Type 2 Diabetes Mellitus with very low or low risk of diabetic foot ulcers (category 0 or 1 of DFU screening) Self-care, Diabetes Mellitus, Diabetic Foot Ulcer
Conditions
Interventions
The RAE program in the proposed study will consist of the following six sessions: 1.) open mind: open stage to increase diabetes acceptance
2.) providing intensive knowledge for performance acceptance
3.) identifying health values and commitment to action
4.) enhancing self-care confidence and hands-on skill training
5.) promoting self-care practices
and 6.) appraising self-care performance and evaluation. This program will be aadded from standard of care.,Standard of care means nursing in the form of basic foot exams performed routinely on patien
Experimental Behavioral,No Intervention No treatment
RAE Program,Standard of care
Sponsors
Rangsit University
Eligibility
Sex/Gender
All
Age
30 Years to 69 Years
Inclusion criteria
Inclusion criteria: Both males and females with T2DM between 30 and 69 years old. In adults who are 60 years or older, the Short Portable Mental Status Questionnaire (SPMSQ) will be administered and scores received must be at least 8 which indicates no cognitive impairment, Passed the screening for depression with 2Q and 9Q (when 2Q indicated at least 1 point) and scores received must be not more than 7, low or very low risk group with accord to the definition in the International Working Group on Diabetic Foot, Reside in the center catchment area and not planning to be away for at least 3 months and able to attend in person the on-site education intervention sessions, normal mental health conditions 6. Persons with good eye vision (can wear glasses), and able to communicate, read and write in the Thai language 7, Persons who are able to be contacted via a telephone and use mobile application LINE via mobile phone on either iOS or Android devices, Willing to participate in the program
Exclusion criteria
Exclusion criteria: 1. People with DM who have severe complications and other serious conditions, such as diabetes crisis, ketoacidosis, heart failure, stroke, diabetic retinopathy, end-stage kidney disease with renal replacement therapy, and infected DM foot leading to amputation making it difficult to participate in the program, 2. Persons with unstable co-morbidity of organic brain injury, learning disability or other mental disorder, such as depressive symptoms, obsessive compulsive disorders, etc. which leading to inability to perform self-care
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The self-care behaviors of diabetic control Pre-test, 1 and 2 months during and after completion the program measured by the Self-Care of Diabetes Inventory (SCODI) in the Thai version ,Foot Self-care behaviors Pre-test, 1 and 2 months during and after completion the program measured by a self-care evaluation instrument to prevent diabetic foot questionnaire (ISPDF) | — |
Secondary
| Measure | Time frame |
|---|---|
| Foot health status related to quality of life Pre-test and 2 months after completion the program measured by the Thai Visual Analogue Scale Foot and Ankle (TH VAS-FA) ,Actual foot health status Pre-test and 2 months after completion the program measured by Foot Health Status Assessment Form (FHSF) | — |
Countries
Thailand
Contacts
Public ContactNirucha Nitichai
Faculty of Nursing, Thammasat University
Outcome results
None listed