Journal of Foot and Ankle Research最新文献

{"title":"Association between clinical and MRI-detected imaging findings for people with midfoot pain, a cross-sectional study.","authors":"Jill Halstead, Carmen Martín-Hervás, Elizabeth M A Hensor, Anne-Maree Keenan, Philip G Conaghan, Dennis McGonagle, John B Arnold, Jennifer Jones, Anthony C Redmond","doi":"10.1002/jfa2.70019","DOIUrl":"10.1002/jfa2.70019","url":null,"abstract":"<p><strong>Background: </strong>Midfoot pain is common but poorly understood, with radiographs often indicating no anomalies. This study aimed to describe bone, joint and soft tissue changes and to explore associations between MRI-detected abnormalities and clinical symptoms (pain and disability) in a group of adults with midfoot pain, but who were radiographically negative for osteoarthritis.</p><p><strong>Methods: </strong>Community-based participants with midfoot pain underwent an MRI scan of one foot and scored semi-quantitatively using the Foot OsteoArthritis MRI Score (FOAMRIS). Foot pain and disability were recorded using visual analog scales (VAS) and the Modified-Manchester Foot Pain Disability Index (MMFPDI). Associations were assessed for continuous data using Spearman's Rho, and for categorical data, a Wilcoxon signed rank test. Linear regression was used to explore the association between participant-reported measures and MRI abnormalities, adjusted for age, sex and BMI.</p><p><strong>Results: </strong>Sixty-one participants (70% female, mean age 48.5 years, median BMI 28.6 kg/m²) were included. Median VAS pain was 31/100 mm (IQR 21-47) and median disability was 30/48 (IQR 26-36). There was a moderate association between midfoot pain severity and the number of joints exhibiting joint space narrowing; adjusted results suggested 31% (95% confidence interval 3%-68%) worse VAS pain with each additional affected joint. Greater numbers of joints with cysts were associated with worse VAS pain [14% (0%-31%)] and disability [1.1 units (0-2.2)]. Effusion/synovitis was associated with MMFPDI pain. No other MRI abnormalities were associated with sex, body mass and foot pain/disability measures. Bone marrow lesions, joint space narrowing, cysts and osteophytes occurred more frequently with age. MRI abnormalities were common, particularly in the talo-navicular joint, first and second cuneo-metatarsal joints. Those with dorsal foot pain had more multi-joint involvement, bone marrow lesions, joint space narrowing and cysts and for those with pain on midfoot movement, bone marrow lesions and cysts were reported.</p><p><strong>Conclusions: </strong>In people with midfoot pain, MRI-detected features of osteoarthritis and soft-tissue abnormalities were found, clustered in the medial and intermediate cuneiform joints. These features were more common with age but not associated with pain or disability measures. Younger people with dorsal midfoot pain exhibited early signs of bone and joint features of osteoarthritis and we recommend further imaging studies to determine the clinical and diagnostic significance.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 1","pages":"e70019"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anatomical dissection influences emotions of podiatry students.","authors":"Alicia Mohedano-Moriano, Carmen Romo-Barrientos, Alicia Flores-Cuadrado, Isabel Ubeda-Bañon, Jaime Gonzalez-Gonzalez, Maria Teresa Gil Ruiz, Daniel Saiz-Sanchez, Veronica Astillero-Lopez, Felix Marcos-Tejedor, Alino Martinez-Marcos, Antonio Viñuela, Juan Jose Criado-Alvarez","doi":"10.1002/jfa2.70027","DOIUrl":"10.1002/jfa2.70027","url":null,"abstract":"<p><strong>Background: </strong>Dissection and examination of prosected cadavers is a tool for teaching anatomy. However, this experience can provoke anxiety and stress among students. This study aims to understand the attitudes, reactions, fears, and anxiety states of podiatry students before their first dissection in addition to evaluate its usefulness as an educational tool for academic training in anatomy.</p><p><strong>Methods: </strong>A cross-sectional study was carried out before and after the dissection room visit of first-year podiatry students. They were given several questionnaires: State-Trait Anxiety Inventory questionnaires (STAI-state anxiety and STAI-trait anxiety) and two anonymous questionnaires.</p><p><strong>Results: </strong>Levels of total emotional anxiety (STAI-state anxiety) decreased significantly (p < 0.05) from 16.9 points before practice to 10.9 points after practice. In terms of gender, significant differences (p < 0.05) were observed in anxiety levels before and after practice. However, female students had significantly (p < 0.05) higher pre-practice levels of STAI-state anxiety than male students.