TY - JOUR
T1 - Adherence to at-Home Monitoring of Foot Temperatures in People with Diabetes at High Risk of Ulceration
AU - Rovers, F. J.
AU - van Netten, J. J.
AU - Busch-Westbroek, T. E.
AU - aan de Stegge, W. B.
AU - Bus, S. A.
N1 - Funding Information: The DIATEMP trial was funded by the Netherlands Organization for Health Research and Development (ZonMw, project nr. 837002508), with 10% matching funded by the Dutch Society for Podiatrists (NVvP) and Dutch Branch Organization for Pedicures (ProVoet). The funders had no influence on study design, data collection, management, analysis, and interpretation, the writing of the report, or the decision to submit for publication, and had no authority over any of these activities. Publisher Copyright: © The Author(s) 2022.
PY - 2022
Y1 - 2022
N2 - We aimed to investigate adherence to at-home monitoring of foot temperature and its association with patient-, disease- and behavior-related factors, in people with diabetes at high risk of ulceration. We analyzed 151 participants in the enhanced therapy arm of the DIATEMP trial (all at high diabetes-related foot ulcer risk) who aimed to perform and log foot temperatures daily for 18 months or until ulceration. Adherence was the proportion of measurement days covered (PDC), with being adherent defined as PDC≥70%. If a hotspot was recorded, adherence to subsequently reducing ambulatory activity was assessed. Multivariate logistic regression analysis was performed to investigate associations with adherence. We found ninety-four participants (62.3%) adherent to measuring foot temperatures. This was higher in months 1-3 versus months 4-18: 118 (78.1%) versus 78 (57.4%; P <.001). Of 83 participants with a hotspot, 24 (28.9%) reduced ambulatory activity. Increasing age (P =.021, OR = 1.045) and better self-care (P =.007, OR = 1.513) were positively associated with adherence to measuring foot temperature. In conclusion, in people at high diabetes-related foot ulcer risk, adherence to measuring foot temperature was high in the first months after study commencing, but dropped over time. Adherence to reducing ambulatory activity when a hotspot was found was low over the entire study period.
AB - We aimed to investigate adherence to at-home monitoring of foot temperature and its association with patient-, disease- and behavior-related factors, in people with diabetes at high risk of ulceration. We analyzed 151 participants in the enhanced therapy arm of the DIATEMP trial (all at high diabetes-related foot ulcer risk) who aimed to perform and log foot temperatures daily for 18 months or until ulceration. Adherence was the proportion of measurement days covered (PDC), with being adherent defined as PDC≥70%. If a hotspot was recorded, adherence to subsequently reducing ambulatory activity was assessed. Multivariate logistic regression analysis was performed to investigate associations with adherence. We found ninety-four participants (62.3%) adherent to measuring foot temperatures. This was higher in months 1-3 versus months 4-18: 118 (78.1%) versus 78 (57.4%; P <.001). Of 83 participants with a hotspot, 24 (28.9%) reduced ambulatory activity. Increasing age (P =.021, OR = 1.045) and better self-care (P =.007, OR = 1.513) were positively associated with adherence to measuring foot temperature. In conclusion, in people at high diabetes-related foot ulcer risk, adherence to measuring foot temperature was high in the first months after study commencing, but dropped over time. Adherence to reducing ambulatory activity when a hotspot was found was low over the entire study period.
KW - adherence
KW - at-home foot temperature measuring
KW - diabetic foot
KW - telehealth
KW - ulcer recurrence
UR - http://www.scopus.com/inward/record.url?scp=85134376037&partnerID=8YFLogxK
U2 - https://doi.org/10.1177/15347346221114565
DO - https://doi.org/10.1177/15347346221114565
M3 - Article
C2 - 35840892
SN - 1534-7346
JO - International Journal of Lower Extremity Wounds
JF - International Journal of Lower Extremity Wounds
ER -