, Nicola Drake7, Patricia Price8, John Tarlton9, John Weinman10, Andrew Day11, Rona Campbell2. 1. Division of Primary Care, School of Medicine, University of Nottingham, NG7 2RD, UK. Electronic address: kavita.vedhara@nottingham.ac.uk. 2. School of Social and Community Medicine, University of Bristol, BS8 2PS, UK. 3. Department of Psychology, University of Northumbria, NE1 8ST, UK. 4. Rand Institute, Los Angeles, CA 90401, USA. 5. School of Nursing, Midwifery and Social Work, University of Manchester, M13 9PL, UK. 6. Institute of Molecular and Experimental Medicine, University of Cardiff, CF14 4XN, UK. 7. Department of Podiatry, Southmead Hospital, BS10 5NB, UK. 8. School of Healthcare Studies, Cardiff University, CF14 4XN, UK. 9. Matrix Biology Research Group, University of Bristol, BS40 5DU, UK. 10. Health Psychology Section, Institute of Psychiatry, SE1 9RT, UK. 11. Department of Cellular and Molecular Medicine, University of Bristol, UK.
Abstract
AIMS: Patients' illness beliefs are known to be influential determinants of self-care behaviours in many chronic conditions. In a prospective observational study we examined their role in predicting foot self-care behaviours in patients with diabetic foot ulcers. METHODS: Patients (n=169) were recruited from outpatient podiatry clinics. Clinical and demographic factors, illness beliefs and foot self-care behaviours were assessed as baseline (week 0). Foot self-care behaviours were assessed again 6, 12 and 24 weeks later. Linear regressions examined the contribution of beliefs at baseline to subsequent foot self-care behaviours, controlling for past behaviour (i.e., foot self-care at baseline) and clinical and demographic factors that may affect foot self-care (i.e., age and ulcer size). RESULTS: Our models accounted for between 42 and 58% of the variance in foot self-care behaviours. Even after controlling for past foot-care behaviours, age and ulcer size; patients' beliefs regarding the symptoms associated with ulceration, their understanding of ulceration and their perceived personal control over ulceration emerged as independent determinants of foot self-care. CONCLUSIONS: Patients' beliefs are important determinants of foot-care practices. They may, therefore, also be influential in determining ulcer outcomes. Interventions aimed at modifying illness beliefs may offer a means for promoting self-care and improving ulcer outcomes.
AIMS: Patients' illness beliefs are known to be influential determinants of self-care behaviours in many chronic conditions. In a prospective observational study we examined their role in predicting foot self-care behaviours in patients with diabetic foot ulcers. METHODS: Patients (n=169) were recruited from outpatient podiatry clinics. Clinical and demographic factors, illness beliefs and foot self-care behaviours were assessed as baseline (week 0). Foot self-care behaviours were assessed again 6, 12 and 24 weeks later. Linear regressions examined the contribution of beliefs at baseline to subsequent foot self-care behaviours, controlling for past behaviour (i.e., foot self-care at baseline) and clinical and demographic factors that may affect foot self-care (i.e., age and ulcer size). RESULTS: Our models accounted for between 42 and 58% of the variance in foot self-care behaviours. Even after controlling for past foot-care behaviours, age and ulcer size; patients' beliefs regarding the symptoms associated with ulceration, their understanding of ulceration and their perceived personal control over ulceration emerged as independent determinants of foot self-care. CONCLUSIONS: Patients' beliefs are important determinants of foot-care practices. They may, therefore, also be influential in determining ulcer outcomes. Interventions aimed at modifying illness beliefs may offer a means for promoting self-care and improving ulcer outcomes.
Authors: Ryan T Crews; Biing-Jiun Shen; Laura Campbell; Peter J Lamont; Andrew J M Boulton; Mark Peyrot; Robert S Kirsner; Loretta Vileikyte Journal: Diabetes Care Date: 2016-06-06 Impact factor: 19.112
Authors: Ryan T Crews; Kristin L Schneider; Sai V Yalla; Neil D Reeves; Loretta Vileikyte Journal: Diabetes Metab Res Rev Date: 2016-06-10 Impact factor: 4.876
Authors: Meng-Chien Tsai; Hsiao-Ling Chuang; Cheng-Yi Huang; Shu-Hsin Lee; Wen-Chun Liao; Meng-Chih Lee; Ching-Pyng Kuo Journal: Int J Environ Res Public Health Date: 2021-07-05 Impact factor: 3.390