{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:33:02Z","timestamp":1787506382579,"version":"build-2736575974"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,5,28]],"date-time":"2019-05-28T00:00:00Z","timestamp":1559001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001793","name":"Queensland University of Technology","doi-asserted-by":"publisher","award":["Seeding grant"],"award-info":[{"award-number":["Seeding grant"]}],"id":[{"id":"10.13039\/501100001793","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Wound Repair Regeneration"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We aimed to explore reasons for (non\u2010)adherence to self\u2010care among people with diabetic foot ulcers, as well as barriers and solutions to improving their self\u2010care adherence. We performed a qualitative study, recruiting people with a diabetic foot ulcer from a community diabetic foot clinic. Semistructured interviews were held with participants. Data saturation occurred after 9 and was confirmed after 11 participant interviews. Interviews were audio\u2010taped, transcribed verbatim and analyzed using the framework approach. Findings were mapped and the World Health Organization's (WHO) adherence dimensions were applied to themes identified. The key themes identified were (1) participants performed recommended practices in self\u2010care; (2) participants relied heavily on care support; (3) motivations for self\u2010care came from \u201cstaying well\u201d; and (4) there was a disparity between self\u2010care knowledge and understanding. Barriers identified included poor mobility and visibility, difficulty wearing offloading devices or using wound dressings, and frustration with lack of progress. Solutions to improve adherence included integrating self\u2010care as routine, improved education, more external help and improving visibility. All five WHO adherence dimensions played a role in (non\u2010)adherence to diabetic foot ulcer self\u2010care. We conclude that adherence to recommended diabetic foot ulcer self\u2010care was limited at best, and reasons for nonadherence were multidimensional. Based on the factors related to (non\u2010)adherence and the barriers and solutions described, we suggest clinicians obtain a broad view of a person's situation when aiming to improve self\u2010care adherence.<\/jats:p>","DOI":"10.1111\/wrr.12728","type":"journal-article","created":{"date-parts":[[2019,5,20]],"date-time":"2019-05-20T11:37:42Z","timestamp":1558352262000},"page":"530-539","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Reasons for (non\u2010)adherence to self\u2010care in people with a diabetic foot ulcer"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6420-6046","authenticated-orcid":false,"given":"Jaap J.","family":"van Netten","sequence":"first","affiliation":[{"name":"School of Clinical Sciences Queensland University of Technology  Brisbane Australia"},{"name":"Department of Rehabilitation, Amsterdam Movement Sciences Amsterdam UMC, University of Amsterdam  Meibergdreef 9, Amsterdam The Netherlands"},{"name":"Department of surgery Ziekenhuisgroep Twente  Almelo and Hengelo The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard","family":"Seng","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences Queensland University of Technology  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter A.","family":"Lazzarini","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences Queensland University of Technology  Brisbane Australia"},{"name":"Allied Health Research Collaborative, Metro North Hospital and Health Service The Prince Charles Hospital  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Warnock","sequence":"additional","affiliation":[{"name":"Podiatry Service, Metro North Hospital and Health Service The Prince Charles Hospital  Brisbane 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