Differences in adherence to using removable cast walker treatment during daytime and nighttime weight-bearing activities in people with diabetes-related foot ulcers

Aims: Patients’ adherence to using knee-high offloading treatment is critical to effective healing of diabetes-related foot ulcers (DFUs). Previous studies have found that patients generally have low adherence to using removable knee-high offloading treatments, yet no study has investigated whether...

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Bibliographic Details
Published in:Therapeutic advances in endocrinology and metabolism 2023-01, Vol.14, p.20420188221142457-20420188221142457
Main Authors: Ababneh, Anas, Finlayson, Kathleen, Edwards, Helen, van Netten, Jaap J., Lazzarini, Peter A.
Format: Article
Language:English
Subjects:
Daytime
Diabetes
Diabetes mellitus
Dyslipidemia
Health services
Knee
Leg ulcers
Night
Nighttime
Patients
Physiological effects
Plantar ulcers
Recent challenges and future opportunities in caring for patients with diabetic foot disease
Retinopathy
Secondary analysis
Ulcers
Vascular diseases
Weight
Weight reduction
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Summary:Aims: Patients’ adherence to using knee-high offloading treatment is critical to effective healing of diabetes-related foot ulcers (DFUs). Previous studies have found that patients generally have low adherence to using removable knee-high offloading treatments, yet no study has investigated whether their adherence differs during daytime and nighttime. This study aimed to investigate the levels and factors associated with adherence to using knee-high removable cast walker (RCW) treatment during daytime and nighttime weight-bearing activities in people with DFUs. Methods: This was a secondary analysis of data collected from a multi-centre cross-sectional study investigating adherence to using knee-high RCWs among 57 participants with DFUs. All participants had multiple socio-demographic, physiological and psychosocial factors collected, before having their adherence to using RCWs during weight-bearing activity monitored over a 1-week period using the dual activity monitor method. Adherence data were categorised into daytime (06:00–18:00) and nighttime (18:00–06:00) periods and calculated separately. Multiple linear regression was used to identify factors associated with daytime and nighttime adherence. Results: Mean adherence to using RCW during weight-bearing activities in people with DFUs was higher during daytime compared with nighttime [39.9% (SD = 18.9) versus 20.4% (SD = 16.7), p 
ISSN:2042-0188
2042-0196
DOI:10.1177/20420188221142457