</p><p><strong>Conclusions: </strong>Although 100% of students (3.98 ± 0.149, over 4) expressed satisfaction with the practical's dissection and considered that these contributed significantly to the consolidation of their anatomical knowledge, the experience generated emotional responses that need to be addressed. Higher levels of anxiety were observed among female students, highlighting the need to implement effective coping mechanisms to mitigate emotional reactions, with special emphasis on this population.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 1","pages":"e70027"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11727409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Can Podiatrists and Other Health Care Professionals Support the Detection of Atrial Fibrillation?","authors":"Jane E A Lewis, Joanna Tozer, Trudie Lobban, Andrea Evans, Matthew Banner, Lawrence Ambrose","doi":"10.1002/jfa2.70043","DOIUrl":"10.1002/jfa2.70043","url":null,"abstract":"<p><p>Atrial fibrillation (AF) is a global health crisis affecting 33.5 million people, with costs projected to reach £75 billion by 2035. A significant concern is that 43-48% of cases are asymptomatic, increasing the risk of stroke and heart failure. While general population screening lacks strong support, targeted screening shows promise in reducing stroke occurrence and healthcare costs. Podiatrists, who frequently treat adults of advancing age, are uniquely positioned to detect AF in high-risk, asymptomatic individuals. This commentary advocates for opportunistic AF screening by podiatrists and other healthcare professionals, offering guidance for implementation. Early detection through defined referral pathways is crucial for timely diagnosis and management, potentially reducing AF-related strokes that can lead to early mortality. Further high-quality podiatry-led studies are recommended to build on this commentary paper.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 1","pages":"e70043"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement of plantar pressure differences in the contralateral limb when using offloading modalities for diabetic foot ulcerations.","authors":"Ian Rong Yi Ngui, Jane Bowden, Sara L Jones, Rebecca Daebeler, Ryan S Causby","doi":"10.1002/jfa2.70028","DOIUrl":"10.1002/jfa2.70028","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the effect of various offloading devices commonly used for the management of diabetic foot ulcerations on peak plantar pressure and pressure-time integral of the contralateral limb.</p><p><strong>Methods: </strong>A quantitative, randomised and within-subject repeated measures study was conducted in an outpatient gait laboratory. Outpatients with unilateral diabetic foot ulcers and adequate perfusion to the lower limb without an intrinsic limb-length discrepancy who were able to walk were recruited for the study. They were also required to understand English. An in-shoe pressure sensor was placed in the participants' everyday shoes between their feet and insoles. Participants were asked to walk at their own speed and cadences with three stances recorded. Their peak and mean plantar pressures were recorded. This was repeated with four different offloading conditions: Darco APB™ All Purpose Boot, Darco APB™ All Purpose Boot with wool felt adhered to the bottom of the foot, DH Offloading Walker® and DH Offloading Walker® with Even-Up™ on the contralateral foot.</p><p><strong>Results: </strong>The total sample comprised 22 adults (3 females and 19 males) aged between 34 and 78 years old (mean age, 57.6 ± 9.9 years). The results indicated that none of the regions of the foot showed a statistically significant difference in peak plantar pressure and pressure-time integral between the control condition and other offloading modalities, or between modalities.</p><p><strong>Conclusion: </strong>The use of offloading modalities for diabetic foot ulcers does not significantly affect peak plantar pressure or pressure-time integral measures on the contralateral limb. However, this should be considered with caution, as this population will possess the same risk factors in both the affected and the contralateral foot.