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Adherence to wearing therapeutic shoes among people with diabetes: a systematic review and reflections
Örebro University, School of Medical Sciences. Department of Prosthetics and Orthotics; University Health Care Research Center.
Örebro University, School of Law, Psychology and Social Work, Örebro University, Sweden. University Health Care Research Center.ORCID iD: 0000-0002-6703-7575
2016 (English)In: Patient Preference and Adherence, ISSN 1177-889X, E-ISSN 1177-889X, Vol. 10, 1521-1528 p.Article, review/survey (Refereed) Published
Abstract [en]

Introduction: Therapeutic shoes are prescribed to prevent diabetic foot ulcers, but adherence to wearing the shoes is often poor.

Aim: The aim of this study was to review the literature on factors that are associated with adherence to wearing therapeutic shoes and construct a model of adherence to aid future research and development in the field.

Methods: We conducted a systematic search in PubMed, CINAHL, and PsycINFO for quantitative studies on factors associated with adherence to wearing therapeutic shoes among people with diabetes.

Results: Six studies were included in the review. The studies focused mainly on patient-, therapy-, and condition-related adherence factors. There is some evidence (three to five studies) that sex, diabetes duration, and ulcer history are not associated with adherence. The evidence for or against the other factors was weak (only one or two studies) or conflicting.

Conclusion: There is no conclusive evidence for using any factor to predict adherence to wearing therapeutic shoes, but there is some evidence against using certain factors for predicting adherence. Future studies should include a broader range of factors, including health system and social/economic factors, and they should investigate perceived costs and benefits of wearing therapeutic shoes in comparison with other shoes or no shoes. A seesaw model is presented illustrating the complex phenomenon of adherence. Further research is needed to identify factors associated with adherence to wearing therapeutic shoes, to enable the development of interventions to improve adherence and thereby reduce ulceration rates among people with diabetic foot complications.

Place, publisher, year, edition, pages
Albany, Auckland, New Zealand: Dove Medical Press , 2016. Vol. 10, 1521-1528 p.
Keyword [en]
Patient compliance, shoes, foot ulcer, diabetic foot, diabetes complications, diabetic neuropathies
National Category
Family Medicine
Research subject
Family Medicine
Identifiers
URN: urn:nbn:se:oru:diva-52166DOI: 10.2147/PPA.S112275ISI: 000381059900001PubMedID: 27540284ScopusID: 2-s2.0-84984974826OAI: oai:DiVA.org:oru-52166DiVA: diva2:970603
Note

Funding Agency:

Region Örebro County, Sweden

Available from: 2016-09-14 Created: 2016-09-14 Last updated: 2016-11-09Bibliographically approved

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Jarl, GustavLundqvist, Lars-Olov
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School of Medical SciencesSchool of Law, Psychology and Social Work, Örebro University, Sweden
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