The feasibility of a social media-based foot self-management education and support program for adults with diabetes: A partially randomized preference trial

PEC innovation Pub Date : 2024-06-18 DOI:10.1016/j.pecinn.2024.100307

Helen Ngozichukwuka Obilor , Olena Veryha , Tom Weisz , Mariam Botros , Rosemary Wilson , Joan Tranmer , Kevin Woo

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Abstract

Aim

To assess the feasibility of Diabetic Foot Care Group (DFCG), a social media-based self-management education and support intervention, for people with diabetes (PWD) empowerment in diabetes-related foot ulceration prevention.

Methods

A partially randomized preference trial was conducted among 32 PWD. DFCG was implemented through Facebook. Participants in the intervention group joined the DFCG in addition to their usual care, while the control group received usual care. Data were collected online using questionnaires on participants' DFCG acceptance, engagement and preliminary efficacy on nine diabetes foot care-related outcomes at baseline, one, and three months post-intervention.

Results

The participants' study intervention acceptability and engagement rates were 84.2% and 55.2%, respectively. DFCG efficacy rate compared to usual care was 88.9% to 22.2%. Three diabetes foot care-related outcomes increased significantly in the intervention group three-month post-intervention: foot self-care adherence (p = 0.001, η_p² = 0.35), preventive foot self-care practice (p = 0.002, η_p² = 0.33), and physical health status (p < 0.02, η_p² = 0.23).

Conclusion

DFCG is feasible and could effectively improve diabetes foot care-related outcomes.

Innovation

Social media is an innovative approach healthcare professionals could utilize to virtually support PWD in ongoing learning and engagement in optimal foot self-care activities.

Trial registration

ClinicalTrials.gov, Identifier: NCT04395521

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基于社交媒体的成人糖尿病足自我管理教育和支持计划的可行性：部分随机偏好试验

目的评估糖尿病足护理小组（DFCG）的可行性，该小组是一项基于社交媒体的自我管理教育和支持干预措施，旨在增强糖尿病患者预防糖尿病足溃疡的能力。通过 Facebook 实施了 DFCG。干预组的参与者除接受常规护理外，还参加了 DFCG，而对照组则接受常规护理。在基线、干预后一个月和三个月，通过问卷在线收集参与者对 DFCG 的接受度、参与度以及对九项糖尿病足护理相关结果的初步疗效等数据。与常规护理相比，DFCG的有效率为88.9%比22.2%。干预后三个月，干预组的三个糖尿病足护理相关结果显著增加：足部自我护理依从性（p = 0.001，ηp2 = 0.35）、预防性足部自我护理实践（p = 0.002，ηp2 = 0.33）和身体健康状况（p < 0.02，ηp2 = 0.23）。创新社交媒体是一种创新方法，医护人员可以利用它来虚拟支持残疾人持续学习和参与最佳足部自我护理活动。试验注册ClinicalTrials.gov，Identifier：NCT04395521

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