Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2023 Nov 1;41(11):877-883.
doi: 10.1097/CIN.0000000000001024.

Mobile Application for Adhering to Diabetic Foot Self-care: Randomized Controlled Clinical Trial

Antonio Dean Barbosa Marques  1 , Thereza Maria Magalhães Moreira, Luana Feitosa Mourão, Raquel Sampaio Florêncio, Virna Ribeiro Feitosa Cestari, Thiago Santos Garces, Nathalia Alves Bruno
Affiliations
Randomized Controlled Trial

Mobile Application for Adhering to Diabetic Foot Self-care: Randomized Controlled Clinical Trial

Antonio Dean Barbosa Marques et al. Comput Inform Nurs. .

Abstract

This study aimed to analyze the effectiveness of a mobile application for adherence to foot self-care in people with type 2 diabetes at risk for diabetic foot ulcer. A double-blind randomized controlled clinical trial was conducted with people with type 2 diabetes in a secondary healthcare unit. A total of 42 patients were recruited, matched, and allocated into two groups: one (intervention group) undergoing standard nursing consultations and application use and the other (control group) receiving only standard nursing consultations. The outcome variable was the adherence to foot self-care, measured by completing questionnaires on diabetes self-care activities and adherence to foot self-care. Measures of central tendency and dispersion were calculated, in addition to bivariate associations, considering a significance level of P ≤ .05. The intragroup and intergroup analyses regarding diabetes self-care did not show statistical significance; however, the intervention group showed a considerable increase in the frequency of daily assessments ( P = .048) and adherence to foot self-care ( P = .046). The use of the app, combined with the nursing consultation, increased adherence to foot self-care of people with type 2 diabetes. Brazilian Registry of Clinical Trials: U1111-1202-6318.

PubMed Disclaimer

References

    1. International Diabetes Federation. Diabetes Atlas . 9th ed. Brussel, Belgium: 2019.
    1. Marques ADB, Silva LMS, Moreira TMM, Torres RAM. Association between hospitalization due to diabetes mellitus and diabetic foot amputation. Enfermería Global . 2018;17(3): 248–257. Doi: http://dx.doi.org/10.6018/eglobal.17.3.286181 - DOI
    1. Bus SA, Lavery LA, Monteiro-Soares M, et al. Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2019 update). Diabetes/Metabolism Research and Reviews . 2020;36(suppl 1): e3269. Doi: https://doi.org/10.1002/dmrr.3269 - DOI
    1. Fu XL, Ding H, Miao WW, Mao CX, Zhan MQ, Chen HL. Global recurrence rates in diabetic foot ulcers: a systematic review and meta-analysis. Diabetes/Metabolism Research and Reviews . 2019;35(6): e3160. doi:10.1002/dmrr.3160. - DOI
    1. Saluja S, Anderson SG, Hambleton I, et al. Foot ulceration and its association with mortality in diabetes mellitus: a meta-analysis. Diabetic Medicine . 2020;37(2): 211–218. doi:10.1111/dme.14151. - DOI

Publication types

LinkOut - more resources