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International Wound Journal - 2023 - Hancox - Adherence to limiting weight‐bearing activity in patients with diabetic foot.pdf (1.16 MB)

Adherence to limiting weight-bearing activity in patients with diabetic foot ulcers: A qualitative study

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posted on 2023-12-14, 17:02 authored by Jennie HancoxJennie Hancox, Charlotte Hilton, Katie Gray, Fran Game, Kavita Vedhara

Patients with diabetic foot ulcers are advised to limit weight-bearing activity for ulcers to heal. Patients often disregard this advice although the reasons are not yet fully understood. This study explored (1) patients' experiences of receiving the advice and (2) factors influencing adherence to the advice. Semi-structured interviews were conducted with 14 patients with diabetic foot ulcers. Interviews were transcribed and analysed using inductive thematic analysis. Advice regarding limiting weight-bearing activity was described by patients as directive, generic and conflicting with other priorities. Rapport, empathy and rationale supported receptivity to the advice. Barriers and facilitators to limiting weight-bearing activity included demands of daily living, enjoyment of exercise, sick/disabled identity and burden, depression, neuropathy/pain, health benefits, fear of negative consequences, positive feedback, practical support, weather and active/passive role in recovery. It is important that healthcare professionals pay attention to how limiting weight-bearing activity advice is communicated. We propose a more person-centred approach in which advice is tailored to individuals' specific needs with discussion around patient priorities and constraints.

Funding

National Institute for Health Research (NIHR) School for Primary Care Research (project reference 399)

History

School

  • Sport, Exercise and Health Sciences

Published in

International Wound Journal

Volume

20

Issue

10

Pages

3931-4429

Publisher

Wiley

Version

  • VoR (Version of Record)

Rights holder

© The Authors

Publisher statement

This is an Open Access Article. It is published by Wiley under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (CC BY-NC-ND). Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Acceptance date

2023-06-01

Publication date

2023-06-13

Copyright date

2023

ISSN

1742-4801

eISSN

1742-481X

Language

  • en

Depositor

Dr Jennie Hancox. Deposit date: 2 June 2023

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