Petra J. Jones, Jade Bullock, Lesley Weaving, Melanie J. Davies, Cameron Razieh, Ehtasham Ahmad
{"title":"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。","authors":"Petra J. Jones, Jade Bullock, Lesley Weaving, Melanie J. Davies, Cameron Razieh, Ehtasham Ahmad","doi":"10.1111/dme.70065","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aims</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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).</p>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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.</p>\n \n <p><b>Trial registration:</b> ClinicalTrials.gov NCT06200532</p>\n </section>\n </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"42 8","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of diabetes footwear fit assessment by people with diabetes and their family or partners: A reliability study\",\"authors\":\"Petra J. Jones, Jade Bullock, Lesley Weaving, Melanie J. Davies, Cameron Razieh, Ehtasham Ahmad\",\"doi\":\"10.1111/dme.70065\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aims</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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).</p>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>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. 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Effectiveness of diabetes footwear fit assessment by people with diabetes and their family or partners: A reliability study
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.
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.”
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