Location
LSU Health Sciences Center - New Orleans
Event Website
https://alliedhealth.lsuhsc.edu/admin/sahpresearchday.aspx
Document Type
Event
Start Date
8-4-2024 2:35 PM
End Date
8-4-2024 2:50 PM
Description
Introduction: Lower extremity amputation rates due to diabetes are high (Caffrey, 2018), and estimated that half could be prevented with appropriate adherence to diabetes care recommendations (Boulton & Tesfaye, 2009). The best way of improving diabetes self-management is unknown and diabetic foot care has not traditionally been emphasized in diabetes education in the USA (Alsaleh et al., 2021, Sen et al., 2015).
Purpose: We investigated the preliminary efficacy and feasibility of a four-session occupational therapy program addressing diabetic foot care, Keep Your Feet (KYF), for persons experiencing diabetic neuropathy.
Methods: A one group pretest-posttest design was used. Four weekly occupational therapy sessions included evaluation, education, actual practice, and adaptations for diabetic foot care tasks, habit formation, diet, medication management, and wound care. Feasibility was measured using a post-intervention survey. Preliminary efficacy was measured with the Canadian Occupational Performance Measure (COPM), Diabetes Empowerment Scale (DES-SF), Self-Report Behavioral Automaticity Index, and the Summary of Diabetes Self-Care Activities.
Results: Post-intervention survey results showed excellent feasibility from the perspective of the participant. However, the length of the first two sessions was longer than most occupational therapists have to provide to their clients. Preliminary efficacy was established with improvement shown across all outcome measures, and significant improvement on the COPM Satisfaction scale (p = .043), and the DES-SF (p = .043).
Discussion: The KYF program could potentially lead to improved diabetes-related self-care activities, thereby reducing the number of lower extremity wounds and amputations. Modifications are needed to improve feasibility for occupational therapists in outpatient settings.
Recommended Citation
Franc, Ingrid A., "The Keep Your Feet Occupational Therapy Diabetes Program: A Preliminary Efficacy and Feasibility Study" (2024). School of Allied Health Professions Research Day. 45.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/45
Included in
The Keep Your Feet Occupational Therapy Diabetes Program: A Preliminary Efficacy and Feasibility Study
LSU Health Sciences Center - New Orleans
Introduction: Lower extremity amputation rates due to diabetes are high (Caffrey, 2018), and estimated that half could be prevented with appropriate adherence to diabetes care recommendations (Boulton & Tesfaye, 2009). The best way of improving diabetes self-management is unknown and diabetic foot care has not traditionally been emphasized in diabetes education in the USA (Alsaleh et al., 2021, Sen et al., 2015).
Purpose: We investigated the preliminary efficacy and feasibility of a four-session occupational therapy program addressing diabetic foot care, Keep Your Feet (KYF), for persons experiencing diabetic neuropathy.
Methods: A one group pretest-posttest design was used. Four weekly occupational therapy sessions included evaluation, education, actual practice, and adaptations for diabetic foot care tasks, habit formation, diet, medication management, and wound care. Feasibility was measured using a post-intervention survey. Preliminary efficacy was measured with the Canadian Occupational Performance Measure (COPM), Diabetes Empowerment Scale (DES-SF), Self-Report Behavioral Automaticity Index, and the Summary of Diabetes Self-Care Activities.
Results: Post-intervention survey results showed excellent feasibility from the perspective of the participant. However, the length of the first two sessions was longer than most occupational therapists have to provide to their clients. Preliminary efficacy was established with improvement shown across all outcome measures, and significant improvement on the COPM Satisfaction scale (p = .043), and the DES-SF (p = .043).
Discussion: The KYF program could potentially lead to improved diabetes-related self-care activities, thereby reducing the number of lower extremity wounds and amputations. Modifications are needed to improve feasibility for occupational therapists in outpatient settings.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/45