Advertisement

Use of Information Communication Technology Tools in Diabetic Foot Ulcer Prevention Programs: A Scoping Review

Published:December 30, 2021DOI:https://doi.org/10.1016/j.jcjd.2021.11.009

      Abstract

      Background

      Information communication technology (ICT) tools are an integral part of day-to-day human activities. However, evidence of how ICT tools are used to engage individuals with diabetes to prevent diabetic foot ulcers (DFUs) is limited. In this review, we summarize the evidence on ICT tools used in DFU prevention programs and associated outcomes.

      Methods

      We conducted a scoping review of the literature based on the Arksey and O’Malley methodologic framework. Four databases (MEDLINE, Embase, PsycINFO and CINAHL) were searched from 1960 to 2020 using keywords. Two reviewers independently screened the articles and performed data extraction and summarization.

      Results

      Seventeen of 312 articles screened met the inclusion criteria and were included in the final analysis. Eleven ICT tools were utilized in 4 types of intervention: patient education, multidimensional foot health programs, remote temperature monitoring and pressure-sensitive insole systems. The identified ICT tools were used for presenting educational information, follow-up reinforcement of education, counselling, self-monitoring, remote patient monitoring by health-care professionals, self-care reminders, problem-solving, motivation and communication. In 59% of the studies, the interventions led to a significant reduction in recurrence of DFUs, improvement in self-care behaviour and cognition, and reduction of risk factors.

      Conclusions

      This review provides insight into a range of ICT tools used in DFU prevention programs. The findings suggest that interventions involving 1 or more ICT tools are often effective in improving diabetic foot care–related outcomes. Therefore, DFU prevention programs should include ICT tools among their components.

      Résumé

      Introduction

      Les outils technologiques de l’information et des communications (TIC) font partie intégrante des activités humaines quotidiennes. Toutefois, les données probantes sur la façon dont les outils TIC sont utilisés pour faire participer les individus diabétiques à la prévention des ulcères du pied diabétique (UPD) sont limitées. Dans la revue, nous faisons la synthèse des données probantes sur les outils TIC utilisés dans les programmes de prévention des UPD et des résultats associés.

      Méthodes

      Nous avons mené une étude de portée de la littérature selon le cadre méthodologique Arksey et O’Malley. Nous avons effectué des recherches dans 4 bases de données (MEDLINE, Embase, PsycINFO et CINAHL) de1960 à 2020 à l’aide de mots clés. Deux examinateurs indépendants ont sélectionné les articles et ont procédé à l’extraction et à l’agrégation des données.

      Résultats

      Dix-sept des 312 articles sélectionnés qui répondaient aux critères d’inclusion ont été retenus pour l’analyse finale. Onze outils TIC ont été utilisés dans 4 types d’intervention : l’éducation des patients, les programmes multidimensionnels sur la santé du pied, les semelles qui associent la régulation de la température et la décompression à distance. Les outils TIC relevés ont été utilisés pour présenter les informations éducatives, le renforcement du suivi de l’éducation, le counseling, l’autosurveillance, la surveillance des patients à distance par les professionnels de la santé, les rappels d’autosoins, la résolution de problèmes, la motivation et la communication. Dans 59 % des études, les interventions ont mené à une réduction importante de la récurrence des UPD, à l’amélioration des comportements d’autosoins et de la cognition, et à la réduction des facteurs de risques.

      Conclusions

      Cette revue donne un aperçu de l’éventail des outils TIC utilisés dans les programmes de prévention des UPD. Les conclusions montrent que les interventions qui comportent 1 outil TIC ou plus sont souvent efficaces pour améliorer les résultats liés aux soins du pied diabétique. Par conséquent, les programmes de prévention des UPD devraient intégrer les outils TIC dans leurs volets.

