{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:55:11Z","timestamp":1787748911428,"version":"build-2784847793"},"reference-count":85,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,11,4]],"date-time":"2018-11-04T00:00:00Z","timestamp":1541289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>\n                    Diabetic foot ulceration (DFU) is a common and debilitating complication of diabetes that is preventable through active engagement in appropriate foot\u2010related behaviours, yet many individuals with diabetes do not adhere to foot care recommendations. The aim of this paper was to synthesise the findings of qualitative papers exploring diabetic people's perceptions and experiences of DFU in order to identify how they could be better supported to prevent ulceration or manage its impact. Five databases (MEDLINE, PsycINFO, CINAHL, EMBASE, Web of Science) were searched in May 2016 to identify eligible articles. Findings were synthesised using a meta\u2010ethnographic approach. Forty\u2010two articles were eligible for inclusion. Synthesis resulted in the development of five overarching themes:\n                    <jats:italic>personal understandings of diabetic foot ulceration<\/jats:italic>\n                    ;\n                    <jats:italic>preventing diabetic foot ulceration: knowledge, attitudes, and behaviours<\/jats:italic>\n                    ;\n                    <jats:italic>views on health care experiences<\/jats:italic>\n                    ;\n                    <jats:italic>development of diabetic foot ulceration and actions taken<\/jats:italic>\n                    ; and\n                    <jats:italic>wide\u2010ranging impacts of diabetic foot ulceration<\/jats:italic>\n                    . The findings highlight various barriers and facilitators of foot care experienced by people with diabetes and demonstrate the significant consequences of ulcers for their physical, social, and psychological well\u2010being. The insights provided could inform the development of interventions to promote foot care effectively and provide appropriate support to those living with ulceration.\n                  <\/jats:p>","DOI":"10.1111\/iwj.13010","type":"journal-article","created":{"date-parts":[[2018,11,4]],"date-time":"2018-11-04T20:59:34Z","timestamp":1541365174000},"page":"183-210","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":163,"title":["Perceptions and experiences of diabetic foot ulceration and foot care in people with diabetes: A qualitative meta\u2010synthesis"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5946-377X","authenticated-orcid":false,"given":"Laura","family":"Coffey","sequence":"first","affiliation":[{"name":"Department of Psychology Maynooth University  Maynooth Co. Kildare Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Conor","family":"Mahon","sequence":"additional","affiliation":[{"name":"School of Nursing and Human Sciences, Dublin City University  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Gallagher","sequence":"additional","affiliation":[{"name":"School of Nursing and Human Sciences, Dublin City University  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.2.217"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-008-0022-1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2012.01022.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-012-2673-3"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.06.003"},{"key":"e_1_2_6_7_1","volume-title":"IDF Diabetes Atlas","author":"International Diabetes Federation","year":"2011"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2738"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2010.03206.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2016.12.007"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-0310"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2003.10.014"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721704272859"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.840"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2008.02352.x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2014.07.018"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-8-21"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-4-5"},{"key":"e_1_2_6_19_1","volume-title":"CASP Checklists","author":"Critical Appraisal Skills Programme","year":"2014"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732309358329"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412985000"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1258\/135581902320432732"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-12-181"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2011.00837.x"},{"key":"e_1_2_6_25_1","first-page":"28","article-title":"Foot care within the Jordanian healthcare system: a qualitative inquiry of patient's perspectives","volume":"29","author":"Abu\u2010Qamar MZ","year":"2011","journal-title":"Aust J Adv Nurs"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/2251-6581-11-27"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1179\/175380710X12870623776270"},{"key":"e_1_2_6_28_1","first-page":"150","article-title":"Perception of quality of life by patients with diabetic foot ulcers","volume":"3","author":"Ashford RL","year":"2000","journal-title":"Diabetic Foot J"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2012.00768.x"},{"key":"e_1_2_6_30_1","first-page":"32","article-title":"The impact of diabetic foot ulcer pain on patient quality of life","volume":"7","author":"Bradbury SE","year":"2011","journal-title":"Wounds UK"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1008836325782"},{"key":"e_1_2_6_32_1","first-page":"17","article-title":"Education for the prevention of foot ulcers: views of those with neuropathy","volume":"10","author":"Burnside J","year":"2007","journal-title":"Diabetic Foot J"},{"key":"e_1_2_6_33_1","first-page":"14","article-title":"Adults with diabetes and their experiences of wearing prescribed orthotic devices","volume":"3","author":"Burton F","year":"2007","journal-title":"Wounds UK"},{"key":"e_1_2_6_34_1","first-page":"60","article-title":"An exploration of the knowledge, beliefs, behaviours and decisions of people with type 2 diabetes who develop a foot ulcer","volume":"5","author":"Chadwick P","year":"2002","journal-title":"Brit J Podiatry"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1179\/2057331615Z.0000000006"},{"key":"e_1_2_6_36_1","first-page":"61","article-title":"Social representations of diabetic foot for