{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T18:03:45Z","timestamp":1788717825975,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,2,25]],"date-time":"2016-02-25T00:00:00Z","timestamp":1456358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Older People Nursing"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To assess the effectiveness of health education programmes to improve foot self\u2010care practices and foot problems among older people with diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The complications of diabetes among older people are a major health concern. Foot problems such as neuropathy, ulcer and ultimately amputation are a great burden on older people with diabetes. Diabetes foot education programmes can influence the behaviour of older people in practising foot self\u2010care and controlling the foot problems. However, the educational approaches used by the educators are different. Therefore, it is important to assess the education programmes from various evidence\u2010based practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Six databases, <jats:styled-content style=\"fixed-case\">EBSCO<\/jats:styled-content>host medical collections (<jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> CINAHL<\/jats:styled-content>, Psychology and Behavioral Sciences Collection), <jats:styled-content style=\"fixed-case\">SAGE<\/jats:styled-content>, Wiley Online Library, ScienceDirect, SpringerLink and Web of Science, were used to search for articles published from January 2000 to March 2015. The search was based on the inclusion criteria and keywords including \u2018foot\u2019, \u2018care\u2019 and \u2018diabetes\u2019. Fourteen studies were assessed and reviewed in the final stage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Health education programmes varied according to their design, setting, approach, outcome measured and results. Foot assessment, verbal and written instructions and discussion were proved to improve the foot self\u2010care and foot problems. Subsequent follow\u2010ups and evaluations had a significant effect. An improvement was observed in foot self\u2010care scores and foot problems (such as neuropathy, foot disability, lesion, ulcer, tinea pedis and callus grade) after implementation of the health education programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for practice<\/jats:title><jats:p>The findings of this study support the claim that a health education programme increases the foot self\u2010care scores and reduces the foot problems. However, there were certain methodological concerns in the reviewed articles, indicating the need for further evaluation. In future, researchers and practitioners must implement a vigorous education programme focusing on diabetes foot self\u2010care among the older population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/opn.12112","type":"journal-article","created":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T09:00:41Z","timestamp":1456477241000},"page":"214-239","source":"Crossref","is-referenced-by-count":46,"title":["Health education programmes to improve foot self\u2010care practices and foot problems among older people with diabetes: a systematic review"],"prefix":"10.1111","volume":"11","author":[{"given":"Siti Khuzaimah","family":"Ahmad Sharoni","sequence":"first","affiliation":[{"name":"Nursing Department Faculty of Health Sciences Universiti Teknologi MARA Puncak Alam Selangor Malaysia"},{"name":"Department of Community Health Faculty of Medicine and Health Sciences Universiti Putra Malaysia Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halimatus Sakdiah","family":"Minhat","sequence":"additional","affiliation":[{"name":"Department of Community Health Faculty of Medicine and Health Sciences Universiti Putra Malaysia Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nor Afiah","family":"Mohd Zulkefli","sequence":"additional","affiliation":[{"name":"Department of Community Health Faculty of Medicine and Health Sciences Universiti Putra Malaysia Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anisah","family":"Baharom","sequence":"additional","affiliation":[{"name":"Department of Community Health Faculty of Medicine and Health Sciences Universiti Putra Malaysia Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,2,25]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2014.06.003"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-S007"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc15\u2010S005"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.848"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2014.05.004"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945907303104"},{"key":"e_1_2_12_8_1","first-page":"5","article-title":"The diabetic foot: Epidemiology, risk factors and the status of care","volume":"50","author":"Boulton A.","year":"2005","journal-title":"Diabetes Voice"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-148-4-200802190-00008"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-148-4-200802190-00008-w1"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8227(02)00024-4"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05678.x"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0b013e3182828e59"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000138125.59122.23"},{"key":"e_1_2_12_15_1","volume-title":"Clinical Practice Guidelines 2009, Management of type 2 Diabetes Mellitus","author":"Clinical Practice Guideline","year":"2009"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-61779-791-0_2"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2006.01906.x"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-0361.2005.tb00078.x"},{"key":"e_1_2_12_19_1","first-page":"CD001488","article-title":"Patient education for preventing diabetic foot ulceration","author":"Dorresteijn J.","year":"2010","journal-title":"The Cochrane Database of Systematic Reviews"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-60327-043-4"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05640.x"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-S089"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(99)00263-8"},{"key":"e_1_2_12_24_1","volume-title":"Health Behaviour and Health Education. 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