      Keywords

      Mots clés

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Canadian Journal of Diabetes
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Saeedi P.
        • Petersohn I.
        • Salpea P.
        • et al.
        Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition.
        Diabetes Res Clin Pract. 2019; 157107843
        • Armstrong D.G.
        • Boulton A.J.M.
        • Bus S.A.
        Diabetic foot ulcers and their recurrence.
        N Engl J Med. 2017; 376: 2367-2375
        • Jeffcoate W.J.
        • Vileikyte L.
        • Boyko E.J.
        • Armstrong D.G.
        • Boulton A.J.M.
        Current challenges and opportunities in the prevention and management of diabetic foot ulcers.
        Diabetes Care. 2018; 41: 645
        • Obilor H.N.
        • Adejumo P.O.
        Assessment of diabetic foot ulcer-related pain and its relationship to quality of life.
        Wound Pract Res. 2015; 23: 124-131
        • Hunt N.A.
        • Liu G.T.
        • Lavery L.A.
        The economics of limb salvage in diabetes.
        Plast Reconstr Surg. 2011; 127: 289s-295s
        • Pearson S.
        • Nash T.
        • Ireland V.
        Depression symptoms in people with diabetes attending outpatient podiatry clinics for the treatment of foot ulcers.
        J Foot Ankle Res. 2014; 7: 47
        • Singh N.
        • Armstrong D.G.
        • Lipsky B.A.
        Preventing foot ulcers in patients with diabetes.
        JAMA. 2005; 293: 217-228
        • American College of Foot and Ankle Surgeons
        Diabetes foot care guidelines.
        (2020.) (. Accessed April 10, 2020.)
        • Heitzman J.
        Foot care for patients with diabetes.
        Topics Geriatr Rehabil. 2010; 26: 250-263
        • Botros M.
        • Kuhnke J.
        • Embil J.
        • et al.
        Foundations of best practice for skin and wound management: Best practice recommendations for the prevention and management of diabetic foot ulcers.
        Canadian Association of Wound Care, 2019
        • Mumu S.
        • Saleh F.
        • Ara F.
        • Afnan F.
        • Ali L.
        Non-adherence to life-style modification and its factors among type 2 diabetic patients.
        Indian J Public Health. 2014; 58: 40-44
        • Rezende Neta D.S.
        • da Silva A.R.
        • da Silva G.R.
        Adherence to foot self-care in diabetes mellitus patients.
        Rev Bras Enferm. 2015; 68 (103–8, 11–16)
        • Statistics Canada
        Diabetes---prevalence and care practices: Findings 2015.
        (Accessed April 10, 2020)
        • Pereira M.G.
        • Pedras S.
        • Ferreira G.
        Self-reported adherence to foot care in type 2 diabetes patients: Do illness representations and distress matter?.
        Prim Health Care Res Dev. 2018; 20: 1-8
        • van Netten J.J.
        • Seng L.
        • Lazzarini P.A.
        • Warnock J.
        • Ploderer B.
        Reasons for (non-)adherence to self-care in people with a diabetic foot ulcer.
        Wound Repair Regen. 2019; 27: 530-539
        • Hamine S.
        • Gerth-Guyette E.
        • Faulx D.
        • Green B.B.
        • Ginsburg A.S.
        Impact of mHealth chronic disease management on treatment adherence and patient outcomes: A systematic review.
        J Med Internet Res. 2015; 17: e52
        • Lee J.A.
        • Choi M.
        • Lee S.A.
        • Jiang N.
        Effective behavioral intervention strategies using mobile health applications for chronic disease management: A systematic review.
        BMC Med Inform Decis. 2018; 18: 12
      1. Veazie S, Winchell K, Gilbert J, Paynter R, Ivlev I, Eden K, et al. AHRQ Comparative Effectiveness Technical Briefs. Mobile Applications for Self-Management of Diabetes. Rockville, MD: Agency for Healthcare Research and Quality (US); 2018. https://www-ncbi-nlm-nih-gov.proxy.queensu.ca/books/NBK518944/pdf/Bookshelf_NBK518944.pdf. Accessed March 25, 2020.