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 1","pages":"e70028"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating pre-registration podiatry students approaches to identifying dermatology conditions in different skin tones: A mixed methods protocol.","authors":"Simon Otter, Deborah Whitham, Gianluca Melotto, Lauren Mann, Yaa Agyare, Joanne Gozo-Reyes, Faye Funnell, Alex Sykes, Penny Dale","doi":"10.1002/jfa2.70015","DOIUrl":"10.1002/jfa2.70015","url":null,"abstract":"<p><strong>Background: </strong>Health inequalities are a well-known and widespread phenomenon throughout health care settings. In particular, people of color experience higher rates of delayed and/or misdiagnosis contributing to poorer outcomes and an increased mortality risk. Research suggests that health care professionals find it more difficult to correctly diagnose dermatological conditions in the non-White patient demographic. Although podiatrists routinely examine and assess skin lesions, there is a paucity of research exploring their accuracy or confidence in recognizing skin pathologies. This study aims to investigate podiatry student's ability, confidence, approaches, and perceptions in diagnosing dermatology pathologies in different skin tones. A mixed methods exploratory sequential design is proposed. In stage one, podiatry students from different higher education institutions will be invited to complete a pictorial survey. We have designed a survey comprising six validated images of inflammatory skin pathology (either eczema or psoriasis) in three different skin tone categories, standardized using the Fitzpatrick scale. Data from the survey in stage one will then be utilized to inform the next stage of the research. In stage two, respondents who completed the initial survey will be invited to participate in focus groups to explore their perceptions surrounding diagnostic approaches, confidence, and perceptions of skin conditions in different skin tone. A process of thematic analysis will be employed to identify emergent themes from these data.</p><p><strong>Methods: </strong>A mixed methods exploratory sequential design is proposed. In stage one, podiatry students from different higher education institutions will be invited to complete a pictorial survey. We have designed a survey comprising six validated images of inflammatory skin pathology (either eczema or psoriasis) in three different skin tone categories, standardized using the Fitzpatrick scale. Data from the survey in stage one will then be utilized to inform the next stage of the research. In stage two, respondents who completed the initial survey will be invited to participate in focus groups to explore their perceptions surrounding diagnostic approaches, confidence, and perceptions of skin conditions in different skin tone. A process of thematic analysis will be employed to identify emergent themes from these data.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"17 4","pages":"e70015"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with the development of recurrent and contralateral Charcot neuroarthropathy in individuals with diabetes mellitus: A scoping review.","authors":"Keet Yeng Cheong, Shan M Bergin, Shannon E Munteanu, Byron M Perrin, Karl B Landorf","doi":"10.1002/jfa2.70016","DOIUrl":"10.1002/jfa2.70016","url":null,"abstract":"<p><strong>Introduction: </strong>Charcot neuroarthropathy (CN) can result in fractures and dislocations of the foot and ankle in individuals with diabetes and neuropathy, leading to ulceration, amputation and a poor quality of life. Additional episodes of acute CN can lead to extended periods of physical and psychosocial distress. The aim of this scoping review was to identify and synthesise the evidence relating to factors associated with the development of recurrent and contralateral Charcot neuroarthropathy (CN) in individuals with diabetes.</p><p><strong>Methods: </strong>A systematic search of four electronic databases was conducted from inception to February 06, 2023. All relevant study designs, except single case studies, that had been published in full in peer-reviewed journals were included. Studies were excluded if they were not published in English and did not provide data on individuals with diabetes.</p><p><strong>Results: </strong>The search identified two studies that investigated factors associated with the development of recurrent CN, but none that related to the development of contralateral CN. Ten factors were investigated for association with recurrent CN development: age, body mass index, diabetes type and duration, glycated haemoglobin, anatomical site affected, duration of offloading applied to treat the primary CN episode, use of pharmacological intervention, severity of neuropathy, and skin temperature. However, no significant associations were reported.</p><p><strong>Conclusions: </strong>There is an alarming lack of evidence-based findings in this research area to guide practice. Clearly, more research in the form of rigorous prospective studies is urgently required to identify risk factors for the development of recurrent and contralateral CN in individuals with diabetes.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"17 4","pages":"e70016"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain.","authors":"Halime Gulle, Dylan Morrissey, Abdulhamit Tayfur, Dilber Karagozoglu Coskunsu, Stuart Miller, Aleksandra V Birn-Jeffery, Trevor Prior","doi":"10.1002/jfa2.70022","DOIUrl":"10.1002/jfa2.70022","url":null,"abstract":"<p><strong>Background: </strong>Plantar Heel Pain (PHP) can be a debilitating musculoskeletal condition from which only 50% recover within a year due to poor understanding of the mechanisms explaining severity and predicting outcomes specific to PHP.