Imperial College London
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DrSarahOnida

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3311 7317s.onida Website

 
 
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Location

 

4N 12North WingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Goodall:2020:10.1016/j.ejvs.2020.03.053,
author = {Goodall, R and Ellauzi, J and Tan, K and Onida, S and Davies, A and Shalhoub, J},
doi = {10.1016/j.ejvs.2020.03.053},
journal = {European Journal of Vascular and Endovascular Surgery},
pages = {282--292},
title = {A systematic review of the impact of foot-care education on self-efficacy and self-care in patients with diabetes},
url = {http://dx.doi.org/10.1016/j.ejvs.2020.03.053},
volume = {60},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives: Assess the evidence supporting the impact of patient foot-care education on self-efficacy, self-care behaviour and self-care knowledge in individuals with diabetes.Design: Systematic review registered prospectively on the PROSPERO database (CRD42019106171).Materials and Methods: Ovid EMBASE and MEDLINE databases were searched from 1946 to end of March 2019, using search terms related to the domains diabetic foot, patient education, self-efficacy, self-care behaviour and self-care knowledge. All included studies were prospective, randomised controlled trials that assessed foot-care education interventions in individuals with diabetes and recorded an outcome related to self-efficacy, self-care behaviour and/or self-care knowledge.Results: 13 randomised controlled trials were included, reporting on a total of 3,948 individuals. The risk of bias was high or unclear in 11 of the 13 included studies, and low in 2 studies. Both the education-interventions delivered, and the outcome assessment tools used were heterogenous across included studies: meta-analysis was therefore not performed. Eight of 11 studies identified significantly better foot self-care behaviour scores in individuals randomised to education compared with controls. Self-efficacy scores were significantly better in education groups in four of five studies reporting this primary outcome. Foot-care knowledge was significantly better in intervention versus control in three of seven studies. In general, studies assessing secondary end-points including quality of life and ulcer/amputation incidence tended not to identify significant clinical improvements.Conclusion: The available evidence is of inadequate quality to reliably conclude that foot-care education has a positive impact on foot self-care behaviour and self-efficacy in individuals with diabetes. Quality data supporting accompanying benefits on quality of life or ulcer/amputation incidence are also lacking and should be considered as an impor
AU  - Goodall,R
AU  - Ellauzi,J
AU  - Tan,K
AU  - Onida,S
AU  - Davies,A
AU  - Shalhoub,J
DO  - 10.1016/j.ejvs.2020.03.053
EP  - 292
PY  - 2020///
SN  - 1078-5884
SP  - 282
TI  - A systematic review of the impact of foot-care education on self-efficacy and self-care in patients with diabetes
T2  - European Journal of Vascular and Endovascular Surgery
UR  - http://dx.doi.org/10.1016/j.ejvs.2020.03.053
UR  - http://hdl.handle.net/10044/1/76609
VL  - 60
ER  -
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