        • Arksey H.
        • O'Malley L.
        Scoping studies: Towards a methodological framework.
        Int J Social Res Methodol. 2005; 8: 19-32
        • Levac D.
        • Colquhoun H.
        • O'Brien K.K.
        Scoping studies: Advancing the methodology.
        Implement Sci. 2010; 5: 69
        • Peters M.D.J.
        • Marnie C.
        • Tricco A.C.
        • et al.
        Updated methodological guidance for the conduct of scoping reviews.
        JBI Evidence Synth. 2020; 18: 2119-2126
        • Banks J.L.
        • Petersen B.J.
        • Rothenberg G.M.
        • Jong A.S.
        • Page J.C.
        Use of a remote temperature monitoring mat for the early identification of foot ulcers.
        Wounds. 2020; 32: 44-49
        • Grady J.L.
        • Entin E.B.
        • Entin E.E.
        • Brunye T.T.
        Using message framing to achieve long-term behavioral changes in persons with diabetes.
        Appl Nurs Res. 2011; 24: 22-28
        • Gravely S.S.
        • Hensley B.K.
        • Hagood-Thompson C.
        Comparison of three types of diabetic foot ulcer education plans to determine patient recall of education.
        J Vasc Nurs. 2011; 29: 113-119
        • Killeen A.L.
        • Brock K.M.
        • Dancho J.F.
        • Walters J.L.
        Remote temperature monitoring in patients with visual impairment due to diabetes mellitus: A proposed improvement to current standard of care for prevention of diabetic foot ulcers.
        J Diabetes Sci Technol. 2020; 14: 37-45
        • Lavery L.A.
        • Higgins K.R.
        • Lanctot D.R.
        • et al.
        Preventing diabetic foot ulcer recurrence in high-risk patients: Use of temperature monitoring as a self-assessment tool.
        Diabetes Care. 2007; 30: 14-20
        • Najafi B.
        • Ron E.
        • Enriquez A.
        • Marin I.
        • Razjouyan J.
        • Armstrong D.G.
        Smarter sole survival: Will neuropathic patients at high risk for ulceration use a smart insole-based foot protection system?.
        J Diabetes Sci Technol. 2017; 11: 702-713
        • Adarmouch L.
        • Elyacoubi A.
        • Dahmash L.
        • El Ansari N.
        • Sebbani M.
        • Amine M.
        Short-term effectiveness of a culturally tailored educational intervention on foot self-care among type 2 diabetes patients in Morocco.
        J Clin Transl Endocrinol. 2017; 7: 54-59
        • Fan L.
        • Sidani S.
        • Cooper-Brathwaite A.
        • Metcalfe K.
        Feasibility, acceptability and effects of a foot self-care educational intervention on minor foot problems in adult patients with diabetes at low risk for foot ulceration: A pilot study.
        Can J Diabetes. 2013; 37: 195-201
        • Fan L.
        • Sidani S.
        • Cooper-Brathwaite A.
        • Metcalfe K.
        Improving foot self-care knowledge, self-efficacy, and behaviors in patients with type 2 diabetes at low risk for foot ulceration: A pilot study.
        Clin Nurs Res. 2014; 23: 627-643
        • Fan L.
        • Sidani S.
        • Cooper-Brathwaite A.
        • Metcalfe K.
        Effects of a foot self-care educational intervention on improving footwear choices in those with type 2 diabetes at low risk of foot ulceration.
        Diabetic Foot Canada. 2014; 2: 4-12
        • Hassan Z.M.
        Mobile phone text messaging to improve knowledge and practice of diabetic foot care in a developing country: Feasibility and outcomes.
        Int J Nurs Pract. 2017; 23: 1-6
        • Moradi A.
        • Alavi S.M.
        • Salimi M.
        • Nouhjah S.
        • Shahvali E.A.
        The effect of short message service (SMS) on knowledge and preventive behaviors of diabetic foot ulcer in patients with diabetes type 2.
        Diabetes Metab Syndr. 2019; 13: 1255-1260
        • Nguyen T.P.L.
        • Edwards H.
        • Do T.N.D.
        • Finlayson K.
        Effectiveness of a theory-based foot care education program (3STEPFUN) in improving foot self-care behaviours and foot risk factors for ulceration in people with type 2 diabetes.
        Diabetes Res Clin Pract. 2019; 152: 29-38
        • Ogrin R.
        • Viswanathan R.
        • Aylen T.
        • Wallace F.
        • Scott J.
        • Kumar D.
        Co-design of an evidence-based health education diabetes foot app to prevent serious foot complications: A feasibility study.
        Pract Diabetes. 2018; 35: 203-209
        • Chen M.-Y.
        • Huang W.-C.
        • Peng Y.-S.
        • et al.
        Effectiveness of a health promotion programme for farmers and fishermen with type-2 diabetes in Taiwan.
        J Adv Nurs. 2011; 67: 2060-2067
        • Woodbury M.G.
        • Botros M.
        • Kuhnke J.L.
        • Greene J.
        Evaluation of a peer-led self-management education programme pep talk: Diabetes, healthy feet and you.
        Int Wound J. 2013; 10: 703-711
        • Abbott C.A.
        • Chatwin K.E.
        • Foden P.
        • et al.
        Innovative intelligent insole system reduces diabetic foot ulcer recurrence at plantar sites: A prospective, randomised, proof-of-concept study.
        Lancet Digital Health. 2019; 1: e308-e318
        • Bus S.A.