</p><p><strong>Objective: </strong>To explore associations between biopsychosocial variables and the severity of people with PHP. Secondly, to determine what combination of self-reported factors distinguishes people with PHP from other foot pain (OFP).</p><p><strong>Methods: </strong>We collected data from 235 participants, including 135 (%57) PHP (age 44 ± 12 years, 66% female) and 99 OFP (%43) (age 38 ± 11 years, 57% female) using 5 demographic, 13 biomedical, 8 psychological, 3 social and 8 activity-related factors. These were tested in linear and logistic regression models.</p><p><strong>Results: </strong>Quality of life (QoL) (β = 0.35; p < 0.001), education (β = -0.22; p = 0.003), gender (β = -0.20; p = 0.007), morning pain duration (β = -0.18; p = 0.01) and disease duration (β = -0.15; p = 0.040) were significantly associated with severity of PHP. The second model, without QoL, showed that having sensitisation (β = -0.18; p = 0.002) and a higher level of morning pain (β = -0.20; p = 0.01) are associated with severity. The logistic regression results revealed that people with PHP tend to have a systemic disease (OR = 3.34; 1.53-7.76), express more kinesiophobia (OR = 1.02; 1.01-1.14), are less likely to have previous injuries (OR = 0.40; 0.19-0.81), worse morning pain (OR = 1.02; 1.01-1.03) and standing pain (OR = 2.60; 1.39-4.87) compared to people with OFP.</p><p><strong>Conclusions: </strong>People with PHP have higher associated levels of a range of psychological, social and activity related factors than people with OFP. The findings highlight the importance of considering psychosocial assessments alongside physical examination.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"17 4","pages":"e70022"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of heel lifts for insertional Achilles tendinopathy (LIFTIT): A randomised feasibility trial.","authors":"Jaryd Bourke, Shannon Munteanu, Alessandro Garofolini, Simon Taylor, Peter Malliaras","doi":"10.1002/jfa2.70025","DOIUrl":"10.1002/jfa2.70025","url":null,"abstract":"<p><strong>Objectives: </strong>Insertional Achilles tendinopathy is a common and disabling condition. This trial aimed to determine the feasibility of conducting a parallel group randomised trial to evaluate the efficacy of heel lifts compared to a sham intervention for reducing pain intensity associated with insertional Achilles tendinopathy.</p><p><strong>Methods: </strong>Twenty-six people with insertional Achilles tendinopathy were randomised to either the heel lift group or sham intervention group. Outcome measures were obtained at baseline, 4, 8 and 12 weeks. The primary outcome was feasibility, evaluated according to demand (recruitment rate and conversion rate), acceptability, adherence, adverse events and retention. Limited efficacy testing was conducted on secondary outcome measures including pain intensity, function, physical activity, health-related quality of life, use of co-interventions and global rating of change.</p><p><strong>Results: </strong>Between August 25, 2023, and April 7, 2024, we recruited and tested 26 participants (aged 28-65 years, mean [SD] 51 [8]). The pre-determined thresholds were met for demand, acceptability, adherence, retention, pain intensity, function, quality of life and global rating of change and partly met for adverse events, physical activity and use of co-interventions. Between 47 and 241, participants will be needed for a fully powered randomised trial.</p><p><strong>Conclusion: </strong>In its current form, a randomised trial of heel lifts compared to a sham intervention is feasible. However, future triallists may need to consider strategies to manage the risk of adverse events and plan to adjust the analyses to account for the use of co-interventions.</p><p><strong>Trial registration: </strong>ACTRN12623000721606.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"17 4","pages":"e70025"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revised minimal important difference values for the visual analogue scale and Foot Health Status Questionnaire when used for plantar heel pain.","authors":"Karl B Landorf, Georgia N Twyford, Matthew P Cotchett, Glen A Whittaker","doi":"10.1002/jfa2.70021","DOIUrl":"10.1002/jfa2.70021","url":null,"abstract":"<p><strong>Background: </strong>The visual analogue scale (VAS) and the Foot Health Status Questionnaire (FHSQ) are patient-reported outcome measures that are frequently used to evaluate the management of plantar heel pain. This study aimed to re-calculate (i.e. revise) the minimal important differences (MIDs) of the VAS and the FHSQ when used for plantar heel pain to enhance the validity and precision of previous estimates.