{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:58:08Z","timestamp":1791266288554,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007212","name":"V\u00e4stra G\u00f6talandsregionen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007212","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016406","name":"Doktor Felix Neuberghs Stiftelse","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016406","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diabetic foot ulcers (DFUs) are a serious complication of diabetes, with a lifetime risk of up to 34%. Despite preventive guidelines, gaps remain in the care chain. This study aimed to identify and prioritise improvements in DFU prevention, care, and self\u2010care in the Region V\u00e4stra G\u00f6taland, Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A participatory action research design was used as part of a larger observational co\u2010design study. Patients with diabetes, healthcare professionals, and researchers participated. Data were collected through Concept Mapping to generate and cluster ideas, followed by a workshop to prioritise improvements. The improvements were assessed regarding feasibility and importance ranging from 0 to 7, with exceptions that some participants scored ideas &gt;\u00a07.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010one participants contributed and based on 83 ideas five clusters were generated: (1) Examination of the feet by healthcare professionals, (2) Exchange of knowledge\/Exchange of experiences, (3) Access to podiatry, (4) Economy\/Equal care, and (5) Other\/Support for self\u2010care. In a workshop with 22 participants, the three prioritised ideas were: (1)\n                      <jats:italic>Having access to podiatry if problems occur<\/jats:italic>\n                      , (2)\n                      <jats:italic>Getting help when problems arise,<\/jats:italic>\n                      and (3)\n                      <jats:italic>Information from the healthcare about the importance of good foot healthcare<\/jats:italic>\n                      . These ideas got 80% or more of all votes within each of the five clusters and were scored &gt;\u00a05 for feasibility and of &gt;\u00a07 for importance. Other prioritised ideas involved enhancing individual self\u2010care capabilities and maintaining personalised interactions despite digitalisation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Timely access to podiatry, increased foot health awareness among healthcare professionals, and rapid intervention when problems arise were identified as key priorities for improving DFU care and patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jfa2.70205","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:28:38Z","timestamp":1788434918000},"source":"Crossref","is-referenced-by-count":0,"title":["Key Improvements in Healthcare for Persons With Diabetes at Risk of Developing Foot Ulcers: A Concept Mapping Study"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4278-0941","authenticated-orcid":false,"given":"Ulla","family":"Hellstrand Tang","sequence":"first","affiliation":[{"name":"The Department of Prosthetics &amp; Orthotics Department for Biomedical Engineering and Medical Physics Sahlgrenska University Hospital  Gothenburg Sweden"},{"name":"Department of Orthopaedics Institute of Clinical Sciences, at the Sahlgrenska Academy at University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leif","family":"Sundberg","sequence":"additional","affiliation":[{"name":"Gothenburg Diabetes Association  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2188-4306","authenticated-orcid":false,"given":"Susanne","family":"Andersson","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University West  Trollh\u00e4ttan Sweden"},{"name":"R&amp;D Centre Skaraborg, Primary Health Care  Sk\u00f6vde Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina","family":"Folkesson","sequence":"additional","affiliation":[{"name":"Department of Care Science Faculty of Health and Society Malm\u00f6 University  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisbeth","family":"Hagstr\u00f6m","sequence":"additional","affiliation":[{"name":"The Department of Prosthetics &amp; 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