people with type 2 diabetes mellitus","volume":"43","author":"Coelho MS","year":"2009","journal-title":"Rev Esc Enferm USP"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043659602238349"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-0926-9"},{"key":"e_1_2_6_39_1","first-page":"16","article-title":"When a diabetic foot ulcer results in amputation: a qualitative study of the lived experience of 15 patients","volume":"60","author":"Foster D","year":"2014","journal-title":"Ostomy Wound Manage"},{"key":"e_1_2_6_40_1","first-page":"105","article-title":"Innocent beginnings, uncertain futures: exploring the challenges of living with diabetic foot ulcers","volume":"29","author":"Fox A","year":"2005","journal-title":"Can J Diabetes"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp08X319657"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-1043-5"},{"key":"e_1_2_6_43_1","first-page":"174","article-title":"Determining the patient\u2010perceived impact of foot health education for patients with diabetes mellitus","volume":"18","author":"Hill A","year":"2015","journal-title":"Diabetic Foot J"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2002.02427.x"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1361-9004(02)00038-9"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1361-9004(03)00034-7"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874434601307010123"},{"key":"e_1_2_6_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2008.02769.x"},{"key":"e_1_2_6_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2005.00344.x"},{"key":"e_1_2_6_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2005.12.013"},{"key":"e_1_2_6_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0965-206X(03)80025-6"},{"key":"e_1_2_6_52_1","doi-asserted-by":"publisher","DOI":"10.1051\/tpe\/2012019"},{"key":"e_1_2_6_53_1","doi-asserted-by":"publisher","DOI":"10.4102\/curationis.v26i1.1290"},{"key":"e_1_2_6_54_1","first-page":"198","article-title":"Chronic foot ulcers associated with diabetes: patients' views","volume":"5","author":"McPherson MV","year":"2002","journal-title":"Diabetic Foot J"},{"key":"e_1_2_6_55_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0080-62342010000400006"},{"key":"e_1_2_6_56_1","first-page":"190","article-title":"Consulting stakeholders in high\u2010risk foot care services development","volume":"6","author":"Nancarrow S","year":"2003","journal-title":"Diabetic Foot J"},{"key":"e_1_2_6_57_1","first-page":"265","article-title":"Use of folk treatments for diabetic plantar ulcers among African Americans with type II diabetes","volume":"2","author":"Parry KK","year":"1996","journal-title":"Int J Rehabil Health"},{"key":"e_1_2_6_58_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-7-16"},{"key":"e_1_2_6_59_1","first-page":"57","article-title":"Living with diabetic foot ulcers: a life of fear, restrictions, and pain","volume":"50","author":"Ribu L","year":"2004","journal-title":"Ostomy Wound Manage"},{"key":"e_1_2_6_60_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2004.13.2.26578"},{"key":"e_1_2_6_61_1","first-page":"16","article-title":"A qualitative approach to understanding the experience of ulceration and healing in the diabetic foot: patient and podiatrist perspectives","volume":"17","author":"Searle A","year":"2005","journal-title":"Wounds"},{"key":"e_1_2_6_62_1","doi-asserted-by":"publisher","DOI":"10.1258\/jhsrp.2008.008011"},{"key":"e_1_2_6_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2012.02.013"},{"key":"e_1_2_6_64_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2006.01521.x"},{"key":"e_1_2_6_65_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1854.2005.00678.x"},{"key":"e_1_2_6_66_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870449808407425"},{"key":"e_1_2_6_67_1","doi-asserted-by":"publisher","DOI":"10.1080\/088704403100081321"},{"key":"e_1_2_6_68_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2011.03298.x"},{"key":"e_1_2_6_69_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-016-0546-3"},{"key":"e_1_2_6_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00032-0"},{"key":"e_1_2_6_71_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.15.1641"},{"key":"e_1_2_6_72_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-143-6-200509200-00007"},{"key":"e_1_2_6_73_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-356"},{"key":"e_1_2_6_74_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.25.7.1159"},{"key":"e_1_2_6_75_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-213"},{"key":"e_1_2_6_76_1","doi-asserted-by":"publisher","DOI":"10.3402\/dfa.v7.29758"},{"key":"e_1_2_6_77_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014393"},{"key":"e_1_2_6_78_1","doi-asserted-by":"publisher","DOI":"10.3402\/dfa.v4i0.21847"},{"key":"e_1_2_6_79_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.19.s4.8.x"},{"key":"e_1_2_6_80_1","volume-title":"Type 2 Diabetes Foot Problems: Prevention and Management of Foot Problems","author":"National Institute for Health and Care Excellence","year":"2004"},{"key":"e_1_2_6_81_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2002.10905.x"},{"key":"e_1_2_6_82_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/62.12.1435"},{"key":"e_1_2_6_83_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721705280829"},{"key":"e_1_2_6_84_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2007.09.008"},{"key":"e_1_2_6_85_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2008.09.018"},{"key":"e_1_2_6_86_1","doi-asserted-by":"publisher","DOI":"10.1002\/1520-7560(200009\/10)16:1 <::AID-DMRR139>3.0.CO;2-8"}],"container-title":["International Wound Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fiwj.13010","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.13010","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/iwj.13010","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.13010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T10:33:48Z","timestamp":1694342028000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iwj.13010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,4]]},"references-count":85,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1111\/iwj.13010"],"URL":"https:\/\/doi.org\/10.1111\/iwj.13010","archive":["Portico"],"relation":{},"ISSN":["1742-4801","1742-481X"],"issn-type":[{"value":"1742-4801","type":"print"},{"value":"1742-481X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,4]]},"assertion":[{"value":"2018-08-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}