</p><p><strong>Methods: </strong>This study used an anchor-based method to calculate MIDs and incorporated best-practice analyses to ensure credibility of the estimates. Data from 369 participants previously recruited from the community into four randomised controlled trials that evaluated interventions for plantar heel pain were used. VAS and FHSQ data from these participants at baseline and follow-up were pooled to calculate the MIDs (95% confidence intervals). A 15-point global rating of change Likert scale was used at follow-up as the transition scale, which was anchored to baseline. For the VAS, MIDs for two distinct types of pain were calculated: average pain and first-step pain. For the FHSQ, MIDs for two domains were calculated: foot pain and foot function.</p><p><strong>Results: </strong>The revised MIDs for the 100 mm VAS were -8.5 mm (95% CI: -12.2 to -4.7) for average pain and -19.2 mm (95% CI: -24.7 to -13.8) for first-step pain, which represent improvements in pain. The MIDs for the FHSQ were 12.4 points (95% CI: 6.9 to 18.0) for foot pain and 6.4 points (95% CI: 0.9 to 11.9) for foot function, which represent improvements in foot health status.</p><p><strong>Conclusions: </strong>The revised MIDs from this study for the VAS and the FHSQ when used for plantar heel pain have enhanced validity and precision compared to previous estimates. This is important for clinicians and researchers as it provides a better understanding of how much improvement is required by an individual before an important change is experienced. The revised MIDs will also assist researchers with prospective sample size calculations, so future clinical trials are appropriately powered from a statistical standpoint.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"17 4","pages":"e70021"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining health professional students' self-perceived cultural capability following participation in clinical placement with Aboriginal and Torres Strait Islander Peoples: A systematic review.","authors":"Kate Paisley, Sean Sadler, Matthew West Wiradjuri, James Gerrard, Rhonda Wilson Wiradjuri, Angela Searle, Vivienne Chuter","doi":"10.1002/jfa2.70017","DOIUrl":"10.1002/jfa2.70017","url":null,"abstract":"<p><strong>Background: </strong>Collective evaluation of studies assessing students' self-perceived cultural capability following clinical placement is required to help inform future cultural capability training for both university and healthcare service environments. Therefore, the aim of this systematic review was to evaluate studies investigating health professional students' self-perceived cultural capability following participation in a clinical placement with First Nations Peoples.</p><p><strong>Methods: </strong>Electronic database searchers were conducted in MEDLINE, EMBASE, AMED, PsychINFO, Pubmed, CINAHL and Informit. Hand Searches of grey literature were conducted including Lowitja institute, Australian Indigenous HealthInfoNet, Menzies School of Health Research, Services for Australian Rural and Remote Allied Health, and the Australian Institute of Health and Welfare. Studies published in English that investigated health professional students' self-perceived cultural capability before and after clinical placement undertaken with First Nations people in Australia were eligible for inclusion. Two authors independently screened potentially eligible studies and performed quality appraisal and data extraction.</p><p><strong>Results: </strong>A total of 14 studies were included (n = 307 participants). Studies included undergraduate students from podiatry, medicine, nursing, pharmacy, and mixed health professions. The results of this systematic review suggest that clinical placements in health services or settings for Aboriginal and Torres Strait Islander Peoples that involve elements of co-design are effective in increasing aspects of health professional students' self-perceived cultural capability. This outcome was consistent across studies regardless of the location of clinical placements (urban or rural), type of clinical placement (health setting or Community), or length of placement.</p><p><strong>Conclusions: </strong>The findings from this systematic review suggest that clinical placement in health services or settings for Aboriginal and Torres Strait Islander Peoples may contribute to increased self-perceived cultural capability in health professions graduates. However, the impact of the placements on the cultural safety of student-led care, from a First Nations perspective, remains to be established.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"17 4","pages":"e70017"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}