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Footcare Intervention Delivered by Community Health Workers: A Modified Delphi Study.

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  • 1Department of Nursing, Adhirajasa Reswara Sanjaya (ARS) University, Bandung, IDN.

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|November 1, 2024
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Summary
This summary is machine-generated.

Community health workers (CHWs) can deliver footcare interventions for diabetes management. This study refined core components for CHWs in Indonesia, highlighting challenges like volunteer status and remuneration.

Keywords:
community health workerscore components of interventiondelphi studydiabetes foot ulcers (dfus)footcare

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Area of Science:

  • Public Health
  • Diabetes Management
  • Healthcare Delivery

Background:

  • Community health workers (CHWs) effectively provide footcare interventions (FCIs) in high-resource settings.
  • Evidence on FCI implementation by CHWs in low-resource countries and specific FCI components is limited.
  • Type 2 Diabetes Mellitus (T2DM) requires effective self-management education, including footcare.

Purpose of the Study:

  • To refine the core components of a footcare intervention delivered by CHWs (FIne-CHWs) for T2DM patients.
  • To analyze Delphi panel members' opinions on the core components of FIne-CHWs.
  • To explore factors influencing the implementation of FCIs by CHWs in Indonesia.

Main Methods:

  • A Delphi exercise involving 22 diabetes experts from Indonesia.
  • Data triangulation from scoping review, mapping review, and interviews to identify 42 initial statements.
  • Thematic analysis of free-text responses from the Delphi survey.

Main Results:

  • Consensus was reached on 41 out of 42 identified core components for FIne-CHWs.
  • A key theme identified was the volunteer status of CHWs.
  • Emerging themes included universal footcare education by CHWs, remuneration/incentives, and flexibility of community FCIs.

Conclusions:

  • The core components of FIne-CHWs for T2DM patients were successfully refined.
  • The role and position of CHWs within the Indonesian healthcare system present potential barriers to program implementation.
  • Addressing CHW remuneration, incentives, and flexibility is crucial for effective FCI delivery.