{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T03:51:01Z","timestamp":1782100261397,"version":"3.54.5"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This project aimed to document the experiences of Aboriginal people living in the Kimberley region who have experienced diabetes\u2010related foot disease (DFD) so that service delivery can be optimised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The Kimberley region, Western Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Aboriginal People in the Kimberley with DFD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      A mixed methods study design was used, incorporating quantitative analysis of primary and outpatient care presentations and hospitalisation data collected from in\u2010depth medical record reviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200935) and semi\u2010structured interviews with participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This study highlighted that DFD in the Kimberley has a significant impact on individuals and communities. While primary and outpatient services play a key role in DFD care, there is an opportunity to strengthen preventive foot care services. Participants valued flexibility and autonomy in managing their care, especially with the support of Aboriginal Community Controlled Health Services (ACCHS). Recommendations to improve DFD care are provided, incorporating the perspectives of patients and of the health professionals who participated in the data interpretation workshop. These include facilitating patient self\u2010care, expanding high\u2010quality foot care within ACCHS, strengthening support for hospitalised patients, and advocating for upstream service improvements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Addressing geographical and systemic barriers through improved patient education, better access to primary care resources, and increased patient choice may enhance autonomy and long\u2010term DFD outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajr.70184","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T05:25:41Z","timestamp":1775193941000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Healing Steps on Country\u2014Exploring Care Pathways for Aboriginal People in the Kimberley With Diabetes\u2010Related Foot Disease"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3315-3497","authenticated-orcid":false,"given":"Sophie","family":"Moustaka","sequence":"first","affiliation":[{"name":"Kimberley Aboriginal Medical Services  Broome Western Australia Australia"},{"name":"University of Notre Dame Australia  Fremantle Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ala","family":"Mckay","sequence":"additional","affiliation":[{"name":"Kimberley Aboriginal Medical Services  Broome Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Stapleton","sequence":"additional","affiliation":[{"name":"Kimberley Aboriginal Medical Services  Broome Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jodie","family":"Millroy","sequence":"additional","affiliation":[{"name":"Kimberley Aboriginal Medical Services  Broome Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"Fairfull","sequence":"additional","affiliation":[{"name":"Kimberley Aboriginal Medical Services  Broome Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantelle","family":"Carr","sequence":"additional","affiliation":[{"name":"Boab Health Services  Broome Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Tomlinson","sequence":"additional","affiliation":[{"name":"Western Australian Country Health Service: High Risk Foot Clinic  Broome Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Griffiths","sequence":"additional","affiliation":[{"name":"Kimberley Aboriginal Medical Services  Broome Western Australia Australia"},{"name":"The Rural Clinical School of Western Australia  Broome Western Australia Australia"},{"name":"Kimberley Renal Services  Broome Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.01198"},{"key":"e_1_2_12_3_1","volume-title":"Burden of Lower Limb Amputations due to Diabetes in Australia: Australian Burden of Disease Study 2011 [Internet]","author":"Australian Institute of Health and Welfare","year":"2017"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc16-2189"},{"key":"e_1_2_12_5_1","volume-title":"Australian Evidence\u2010Based Guidelines for Diabetes\u2010Related Foot Disease [Internet]","author":"Lazzarini P. A.","year":"2021"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2007.00392.x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3747"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-021-00764-z"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2010.tb03571.x"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2025-098999"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2024.03.011"},{"key":"e_1_2_12_12_1","volume-title":"Australia and New Zealand Dialysis and Transplant Registry","author":"Bateman