Effectiveness of diabetes footwear fit assessment by people with diabetes and their family or partners: A reliability study

IF 3.4 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2025-06-15 DOI:10.1111/dme.70065

Petra J. Jones, Jade Bullock, Lesley Weaving, Melanie J. Davies, Cameron Razieh, Ehtasham Ahmad

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引用次数: 0

Abstract

Aims

Incorrectly fitting footwear is implicated in ulceration yet worn by more than two-thirds of people with diabetes. Our aim is to evaluate the accuracy, reliability and ease of use of a new intervention to train people with diabetes and their ‘footwear buddies’ (e.g., partner/family member) to assess footwear for adequate length and width. Participants were provided with foot and footwear measuring tools, written instructions, video and face-to-face training.

Methods

20 participants were recruited consisting of 10 people with diabetes aged 18+ and their 10 ‘footwear buddies’. Participants measured feet and footwear length repeatedly and completed ease-of-use Visual Analogue Score surveys after reading/viewing educational materials.

Results

Mean absolute difference (MAD) between study participants' and researchers' foot length and width measurements was 3–5 mm after only an average 6.5 ± 1.6 min of training. Repeated measurement Intraclass Correlation Coefficient (ICC) ranged from moderate to excellent (0.71–1.00) with excellent ease of use (7.8/10).

MAD between participants' and researchers' footwear length measurements was 5 mm with excellent ICC (0.99–1.00) and ease of use scores (7.8/10). However, footwear width MAD was much larger (9-11 mm, 0.96 ICC), with poor ease of use.

Conclusions

Diabetes footwear assessment shows potential—individuals at risk of foot ulceration and their footwear buddies can be empowered to assess their feet and footwear for length even after just 20 min' training. However, footwear width measurement remains challenging, requiring either a different methodology or tool for people with diabetes to accurately and confidently assess their footwear fit.

Trial registration: ClinicalTrials.gov NCT06200532

Abstract Image

查看原文本刊更多论文

糖尿病患者及其家人或伴侣对糖尿病鞋合脚评估的有效性：一项可靠性研究。

目的：不合适的鞋子与溃疡有关，但超过三分之二的糖尿病患者穿着。我们的目的是评估一种新的干预措施的准确性、可靠性和易用性，以培训糖尿病患者及其“鞋类伙伴”（例如，伴侣/家庭成员）评估鞋类的适当长度和宽度。为参与者提供了足部和鞋类测量工具、书面说明、视频和面对面培训。方法：招募了20名参与者，包括10名18岁以上的糖尿病患者和他们的10名“鞋类伙伴”。参与者在阅读/观看教育材料后反复测量脚和鞋子的长度，并完成易用性视觉模拟评分调查。结果：在平均6.5±1.6分钟的训练后，研究参与者和研究人员的脚长和脚宽测量的平均绝对差（MAD）为3-5毫米。重复测量类内相关系数（ICC）从中等到优异（0.71-1.00），易用性极佳（7.8/10）。参与者和研究人员的鞋长测量之间的MAD为5 mm，具有出色的ICC（0.99-1.00）和易用性得分（7.8/10）。但是，鞋类宽度MAD要大得多（9-11毫米，0.96 ICC），易用性差。结论：糖尿病鞋类评估显示，有足部溃疡风险的潜在个体和他们的鞋类伙伴可以在仅仅20分钟的训练后评估他们的脚和鞋类的长度。然而，鞋宽测量仍然具有挑战性，糖尿病患者需要不同的方法或工具来准确和自信地评估他们的鞋子是否合适。试验注册：ClinicalTrials.gov NCT06200532。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”