{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T02:44:37Z","timestamp":1785725077928,"version":"3.56.0"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Diabetes Mellitus (\n                    <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>\n                    ) is frequently complicated by Diabetic Foot Ulcers (\n                    <jats:styled-content style=\"fixed-case\">DFUs<\/jats:styled-content>\n                    ), which contribute to high morbidity, mortality, and healthcare costs. Regular foot care and clinic follow\u2010up can reduce the incidence of\n                    <jats:styled-content style=\"fixed-case\">DFUs<\/jats:styled-content>\n                    and related complications, yet adherence to these practices remains poorly described in Sudan. To assess compliance with foot care practices and identify factors associated with compliance and barriers to regular foot care clinic attendance among patients with diabetes attending the Jabber Abo Aliz Diabetes Care Center in Khartoum, Sudan. A cross\u2010sectional descriptive study was conducted from December 2021 to February 2022 involving 120 patients with\n                    <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>\n                    attending foot care clinics. Data were collected using structured questionnaires covering demographic and clinical characteristics, foot care behaviours, and perceived barriers. Compliance was measured using a Likert\u2010based scoring system, with scores \u2265\u20099\/17 classified as compliant. Data were analysed using\n                    <jats:styled-content style=\"fixed-case\">SPSS<\/jats:styled-content>\n                    version 21.0, applying Chi\u2010square tests and\n                    <jats:styled-content style=\"fixed-case\">ANOVA<\/jats:styled-content>\n                    where appropriate, with statistical significance set at\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05. Among 120 participants (55% female; mean age 49\u2009\u00b1\u200911\u2009years), 70% were classified as compliant with foot care. Compliance was significantly associated with female gender (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.043), age &lt;\u200940\u2009years (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.034), urban residence (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.037), higher socioeconomic status (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.002), and good glycemic control (\n                    <jats:styled-content style=\"fixed-case\">HbA1c<\/jats:styled-content>\n                    \u2264\u20097%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.001). Duration of\n                    <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>\n                    showed no significant association (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.184). Transportation and distance were the most reported barriers to clinic attendance (30%). Most patients attending foot care clinics demonstrated good adherence to foot care practices, particularly those with favourable socioeconomic and clinical profiles. However, geographic and economic barriers continue to limit regular attendance. Strengthening outreach strategies, reducing access barriers, and integrating foot care education into routine diabetes management could improve outcomes and reduce DFU\u2010related complications in Sudan.\n                  <\/jats:p>","DOI":"10.1111\/iwj.70989","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T03:00:15Z","timestamp":1782874815000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Compliance With Foot Care Practices Among Patients With Diabetes Mellitus in Sudan"],"prefix":"10.1111","volume":"23","author":[{"given":"Izzeldin Ahmed","family":"Dawaud","sequence":"first","affiliation":[{"name":"Sudan Medical Specialization Board  Khartoum Sudan"},{"name":"Jabir Abu Eliz Diabetic Center  Khartoum Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8741-0142","authenticated-orcid":false,"given":"Ahmed","family":"Ali","sequence":"additional","affiliation":[{"name":"Jabir Abu Eliz Diabetic Center  Khartoum Sudan"},{"name":"Faculty of Medicine University of Khartoum  Khartoum Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed ElMakki","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Sudan Medical Specialization Board  Khartoum Sudan"},{"name":"Jabir Abu Eliz Diabetic Center  Khartoum Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v13.i12.1106"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2016.1231932"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2017.07.01"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci22-0043"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2701"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S251236"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_292_24"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3266"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3657"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-015-0080-y"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jfa2.70002"},{"issue":"2","key":"e_1_2_10_13_1","first-page":"13","article-title":"Foot Care Practices and Its Associated Factors Among Type 2 Diabetes Patients Attending Health Care Clinics in Kuantan","volume":"18","author":"Abdul Hadi A.","year":"2020","journal-title":"Iranian Journal of Medical Microbiology"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.4236\/ojn.2021.113017"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-074360"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2024.03.001"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-019-0327-0"},{"key":"e_1_2_10_18_1","first-page":"1203","article-title":"Knowledge and Practice on Diabetic Foot Self\u2010Care and Associated Factors Among Diabetic Patients at Dessie Referral Hospital, Northeast Ethiopia: Mixed Method","volume":"14","author":"Tuha A.","year":"2021","journal-title":"Drug Metabolism and Disposition"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.29.03.06.dc05\u20101777"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2020.107688"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13340-022-00598-7"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-0926-9"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0248310"},{"key":"e_1_2_10_24_1","article-title":"Use of Traditional Remedies for Treatment of Diabetic Foot Ulcers: A Cross\u2010Sectional Study at a Tertiary Center in Saudi Arabia","volume":"25","author":"Edrees K. 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