Influence of Health Education on Podiatric Knowledge, Self-care, and Conditions in Adults With Diabetes Mellitus: A
Paula Fernández-León1, Inmaculada C Palomo-Toucedo, Lidia Carvajal-Moreno
1In Seville, Spain, Paula Fernández-León, MS, is Podiatrist, Clavisur Clinics; Inmaculada C. Palomo-Toucedo, PhD, is Podiatrist and Full Professor, Department of Podiatry, University of Seville; Lidia Carvajal-Moreno, MS, is Podiatrist, San Bartolomé Podiatric Clinic; Gabriel Domínguez-Maldonado, PhD, is Podiatrist and Full Professor, Department of Podiatry, University of Seville; Sandra Sánchez-Sánchez, BS, is Podiatrist, Podosevilla Clinic; and María Reina-Bueno, PhD, is Podiatrist and Full Professor, Department of Podiatry, University of Seville.
Objective:
To determine if health education has an influence on podiatric knowledge, self-care, and conditions in adults with diabetes mellitus.
Data Sources:
The authors conducted a literature search for Spanish-, English-, and Portuguese-language publications using PubMed, Scopus, Dialnet, and CUIDEN.
Study Selection:
Selected keywords related to diabetes, health education, (diabetic) foot, and self-care were searched, and the titles, abstracts, and relevant full-text articles were screened. Thirteen studies were selected with a total of 1,296 participants. Four were randomized controlled trials, and nine were quasi-experimental studies.
Data Extraction:
Data pertaining to preventive intervention and study outcomes were extracted.
Data Synthesis:
The preventive interventions used varied from traditional educational workshops and one-on-one patient education to new technological strategies. Three different outcomes were evaluated in each study: podiatric knowledge (n = 4), foot self-care (n = 13), and foot problems (n = 2).
Conclusions:
Health education interventions increase podiatric self-care in adults with diabetes mellitus. These interventions appear to contribute positively to foot health and podiatric knowledge.
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