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Exploring diabetic foot screening programs with integrated consolidated framework for implementation: Rapid review

Virginie Blanchette1,2, Maya Fakhfakh1,2,3, Yassin Andoulsi1,2

  • 1Department of Human Kinetics and Podiatric Medicine, University of Quebec at Trois-Rivieres, Trois-Rivières, Québec, G8Z 4M3, Canada.

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Summary
This summary is machine-generated.

This review analyzes diabetic foot screening programs to identify barriers and facilitators for implementation. Findings will inform strategies to prevent diabetic foot ulcers and lower extremity amputations.

Keywords:
Foot ulcer; Diabetic Foot; Prevention and Control; Implementation Science; Primary Health Care; Diagnostic Screening Programs

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Area of Science:

  • Public Health
  • Implementation Science
  • Diabetes Management

Background:

  • Diabetic foot ulcers (DFUs) lead to severe outcomes like amputations and reduced quality of life.
  • Disorganized care contributes to health inequities, necessitating structured preventive measures.
  • Understanding implementation factors is crucial for effective foot screening programs.

Purpose of the Study:

  • To analyze foot screening programs for individuals at risk of DFUs and lower extremity amputations (LEAs).
  • To define key components, implementation determinants, barriers, and facilitators of these programs.
  • To describe effective implementation strategies in primary care using the Consolidated Framework for Implementation Research (CFIR).

Main Methods:

  • A rapid review using the Canadian Dobbins (2017) method, reported per PRISMA-P guidelines.
  • Systematic search in MEDLINE, CINAHL, and EMBASE for primary studies and knowledge syntheses.
  • Data synthesis guided by the CFIR, focusing on implementation determinants, barriers, facilitators, and strategies.

Main Results:

  • The review will identify key components and determinants of diabetic foot screening programs.
  • Barriers and facilitators to program implementation will be elucidated.
  • Effective implementation strategies within primary care will be described.

Conclusions:

  • Findings will inform policy and practice for implementing effective screening programs.
  • This research supports the development and scaling up of preventative measures for diabetic foot complications.
  • The study aims to reduce health inequities associated with diabetic foot care.