Foot Care Self-Management in Non-Diabetic Older Adults: A Pilot Controlled Trial

Self-management can mitigate common foot problems; however, community-dwelling older adults without diabetes rarely receive foot care self-management training. This two-group pilot study examined feasibility and preliminary efficacy of the novel, nurse-led 2 Feet 4 Life intervention. Twenty-nine adu...

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Bibliographic Details
Published in:Western journal of nursing research 2021-08, Vol.43 (8), p.751-761
Main Authors: O’Connor, Jennifer J., Deroche, Chelsea B., Wipke-Tevis, Deidre D.
Format: Article
Language:English
Subjects:
Aged
Clinical outcomes
Day centers
Diabetes
Dosage
Feasibility
Feasibility Studies
Feet
Foot care products
Health behavior
Health education
Humans
Independent Living
Intervention
Management development programmes
Nurse led care
Nurse led services
Older people
Pain
Pilot Projects
Self Efficacy
Self-Management
Selfmanagement
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Summary:Self-management can mitigate common foot problems; however, community-dwelling older adults without diabetes rarely receive foot care self-management training. This two-group pilot study examined feasibility and preliminary efficacy of the novel, nurse-led 2 Feet 4 Life intervention. Twenty-nine adults (M age 76 years ± 6.6 years) from two senior centers completed the study (90.6% retention rate). Intervention dosage was one hour/week for four consecutive weeks. Study procedures were safe and feasible. Intervention group participants found the intervention acceptable and valuable. Observed between-group effect sizes were the following: knowledge (4.339), self-efficacy (3.652), behaviors (3.403), pain (0.375) and foot health (0.376). Large effect sizes were observed within-groups and within their interaction for knowledge (1.316), behaviors (8.430), pain (9.796), and foot health (3.778). Effect sizes suggest the intervention impacted foot care outcomes between groups and within individuals over seven months’ time. Fully powered studies are indicated to test the intervention in diverse samples with more complex foot problems.
ISSN:0193-9459
1552-8456
DOI:10.1177/0193945920962712