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Background <p>Diabetes foot diseases are one of the important complications of diabetes mellitus. Proper and regular foot care is an integral part of diabetes care. Engaging and empowering the family members of the persons with diabetes in foot care gives an opportunity for better foot care practices. This study was planned to assess the effectiveness of family-centered training and counselling in enhancing the foot self-care knowledge and practice in people with diabetes availing follow-up care at an urban health centre.</p> Methods <p>A randomized controlled trial was conducted in a primary care setting. Persons with diabetes mellitus aged 18–60 years (54 in each group) and their family members (2 per participant,108 in each group) were the study participants. Foot care-related knowledge, practices, family support, and foot condition were the outcomes. Intervention included family centered training and counselling for improving foot care knowledge and practices through family support. An end-line assessment was done nine months after the intervention.</p> Results <p>Foot care-related knowledge and practice scores were significantly higher in the intervention group compared to the control group at the end-line (13.4 ± 1.2 vs. 9.9 ± 2.7, <i>p</i> &lt; 0.001 and 7.9 ± 1.4 vs. 6.2 ± 1.3, <i>p</i> &lt; 0.001). The mean knowledge score of family members was significantly higher in the intervention group at end-line (12.2 ± 2.5 vs. 7.4 ± 2.1, <i>p</i> &lt; 0.001). Perceived family support and frequency of family support for foot care were also significantly higher in the intervention group at the endline. Family support in the form of reminders, motivation, assistance and preparation of a foot care kit were reported. None from the intervention group and four individuals (8%) from the control group reported an incidence of foot ulcer during the follow-up period.</p> Conclusions <p>Family-centered training and counselling is effective in improving foot care knowledge and practices among persons with diabetes on follow-up in urban primary care settings.</p> Trial registration <p>Registered in the Clinical Trials Registry India (CTRI/2019/08/020724) on 14.08.2019.</p>

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Family-centered training and counselling for enhancing foot self-care knowledge and practices towards prevention of diabetes foot - a randomized controlled trial in urban Jodhpur

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  • 发表日期：

    2025年10月3日

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  • Rehana Vanaja Radhakrishnan,
  • Prasanna Thirunavukkarasu,
  • Pankaja Raghav,
  • Akhil Dhanesh Goel

摘要

Background

Diabetes foot diseases are one of the important complications of diabetes mellitus. Proper and regular foot care is an integral part of diabetes care. Engaging and empowering the family members of the persons with diabetes in foot care gives an opportunity for better foot care practices. This study was planned to assess the effectiveness of family-centered training and counselling in enhancing the foot self-care knowledge and practice in people with diabetes availing follow-up care at an urban health centre.

Methods

A randomized controlled trial was conducted in a primary care setting. Persons with diabetes mellitus aged 18–60 years (54 in each group) and their family members (2 per participant,108 in each group) were the study participants. Foot care-related knowledge, practices, family support, and foot condition were the outcomes. Intervention included family centered training and counselling for improving foot care knowledge and practices through family support. An end-line assessment was done nine months after the intervention.

Results

Foot care-related knowledge and practice scores were significantly higher in the intervention group compared to the control group at the end-line (13.4 ± 1.2 vs. 9.9 ± 2.7, p < 0.001 and 7.9 ± 1.4 vs. 6.2 ± 1.3, p < 0.001). The mean knowledge score of family members was significantly higher in the intervention group at end-line (12.2 ± 2.5 vs. 7.4 ± 2.1, p < 0.001). Perceived family support and frequency of family support for foot care were also significantly higher in the intervention group at the endline. Family support in the form of reminders, motivation, assistance and preparation of a foot care kit were reported. None from the intervention group and four individuals (8%) from the control group reported an incidence of foot ulcer during the follow-up period.

Conclusions

Family-centered training and counselling is effective in improving foot care knowledge and practices among persons with diabetes on follow-up in urban primary care settings.

Trial registration

Registered in the Clinical Trials Registry India (CTRI/2019/08/020724) on 14.08.2019.