        • Lavery L.A.
        • Monteiro-Soares M.
        • et al.
        Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2019 update).
        Diabetes Metab Res Rev. 2020; 36: e3269
        • Hazenberg C.E.V.B.
        • aan de Stegge W.B.
        • Van Baal S.G.
        • Moll F.L.
        • Bus S.A.
        Telehealth and telemedicine applications for the diabetic foot: A systematic review.
        Diabetes Metab Res Rev. 2020; 36: e3247
        • Wallace D.
        • Perry J.
        • Yu J.
        • Mehta J.
        • Hunter P.
        • Cross K.M.
        Assessing the need for mobile health (mHealth) in monitoring the diabetic lower extremity.
        JMIR mHealth uHealth. 2019; 7e11879
        • Hansen A.H.
        • Claudi T.
        • Årsand E.
        Associations between the use of eHealth and out-of-hours services in people with type 1 diabetes: Cross-sectional study.
        J Med Internet Res. 2019; 21e13465
        • Liang R.
        • Dai X.
        • Zuojie L.
        • Zhou A.
        • Meijuan C.
        Two-year foot care program for minority patients with type 2 diabetes mellitus of Zhuang tribe in Guangxi, China.
        Can J Diabetes. 2012; 36: 15-18
        • Monami M.
        • Zannoni S.
        • Gaias M.
        • Nreu B.
        • Marchionni N.
        • Mannucci E.
        Effects of a short educational program for the prevention of foot ulcers in high-risk patients: A randomized controlled trial.
        Int J Endocrinol. 2015; 2015615680
        • Gershater M.A.
        • Pilhammar E.
        • Apelqvist J.
        • Alm-Roijer C.
        Patient education for the prevention of diabetic foot ulcers.
        Eur Diabetes Nurs. 2011; 8: 102-107
        • Lincoln N.B.
        • Radford K.A.
        • Game F.L.
        • Jeffcoate W.J.
        Education for secondary prevention of foot ulcers in people with diabetes: A randomised controlled trial.
        Diabetologia. 2008; 51: 1954
        • Dorresteijn J.A.N.
        • Kriegsman D.M.W.
        • Assendelft W.J.J.
        • Valk G.D.
        Patient education for preventing diabetic foot ulceration.
        Cochrane Database Syst Rev. 2014; 12CD001488
        • Hunt D.L.
        Diabetes: Foot ulcers and amputations.
        BMJ Clin Evid. 2011; 2011
        • Frykberg R.G.
        • Zgonis T.
        • Armstrong D.G.
        • et al.
        Diabetic foot disorders. A clinical practice guideline (2006 revision).
        J Foot Ankle Surg. 2006; 45: S1-S66
        • Schaper N.C.
        • van Netten J.J.
        • Apelqvist J.
        • Bus S.A.
        • Hinchlife R.J.
        • Lipsky B.A.
        IWGDF practical guidelines on the prevention and management of diabetic foot disease: The International Working Group on the Diabetic Foot. 2019.
        (Accessed April 10, 2020)
        • Al-Rubeaan K.
        • Al Derwish M.
        • Ouizi S.
        • et al.
        Diabetic foot complications and their risk factors from a large retrospective cohort study.
        PLoS One. 2015; 10 (e0124446-e)
        • Bril V.
        • Breiner A.
        • Perkins B.A.
        • Zochodne D.
        Diabetes Canada 2018 clinical practice guidelines for the prevention and management of diabetes in Canada: Neuropathy.
        Can J Diabetes. 2018; 42: S217-S221
        • Diabetes Canada
        Foot care: A step toward good heath. 2018.
        (Accessed September 22, 2020)
        • Chantelau E.
        • Haage P.
        An audit of cushioned diabetic footwear: Relation to patient compliance.
        Diabet Med. 1994; 11: 114-116
        • Stolt M.
        • Gattinger H.
        • Boström C.
        • Suhonen R.
        Foot health educational interventions for patients and healthcare professionals: A scoping review.
        Health Educ J. 2019; 79: 390-416
        • Sharoni S.K.
        • Minhat H.S.
        • Zulkefli N.A.
        • Baharom A.
        Health education programmes to improve foot self-care practices and foot problems among older people with diabetes: A systematic review.
        Int J Older People Nurs. 2016; 11: 214-239
        • Statista
        Number of social network users worldwide from 2017 to 2025. 2020.
        (Accessed September 25, 2020)
        • Statista
        Number of e-mail users worldwide from 2017 to 2024. 2020.
        (Accessed February 15, 2022)
        • Abedin T.
        • Ahmed S.
        • Al Mamun M.
        • et al.
        YouTube as a source of useful information on diabetes foot care.
        Diabetes Res Clin Pract. 2015; 110: e1-e4
        • Abedin T.
        • Al Mamun M.
        • Lasker M.A.A.
        • et al.
        Social media as a platform for information about diabetes foot care: A study of Facebook groups.
        Can J Diabetes. 2017; 41: 97-101
        • Smith P.E.
        • McGuire J.
        • Falci M.
        • et al.
        Analysis of YouTube as a source of information for diabetic foot care.
        J Am Podiatr Med Assoc. 2019; 109: 122-126
        • Pereira D.
        • Lopes P.
        • Nominato G.D.
        • et al.
        Social media as a platform for information about diabetes foot care: A study of Brazilian Facebook groups.
        Diabetol Metab Syndr. 2018; 10: 175