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Diabetes Educ. 2003 Mar-Apr;29(2):273-82.

A randomized pilot study of improving foot care in home health patients with diabetes.

Author information

  • Intercollegiate College of Nursing, Washington State University, 2917 West Fort George Wright Drive, Spokane, WA 99223, USA. corbett@wsu.edu



The purpose of this study was to test the effectiveness of an educational intervention to improve patients' foot care knowledge, self-efficacy, and self-care practices.


A prospective, randomized, single center, 2-group design was used with a convenience sample of 40 home care patients from a Medicare-certified home health agency. Baseline measures of foot care knowledge, self-efficacy, and reported self-care practices were obtained at study entry and 6 weeks later to control for foot care interventions provided during routine home care services. After obtaining the 6-week baseline measures, patients who were randomized to the intervention group received individualized education about proper foot care. All patients were interviewed a third time 3 months after study entry to determine the effectiveness of the intervention.


The educational intervention improved patients' knowledge, confidence, and reported foot care behaviors.


A brief, individualized educational intervention about standard foot care topics improved patients' foot care knowledge and self-efficacy as well as reported self-care practices. Incorporating such interventions into routine home care services may enhance the quality of care and decrease the incidence of lower-extremity complications.

[PubMed - indexed for MEDLINE]
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