{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T22:30:12Z","timestamp":1792449012335,"version":"4.5.0"},"reference-count":51,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T00:00:00Z","timestamp":1720656000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Diabetic foot ulcer is the most common complication causing lots of admissions among diabetic patients. Understanding patients' level of foot self\u2010care knowledge, practice and associated factors is important for planning interventions to control and prevent diabetic foot complications. This study aimed to assess the level of knowledge and practice of foot self\u2010care among diabetic patients attending diabetic clinics in The Gambia. Two hundred and seventeen patients attending diabetic clinics in two public hospitals were selected using a successive sampling technique. Data were collected using a validated interviewer\u2010administered questionnaire. Descriptive statistics were used to summarize the demographic and clinical data. Multivariate logistic regression was used to identify factors associated with foot self\u2010care knowledge and practice. The findings showed a poor level of foot self\u2010care knowledge (<jats:italic>n<\/jats:italic>\u2009=\u2009114; 52.5%) and practice (<jats:italic>n<\/jats:italic>\u2009=\u2009149; 68.7%). Patients' educational level was statistically significantly association with diabetic foot self\u2010care knowledge (<jats:italic>p<\/jats:italic>\u2009=\u20090.02). Diabetic foot ulcer history (aOR\u2009=\u20090.23, 95% CI: 0.08\u20130.63; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), diabetic hospitalization (aOR\u2009=\u20092.41, 95% CI: 1.23\u20134.75, <jats:italic>p<\/jats:italic>\u2009=\u20090.01) and diabetic foot care education (aOR\u2009=\u20092.65, 95% CI: 1.39\u20135.06, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) were statistically significantly associated with foot self\u2010care practice. The poor diabetic foot self\u2010care knowledge and practice among these patients emphasize the need for a diabetic health education program in these clinics.<\/jats:p>","DOI":"10.1111\/iwj.14963","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T09:09:46Z","timestamp":1720688986000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Diabetic foot self\u2010care knowledge and practice among patients with diabetes attending diabetic clinic in the Gambia"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8111-2466","authenticated-orcid":false,"given":"Tobiloba Oyejide Alex","family":"Omotosho","sequence":"first","affiliation":[{"name":"Department of Nursing and Reproductive Health, School of Medicine and Allied Health Science University of the Gambia  Banjul The Gambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusupha","family":"Sanyang","sequence":"additional","affiliation":[{"name":"Department of Nursing and Reproductive Health, School of Medicine and Allied Health Science University of the Gambia  Banjul The Gambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9846-9485","authenticated-orcid":false,"given":"Thomas","family":"Senghore","sequence":"additional","affiliation":[{"name":"Department of Nursing and Reproductive Health, School of Medicine and Allied Health Science University of the Gambia  Banjul The Gambia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2019.107843"},{"key":"e_1_2_9_3_1","unstructured":"IDF Diabetes Atlas.Diabetes around the world in 2021. 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