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Behavior Change in the Diabetic Foot: A Primer
Areti Dimitriadou1, Brandon M Brooks2, David G Armstrong3
1Podiatry Department, Bridgewater Community Healthcare NHS Foundation Trust, Spencer House, Birchwood, Warrington, Cheshire, WA3 7PG, UK.
Clinics in Podiatric Medicine and Surgery
|March 19, 2026
Summary
Diabetic foot complications can be prevented through self-care and early intervention, but patient adherence is a challenge. This article offers behavioral science strategies to improve patient engagement and reduce ulcer recurrence for better diabetic foot care.
Area of Science:
- Podiatry
- Behavioral Science
- Diabetology
Background:
- Diabetic foot complications are a significant cause of morbidity.
- Patient adherence to self-care and early intervention is crucial but remains low.
- Ulcer recurrence poses a substantial challenge in diabetic foot management.
Purpose of the Study:
- To explore the application of behavior change models and psychological insights in managing diabetic foot complications.
- To provide practical clinical strategies for enhancing patient engagement in self-care.
- To empower podiatrists with evidence-based techniques to reduce ulcer recurrence.
Main Methods:
- Review of behavior change models and psychological principles.
- Integration of practical clinical strategies.
- Utilization of real-world case vignettes.
- Application of evidence-based techniques.
Main Results:
- Behavioral science offers effective strategies to improve patient adherence.
- Psychological insights can enhance patient engagement in self-care.
- Clinical strategies grounded in behavioral science can reduce diabetic foot ulcer recurrence.
Conclusions:
- Consistent self-care and early intervention are key to preventing diabetic foot complications.
- Behavioral science provides a framework for improving patient adherence and engagement.
- Podiatrists can foster collaborative, long-term care by integrating behavioral strategies to reduce ulcer recurrence.
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