{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:35:06Z","timestamp":1787236506881,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"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":["J of Diabetes Invest"],"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Patients with diabetes have a 2% annual risk of developing a Diabetic Foot Ulcer (DFU). Novel methods of reducing the risk of re\u2010ulceration could reduce the cost of diabetic foot disease.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n Fifty\u2010two patients with active foot disease, a history of prior DFU and\/or high\u2010risk feet were included in this study. Patients were randomly assigned 50:50 to be educated conventionally by a podiatrist or to view a bespoke foot self\u2010care educational animation developed by the research team for this exploratory pilot study. A modified Nottingham Assessment of Functional Footcare (NAFF) questionnaire was used to record knowledge of safe foot care behaviors pre\u2010 and post\u2010intervention. The primary outcome was change in self\u2010care knowledge score. In parallel, a mixed\u2010methods acceptability study was carried out for the 26 patients in the intervention arm, with quantitative data obtained using a 20\u2010item technology acceptance model. Qualitative data were obtained by face\u2010to\u2010face interviews in the clinic setting and examined using thematic analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n While foot self\u2010care knowledge scores were numerically higher in both groups, only the intervention group showed a statistically significant within\u2010group improvement. There was a trend toward a greater magnitude of increase in the knowledge score in favor of the intervention group, but this did not reach statistical significance.<\/jats:p>\n Among the 26 patients who completed the technology acceptability study, the majority of responses were in favor of the educational video.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This randomized controlled and mixed\u2010methods study demonstrated positive results in terms of improvements in foot self\u2010care knowledge and acceptability.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jdi.70419","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T13:32:07Z","timestamp":1787232727000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the effectiveness and acceptability of an animated educational tool for diabetic foot care: A randomized controlled trial and\u00a0mixed\u2010methods study in patients with\u00a0active, in\u2010remission and high\u2010risk diabetic\u00a0foot disease"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8791-2077","authenticated-orcid":false,"given":"Michael","family":"Lockhart","sequence":"first","affiliation":[{"name":"College of Medicine, Nursing and Health Sciences University of Galway Galway Ireland"},{"name":"Academic Department of Endocrinology and Diabetes, Royal College of Surgeons in Ireland Connolly Hospital Dublin Ireland"},{"name":"Centre for Endocrinology, Diabetes and Metabolism Galway University Hospitals Galway Ireland"},{"name":"Health Innovation Via Engineering Laboratory, Lambe Institute University of Galway Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7804-0618","authenticated-orcid":false,"given":"Jack","family":"Cosgrave","sequence":"additional","affiliation":[{"name":"Academic Department of Endocrinology and Diabetes, Royal College of Surgeons in Ireland Connolly Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7147-9041","authenticated-orcid":false,"given":"Pir Zainulabdeen Jan","family":"Sarhandi","sequence":"additional","affiliation":[{"name":"Academic Department of Endocrinology and Diabetes, Royal College of Surgeons in Ireland Connolly Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kellie","family":"Fortune","sequence":"additional","affiliation":[{"name":"Academic Department of Endocrinology and Diabetes, Royal College of Surgeons in Ireland Connolly Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3407-7553","authenticated-orcid":false,"given":"Eimear","family":"Daly","sequence":"additional","affiliation":[{"name":"Academic Department of Endocrinology and Diabetes, Royal College of Surgeons in Ireland Connolly Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7570-3953","authenticated-orcid":false,"given":"Tommy Kyaw","family":"Tun","sequence":"additional","affiliation":[{"name":"Academic Department of Endocrinology and Diabetes, Royal College of Surgeons in Ireland Connolly Hospital Dublin Ireland"},{"name":"Royal College of Surgeons Ireland Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin","family":"Davenport","sequence":"additional","affiliation":[{"name":"Academic Department of Endocrinology and Diabetes, Royal College of Surgeons in Ireland Connolly Hospital Dublin Ireland"},{"name":"Royal College of Surgeons Ireland Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2457-2612","authenticated-orcid":false,"given":"Seamus","family":"Sreenan","sequence":"additional","affiliation":[{"name":"Academic Department of Endocrinology and Diabetes, Royal College of Surgeons in Ireland Connolly Hospital Dublin Ireland"},{"name":"Royal College of Surgeons Ireland Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8501-2382","authenticated-orcid":false,"given":"Derek T","family":"O'Keeffe","sequence":"additional","affiliation":[{"name":"College of Medicine, Nursing and Health Sciences University of Galway Galway Ireland"},{"name":"Centre for Endocrinology, Diabetes and Metabolism Galway University Hospitals Galway Ireland"},{"name":"Health Innovation Via Engineering Laboratory, Lambe Institute University of Galway Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John H","family":"McDermott","sequence":"additional","affiliation":[{"name":"Academic Department of Endocrinology and Diabetes, Royal College of Surgeons in Ireland Connolly Hospital Dublin Ireland"},{"name":"Royal College of Surgeons Ireland Dublin 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A meta\u2010analysis of controlled trials","volume":"50","author":"Yammine K","year":"2022","journal-title":"Foot (Edinb)"},{"key":"e_1_2_9_17_1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.2337\/dc06-1600","article-title":"Preventing diabetic foot ulcer recurrence in high\u2010risk patients: Use of temperature monitoring as a self\u2010assessment tool","volume":"30","author":"Lavery LA","year":"2007","journal-title":"Diabetes Care"},{"key":"e_1_2_9_18_1","doi-asserted-by":"crossref","first-page":"973","DOI":"10.2337\/dc16-2294","article-title":"Feasibility and efficacy of a smart mat Technology to predict development of diabetic plantar ulcers","volume":"40","author":"Frykberg RG","year":"2017","journal-title":"Diabetes Care"},{"key":"e_1_2_9_19_1","doi-asserted-by":"crossref","first-page":"e308","DOI":"10.1016\/S2589-7500(19)30128-1","article-title":"Innovative intelligent insole system reduces diabetic foot ulcer recurrence at plantar sites: A prospective, randomised, 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