Foot Self-care in Older Adults
- Conditions
- Foot
- Interventions
- Behavioral: 2 Feet 4 Life
- Registration Number
- NCT03656341
- Lead Sponsor
- University of Missouri-Columbia
- Brief Summary
This pilot study will make a preliminary evaluation of the efficacy of 2 Feet 4 Life, a foot care self-management program, on foot care knowledge, foot care self-efficacy, foot care behaviors, and foot pain in community dwelling older adults without diabetes mellitus.
- Detailed Description
One in three older adults have foot problems such as bunions, corns, calluses, foot pain, or nail disorders, but those problems are often ignored or overlooked until they threaten mobility or quality of life. With proper self-management, skin and nail problems can be addressed before they become severe; however, older adults without diabetes are not routinely informed of self-management techniques unless they consult a specialist. Targeting a foot care self-management program to community-dwelling older adults without diabetes may not only enhance foot function and preserve independence but also reach older adults with limited healthcare access.
Study participants will be 24 nondiabetic older adults recruited from two Midwestern community senior centers. One community center will be randomized to receive the intervention, 2 Feet 4 Life, the other will be a true control group receiving no intervention. The 2 Feet 4 Life foot care self-management program is based on Social Cognitive Theory and will be delivered in four weekly, one-hour group sessions. The program includes self-management teaching, interactive lecture, and group activities, including instruction, demonstration, and practice of routine foot care. In addition to usual lecture and handouts, 2 Feet 4 Life will rely on group interaction, practice opportunities, and the provision of foot care supplies so participants can perform foot care at home. Program topics include appropriate foot hygiene and footwear, identification and treatment of common foot problems, demonstration of proper foot care with opportunities for practice and instructor feedback, and guidance in obtaining appropriate footwear.
Outcome measures will be assessed pre-intervention, immediately post-intervention, three months post-intervention, and six months post-intervention. This will be the first study to test a nurse run, community-based, foot care self-management program for non-diabetic older adults.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 32
- 65 years of age or older
- legally competent to sign informed consent
- willing to participate in the study
- self-reports of diabetes
- non-traumatic amputation
- legal blindness.
- demonstrated inability to see and remove dot stickers on the feet
- active ingrown toenails
- absent pedal pulses
- poor sensation as defined by the inability to feel more than 3 of 10 foot sites touched with a microfilament
- regular visits to a healthcare professional for foot care
- score of <2 on the mental status screener.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 2 Feet 4 Life 2 Feet 4 Life Intervention group will receive one hour intervention weekly for four consecutive weeks. Outcomes will be measured at baseline (before the intervention), immediately after the intervention (1 month), three months post-intervention, and six months post-intervention
- Primary Outcome Measures
Name Time Method Nottingham Assessment of Functional Foot Care Baseline, one month, three months, six months Scale of 0-87 with higher scores revealing more appropriate foot self-care
Manchester Foot Pain and Disability INdex Baseline, one month, three months, six months 0-34 scale with higher scores indicating more pain and disability
Foot Self-Care Knowledge Questionnaire Baseline, one month, three months, six months 0-11 scale with higher numbers indicating more knowledge
Foot Care Confidence Scale Baseline, one month, three months, six months 12-60 scale with greater scores indicating greater self-efficacy
- Secondary Outcome Measures
Name Time Method Foot Health Score Baseline, one month, three months, six months Scale 0-90 provider assessment of foot problems. Higher score indicate more severe foot problems and greater severity.
Trial Locations
- Locations (2)
Broken Arrow Seniors
🇺🇸Broken Arrow, Oklahoma, United States
Owasso Community Center
🇺🇸Owasso, Oklahoma, United States