Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled Trial
Background. Patient education is capable of reducing the risk for diabetic foot ulcers. However, specific education on foot ulcer prevention was either included in broader programs addressing different parts of diabetes care or provided with time- and resource-consuming curricula. The aim of the stu...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2015/615680 |
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| author | Matteo Monami Stefania Zannoni Marianna Gaias Besmir Nreu Niccolò Marchionni Edoardo Mannucci |
| author_facet | Matteo Monami Stefania Zannoni Marianna Gaias Besmir Nreu Niccolò Marchionni Edoardo Mannucci |
| author_sort | Matteo Monami |
| collection | DOAJ |
| description | Background. Patient education is capable of reducing the risk for diabetic foot ulcers. However, specific education on foot ulcer prevention was either included in broader programs addressing different parts of diabetes care or provided with time- and resource-consuming curricula. The aim of the study is to assess the feasibility and efficacy of a brief educational program for the prevention of diabetic foot ulcers in high-risk patients. Methods. The study was performed on type 2 diabetic patients, randomized in a 1 : 1 ratio either to intervention or to control group. The principal endpoint was the incidence of foot ulcers. The intervention was a two-hour program provided to groups of 5–7 patients, including a 30-minute face-to-face lesson on risk factors for foot ulcers, and a 90-minute interactive session with practical exercises on behaviors for reducing risk. Results. The study was prematurely terminated due to a highly significant difference in outcome between the two treatment groups. The final sample was therefore composed of 121 patients. Six patients, all in the control group, developed ulcers during the 6-month follow-up (10% versus 0%, p=0.012). Conclusions. A brief, 2-hour, focused educational program is effective in preventing diabetic foot ulcers in high-risk patients. |
| format | Article |
| id | doaj-art-7a72b7bec4524873ae5cb5958386ff64 |
| institution | OA Journals |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-7a72b7bec4524873ae5cb5958386ff642025-08-20T02:07:37ZengWileyInternational Journal of Endocrinology1687-83371687-83452015-01-01201510.1155/2015/615680615680Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled TrialMatteo Monami0Stefania Zannoni1Marianna Gaias2Besmir Nreu3Niccolò Marchionni4Edoardo Mannucci5Division of Geriatric Cardiology and Medicine, Careggi Teaching Hospital, 50141 Florence, ItalyDivision of Geriatric Cardiology and Medicine, Careggi Teaching Hospital, 50141 Florence, ItalyDivision of Geriatric Cardiology and Medicine, Careggi Teaching Hospital, 50141 Florence, ItalyDivision of Geriatric Cardiology and Medicine, Careggi Teaching Hospital, 50141 Florence, ItalyDivision of Geriatric Cardiology and Medicine, Careggi Teaching Hospital, 50141 Florence, ItalyDivision of Diabetes Agency, Careggi Teaching Hospital, 50141 Florence, ItalyBackground. Patient education is capable of reducing the risk for diabetic foot ulcers. However, specific education on foot ulcer prevention was either included in broader programs addressing different parts of diabetes care or provided with time- and resource-consuming curricula. The aim of the study is to assess the feasibility and efficacy of a brief educational program for the prevention of diabetic foot ulcers in high-risk patients. Methods. The study was performed on type 2 diabetic patients, randomized in a 1 : 1 ratio either to intervention or to control group. The principal endpoint was the incidence of foot ulcers. The intervention was a two-hour program provided to groups of 5–7 patients, including a 30-minute face-to-face lesson on risk factors for foot ulcers, and a 90-minute interactive session with practical exercises on behaviors for reducing risk. Results. The study was prematurely terminated due to a highly significant difference in outcome between the two treatment groups. The final sample was therefore composed of 121 patients. Six patients, all in the control group, developed ulcers during the 6-month follow-up (10% versus 0%, p=0.012). Conclusions. A brief, 2-hour, focused educational program is effective in preventing diabetic foot ulcers in high-risk patients.http://dx.doi.org/10.1155/2015/615680 |
| spellingShingle | Matteo Monami Stefania Zannoni Marianna Gaias Besmir Nreu Niccolò Marchionni Edoardo Mannucci Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled Trial International Journal of Endocrinology |
| title | Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled Trial |
| title_full | Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled Trial |
| title_fullStr | Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled Trial |
| title_full_unstemmed | Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled Trial |
| title_short | Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled Trial |
| title_sort | effects of a short educational program for the prevention of foot ulcers in high risk patients a randomized controlled trial |
| url | http://dx.doi.org/10.1155/2015/615680 |
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