S.","year":"2023"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzae120"},{"key":"e_1_2_12_14_1","volume-title":"IWGDF Guidelines on the Prevention and Management of Diabetes\u2010Related Foot Disease [Internet]","author":"Schaper N. C.","year":"2023"},{"key":"e_1_2_12_15_1","volume-title":"Australian Atlas of Healthcare Variation [Internet]","author":"Australian Commission on Safety and Quality in Health Care and National Health Performance","year":"2015"},{"key":"e_1_2_12_16_1","volume-title":"Kimberley Needs Assessment 2022\u20132024 [Internet]","author":"WA Primary Health Alliance","year":"2024"},{"key":"e_1_2_12_17_1","volume-title":"Kimberley: 2021 Census Aboriginal and\/or Torres Strait Islander People [Internet]","author":"Australian Bureau of Statistics","year":"2021"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-09943-4"},{"key":"e_1_2_12_19_1","volume-title":"Kimberley Health Profile 2018 [Internet]","author":"Anderson C.","year":"2018"},{"key":"e_1_2_12_20_1","volume-title":"Australian Diabetes\u2010Related Foot Disease Strategy 2018\u20132022: The First Step Towards Ending Avoidable Amputations Within a Generation [Internet]","author":"Netten J. J.","year":"2017"},{"key":"e_1_2_12_21_1","volume-title":"Guidance Concerning the Use of Glycated Haemoglobin for the Diagnosis of Diabetes Mellitus [Internet]","author":"Australian Diabetes Society","year":"2023"},{"key":"e_1_2_12_22_1","volume-title":"Diabetes Type II in Adults [Internet]","author":"Kimberley Aboriginal Health Planning Forum","year":"2023"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-019-0326-1"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1168568"},{"key":"e_1_2_12_25_1","volume-title":"Factors That Influence Participation in Self\u2010Management of Wound Care in Three Indigenous Communities in Western Australia: Clients' Perspectives","author":"Eades A. M.","year":"2008"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14219"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2015-000158"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-4-S1-P1"},{"issue":"3","key":"e_1_2_12_29_1","article-title":"Clinical Outcomes Among Patients With Chronic Kidney Disease Hospitalized With Diabetic Foot Disorders: A Nationwide Retrospective Study","volume":"4","author":"Salim M.","year":"2021","journal-title":"Endocrinology and Metabolism"},{"key":"e_1_2_12_30_1","article-title":"A Qualitative Exploration of the Experiences of Aboriginal and Torres Strait Islander People Using a Real\u2010Time Video\u2010Based Telehealth Service for Diabetes\u2010Related Foot Disease","volume":"24","author":"Graham K.","year":"2024","journal-title":"Rural and Remote Health"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2021.101872"},{"issue":"1","key":"e_1_2_12_32_1","first-page":"225","article-title":"Practical Guidelines on the Management and Prevention of the Diabetic Foot 2011","volume":"28","author":"Bakker K.","year":"2012","journal-title":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy"},{"key":"e_1_2_12_33_1","volume-title":"Foot Care for People With Diabetes: Western Australia Standards, 2024 [Internet]","author":"Department of Health, Western Australia","year":"2024"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-022-00524-9"},{"key":"e_1_2_12_35_1","volume-title":"Community Foot Care Hubs [Internet]","author":"Queensland Government","year":"2025"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.70014"},{"issue":"2","key":"e_1_2_12_37_1","first-page":"65","article-title":"Exploring Wellbeing in Individuals With Diabetic Foot Ulcers: The Patient Perspective","volume":"22","author":"Connell L.","year":"2021","journal-title":"Journal of Wound Management"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajs4.96"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.33235\/wpr.30.2.82-90"},{"key":"e_1_2_12_40_1","volume-title":"Aboriginal Patient Take Own Leave: Review and Recommendations for Improvement [Internet]","author":"Aboriginal Health Policy Directorate","year":"2018"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06925-z"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-024-02560-w"}],"container-title":["Australian Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.70184","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajr.70184","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.70184","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T03:45:27Z","timestamp":1782099927000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajr.70184"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":41,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/ajr.70184"],"URL":"https:\/\/doi.org\/10.1111\/ajr.70184","archive":["Portico"],"relation":{},"ISSN":["1038-5282","1440-1584"],"issn-type":[{"value":"1038-5282","type":"print"},{"value":"1440-1584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-08-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70184"}}