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Adherence and the Diabetic Foot: High Tech Meets High Touch?
Hadia Srass1,2, J Karim Ead1, David G Armstrong1
1Southwestern Academic Limb Salvage Alliance, Department of Surgery, Keck School of Medicine of University of Southern California, 1450 San Pablo St #6200, Los Angeles, CA 90033, USA.
Sensors (Basel, Switzerland)
|August 12, 2023
Summary
Artificial intelligence (AI) and wearable sensors can improve adherence to diabetic foot care, reducing the risk of diabetic foot ulcers. These technologies enhance at-home patient care and support better diabetes management.
Area of Science:
- Biomedical Engineering
- Digital Health
- Diabetes Management
Background:
- Diabetic foot ulcers are a serious complication of diabetes, increasing depression risk and reducing patient adherence to care.
- Depression exacerbates diabetic foot ulcer development due to decreased self-care.
- Artificial intelligence (AI) offers potential solutions for improving at-home patient care and adherence.
Purpose of the Study:
- To review emerging sensor technologies for improving patient adherence and outcomes in diabetes management.
- To explore the role of AI, machine learning, and wearable sensors in mitigating diabetic foot ulcer risks.
- To assess the benefits of personalized content and clinician support in mobile health interventions.
Main Methods:
- A literature review was conducted, initially identifying 143 peer-reviewed manuscripts.
- Ten selected manuscripts were analyzed for sensor technologies like SmartMat©, Siren Care©, SurroSense Rx/Orpyx©, and Orthotimer©.
- The review focused on technologies for temperature, pressure, and adherence monitoring.
Main Results:
- Wearable sensors and AI can enhance at-home diabetic foot care adherence.
- Personalized content and clinician support within mobile health interventions show potential benefits.
- Advanced technologies demonstrate utility in improving patient adherence and outcomes for diabetes management.
Conclusions:
- AI and sensor technologies are promising tools for improving patient adherence and outcomes in diabetes care.
- These technologies can help manage the link between patient behavior and diabetes complications like foot ulcers.
- Future applications of advanced technology in diabetes management, particularly for diabetic foot ulcer prevention, are significant.
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