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Yet, despite being armed with the required information and guidance for self\u2010management, self\u2010care and adherence to foot self\u2010care recommendations and compliance to medication among patients with diabetic foot ulcer and diabetic lower extremity amputations remain low and suboptimal. This study reveals in\u2010depth account of nine such patients' beliefs and perceptions around their illness, their self\u2010care, and their health\u2010seeking behaviours. Patients living with diabetic lower extremity amputation displayed profound lack of knowledge of self\u2010care of diabetes and foot and passive health\u2010related behaviours. The overarching sense that \"when nothing happens, nobody is afraid,\" points to a lack of motivation in taking charge of one's own health, whether this is with reference to treatment or care adherence, following recommended self\u2010care advice, or seeking timely treatment. The Health Beliefs Model provides the theoretical framework for probing into the factors for the participants' suboptimal self\u2010care and passive health\u2010seeking behaviours. Two themes emerged from data analysis: profound knowledge deficit and passive health\u2010related behaviours. The beliefs and perceptions around self\u2010care and health\u2010seeking behaviours for patients with lower extremity amputation are interpreted as the \u201cignorant self\u201d with passive health\u2010seeking behaviours. Patients with diabetes and diabetic foot diseases may benefit from personalized education, motivational interviewing, and family support.<\/jats:p>","DOI":"10.1111\/iwj.13587","type":"journal-article","created":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T18:41:58Z","timestamp":1620326518000},"page":"850-861","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["\u201cWhen nothing happens, nobody is afraid!\u201d beliefs and perceptions around self\u2010care and health\u2010seeking behaviours: Voices of patients living with diabetic lower extremity amputation in primary care"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3406-6203","authenticated-orcid":false,"given":"Xiaoli","family":"Zhu","sequence":"first","affiliation":[{"name":"Nursing Services National Healthcare Group Polyclinics  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Lee","sequence":"additional","affiliation":[{"name":"Health Outcomes and Medical Education Research National Healthcare Group  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn AL","family":"Chew","sequence":"additional","affiliation":[{"name":"Clinical Research Unit National Healthcare Group Polyclinics  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling Jia","family":"Goh","sequence":"additional","affiliation":[{"name":"Nursing Services National Healthcare Group Polyclinics  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lijuan","family":"Dong","sequence":"additional","affiliation":[{"name":"Nursing Services National Healthcare Group Polyclinics  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette","family":"Bartlam","sequence":"additional","affiliation":[{"name":"Family Medicine and Primary Care, Lee Kong Chian School of Medicine Nanyang Technological University  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,6]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"International Diabetes Federation: Diabetes Atlas (Ninth edition 2019)","author":"IDF Diabetes Atlas, 9th Edition Committee","year":"2019"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2016.1231932"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2019.01.004"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/diaspect.24.2.61"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(89)90163-9"},{"key":"e_1_2_12_8_1","doi-asserted-by":"crossref","unstructured":"InzucchiS.Management of hyperglycemia in type 2 diabetes 2015: a patient\u2010centered approach.2015;38:140\u2010149.https:\/\/doi.org\/10.2337\/dc14-2441.","DOI":"10.2337\/dc15-0812"},{"key":"e_1_2_12_9_1","doi-asserted-by":"crossref","unstructured":"BusSA LaveryLA Monteiro\u2010SoaresM et al.IWGDF Guideline on the Prevention of Foot Ulcers in Persons with Diabetes.;2019.www.iwgdfguidelines.org. 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