{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T02:29:07Z","timestamp":1782959347461,"version":"3.54.5"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Diabetic foot ulceration (DFU) is common and highly recurrent, negatively impacting the individuals' quality of life. The 2023 guidelines of the International Working Group on the Diabetic Foot emphasise that adherence to foot self\u2010care recommendations is one of the most important factors in DFU prevention. These guidelines also briefly mention that depression and other psychosocial problems can hamper treatment and ulcer healing. Moreover, a new clinical question was added on psychological interventions for ulcer prevention, although the evidence regarding the role of psychological and social factors is still limited. To help the field progress, this narrative overview discusses how a stronger focus on psychological factors by both researchers and clinicians could improve the care for people at high DFU risk. The review starts with a testimony of a person living with DFU, explaining that for him, the absence of shared decision\u2010making has been a key barrier to successful foot self\u2010care implementation. Intervention studies that address patient\u2010reported barriers are still scarce, and are therefore urgently needed. Furthermore, the key elements of psychological interventions found to be successful in managing diabetes are yet to be implemented in DFU risk management. Importantly, research evidence indicates that commonly advocated foot self\u2010care recommendations may be insufficient in preventing DFU recurrence, whereas digital technology appears to effectively reduce recurrent DFU. More research is therefore needed to identify determinants of patient acceptance of digital technology.<\/jats:p>","DOI":"10.1002\/dmrr.3751","type":"journal-article","created":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T12:05:01Z","timestamp":1701518701000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["The quest for wellness: How to optimise self\u2010care strategies for diabetic foot management?"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8172-9818","authenticated-orcid":false,"given":"Frans","family":"Pouwer","sequence":"first","affiliation":[{"name":"Department of Psychology University of Southern Denmark  Odense Denmark"},{"name":"Steno Diabetes Center Odense (SDCO)  Odense Denmark"},{"name":"Department of Medical Psychology Amsterdam UMC  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byron","family":"Perrin","sequence":"additional","affiliation":[{"name":"La Trobe Rural Health School La Trobe University \u2010 Bendigo Campus  Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andy","family":"Lavender","sequence":"additional","affiliation":[{"name":"NHS Cheshire and Merseyside  Huyton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bijan","family":"Najafi","sequence":"additional","affiliation":[{"name":"Interdisciplinary Consortium on Advanced Motion Performance (iCAMP) Michael E. 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