{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:53:02Z","timestamp":1787014382274,"version":"build-2736575974"},"reference-count":47,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T00:00:00Z","timestamp":1715817600000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Diabetic foot ulcers (DFUs) are one of the most prevalent and costly diabetes complications, associated with diminished quality of life and poor prognosis. Management of DFUs relies heavily on patients' foot self\u2010care behaviour. This study aims to explore psychological determinants of this important behaviour among primary care patients. A total of 186 patients with active DFUs self\u2010reported their illness perception, diabetes distress, self\u2010efficacy, and foot self\u2010care behaviour. Structural equation modelling was performed to examine interrelationships among measured variables. The final model demonstrated satisfactory fit, CFI\u2009=\u20090.933, TLI\u2009=\u20090.913, RMSEA\u2009=\u20090.050, SRMR\u2009=\u20090.073,\n                    <jats:italic>\u03c7<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    (95)\u2009=\u2009132.256 (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.004), and explained 51.1% of the variance of foot self\u2010care. Illness threat perceptions (i.e., consequence, timeline, identity, concern, and emotion) had a direct positive effect on foot self\u2010care behaviours, but also indirectly decreased foot self\u2010care through increasing diabetes distress. Control perceptions (i.e., personal control, treatment control, and coherence) were not directly associated with foot self\u2010care behaviours, but indirectly improved foot self\u2010care by reducing diabetes distress and increasing foot care confidence. These findings suggest illness perceptions, diabetes distress, and self\u2010care confidence as modifiable predictors to be targeted in self\u2010management interventions for patients with DFUs.\n                  <\/jats:p>","DOI":"10.1111\/iwj.14897","type":"journal-article","created":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T21:39:30Z","timestamp":1715895570000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Foot self\u2010care behaviour in primary care patients with diabetic foot ulcers: Structural equation modelling of psychological predictors"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3406-6203","authenticated-orcid":false,"given":"Xiaoli","family":"Zhu","sequence":"first","affiliation":[{"name":"National Healthcare Group Polyclinics  Singapore Singapore"},{"name":"Population\/Global Health, Lee Kong Chian School of Medicine Nanyang Technological University  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4963-535X","authenticated-orcid":false,"given":"Eng Sing","family":"Lee","sequence":"additional","affiliation":[{"name":"National Healthcare Group Polyclinics  Singapore Singapore"},{"name":"Lee Kong Chian School of Medicine Nanyang Technological University  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9905-3422","authenticated-orcid":false,"given":"Frederick H. 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H.","family":"Lim","sequence":"additional","affiliation":[{"name":"Population\/Global Health, Lee Kong Chian School of Medicine Nanyang Technological University  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yee Chui","family":"Chen","sequence":"additional","affiliation":[{"name":"National Healthcare Group Polyclinics  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8173-5663","authenticated-orcid":false,"given":"Konstadina","family":"Griva","sequence":"additional","affiliation":[{"name":"Population\/Global Health, Lee Kong Chian School of Medicine Nanyang Technological University  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc19\u20101614"},{"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":"10.1002\/1520\u20107560(200009\/10)16:1+<::aid\u2010dmrr139>3.0.co;2\u20108"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","unstructured":"ArmstrongDG CohenK CourricS BhararaM MarstonW.Diabetic Foot Ulcers and Vascular Insufficiency: Our Population Has Changed but Our Methods Have Not. 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