{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T03:20:09Z","timestamp":1783740009119,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T00:00:00Z","timestamp":1686614400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["399"],"award-info":[{"award-number":["399"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Patients with diabetic foot ulcers are advised to limit weight\u2010bearing activity for ulcers to heal. Patients often disregard this advice although the reasons are not yet fully understood. This study explored (1) patients' experiences of receiving the advice and (2) factors influencing adherence to the advice. Semi\u2010structured interviews were conducted with 14 patients with diabetic foot ulcers. Interviews were transcribed and analysed using inductive thematic analysis. Advice regarding limiting weight\u2010bearing activity was described by patients as directive, generic and conflicting with other priorities. Rapport, empathy and rationale supported receptivity to the advice. Barriers and facilitators to limiting weight\u2010bearing activity included demands of daily living, enjoyment of exercise, sick\/disabled identity and burden, depression, neuropathy\/pain, health benefits, fear of negative consequences, positive feedback, practical support, weather and active\/passive role in recovery. It is important that healthcare professionals pay attention to <jats:italic>how<\/jats:italic> limiting weight\u2010bearing activity advice is communicated. We propose a more person\u2010centred approach in which advice is tailored to individuals' specific needs with discussion around patient priorities and constraints.<\/jats:p>","DOI":"10.1111\/iwj.14282","type":"journal-article","created":{"date-parts":[[2023,6,14]],"date-time":"2023-06-14T06:26:20Z","timestamp":1686723980000},"page":"3945-3954","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Adherence to limiting weight\u2010bearing activity in patients with diabetic foot ulcers: A qualitative study"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5938-5265","authenticated-orcid":false,"given":"Jennie E.","family":"Hancox","sequence":"first","affiliation":[{"name":"School of Medicine University of Nottingham  Nottingham UK"},{"name":"Loughborough University  Loughborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Hilton","sequence":"additional","affiliation":[{"name":"School of Medicine University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Gray","sequence":"additional","affiliation":[{"name":"Derbyshire Community Health Services NHS  Bakewell UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5294-4789","authenticated-orcid":false,"given":"Fran","family":"Game","sequence":"additional","affiliation":[{"name":"University Hospitals of Derby and Burton NHS Foundation Trust  Derby UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavita","family":"Vedhara","sequence":"additional","affiliation":[{"name":"School of Medicine University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.2.217"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12404"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-018-2082-2"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534734620929892"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13973"},{"key":"e_1_2_9_8_1","unstructured":"International Working Group of the Diabetic Foot.The 2019 IWGDF Guidance documents on the prevention and management of diabetic food disease. Accessed 20th April 2022.https:\/\/iwgdfguidelines.org\/guidelines\/guidelines\/2019."},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2817"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1932296819849092"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2240"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2738"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.21859\/psj.17.1.37"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1008836325782"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0965-206X(03)80025-6"},{"issue":"4","key":"e_1_2_9_16_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"},{"issue":"2","key":"e_1_2_9_17_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"},{"issue":"1","key":"e_1_2_9_18_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 AJ","year":"2005","journal-title":"Wounds"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1258\/jhsrp.2008.008011"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13010"},{"key":"e_1_2_9_21_1","unstructured":"Department of Health and Social Care.UK Chief Medical Officers' Physical Activity Guidelines. 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