{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T09:01:00Z","timestamp":1777712460106,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Kementerian Pendidikan Kebudayaan dan Riset Pendidikan Tinggi","award":["317\/E4.1\/AK.04.PT\/2021"],"award-info":[{"award-number":["317\/E4.1\/AK.04.PT\/2021"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>\n                    This study aimed to evaluate the effectiveness of prevention strategies and detect the risk level of recurrence. A randomized controlled trial (RCT) was conducted. Sixty participants were split into two groups: an intervention group consisting of 30 individuals and a control group also with 30 participants. For the intervention group, education and guidance on foot examination, foot care, dietary habits, exercise, and stress management were provided for 1 to 1.5\u2005h each month. However, the control group only received standard care and education through a pamphlet at baseline. The both groups, the baseline risk level of ulcer recurrence score was assessed using INDIFURUTO (Indonesian Diabetic Foot Ulcer Recurrence Assessment Tool). The follow-up period was three months. A General Linear Model (GLM) repeated measures (ANCOVA) analysis was employed to compare the quality of life and risk level between the two groups at baseline and third follow-up. Risk factors for recurrence score in the intervention group significantly decreased after 3 months. These included improvements in mobility (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.04), anxiety\/depression (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u2009.001), EuroQol Visual Analogue Scale score (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.004), and INDIFURUTO score (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.004). The combination of preventive strategies could reduce the risk of recurrence ulcer and improve the quality of life.\n                  <\/jats:p>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>ClinicalTrials.gov Identifies: NCT06434922.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15347346241283160","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T02:49:39Z","timestamp":1729565379000},"page":"655-663","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Randomized Clinical Trial Study on the Prevention Strategy and Early Detection of Ulcer Recurrence in Patients with Type 2 Diabetes Mellitus Using the Risk of Recurrence Ulcer Tool"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3711-1885","authenticated-orcid":false,"given":"Haryanto","family":"Haryanto","sequence":"first","affiliation":[{"name":"Department of Medical Surgical, Wound Management and Critical Nursing, Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat, Pontianak, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunita","family":"Sari","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elveria","family":"Panjaitan","sequence":"additional","affiliation":[{"name":"Community Health Center, Sei Durian, Kubu Raya, Kalimantan Barat, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juminar","family":"Juminar","sequence":"additional","affiliation":[{"name":"Community Health Center, Purnama, Pontianak, Kalimantan Barat, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of University of Southern California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3268"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijnmr.ijnmr_432_21"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.10578"},{"key":"e_1_3_3_6_2","doi-asserted-by":"crossref","unstructured":"Mcintosh C Pisa U Armstrong DG et al. Guidelines on interventions to enhance healing of foot ulcers in people with diabetes (IWGDF 2023 update). 2023. doi:https:\/\/doi.org\/10.1002\/dmrr.3647","DOI":"10.1002\/dmrr.3647"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1534734619897501"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2015-133441"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2023.104571"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/19322968211011181"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/1744-8603-9-63"},{"key":"e_1_3_3_12_2","unstructured":"Soelistijo SA Suastika K Lindarto D et al. Pedoman Pengelolaan Dan Pencegahan Diabetes Melitus Tipe 2 Dewasa Di Indonesia 2021. 2021. https:\/\/pbperkeni.or.id\/catalog-buku\/pedoman-pengelolaan-dan-pencegahan-diabetes-melitus-tipe-2-di-indonesia-2021. 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J Public Health Res. 2021;10(2):227-231. doi:https:\/\/doi.org\/10.4081\/jphr.2021.2162.","journal-title":"J Public Health Res"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1744987118765903"},{"issue":"3","key":"e_1_3_3_20_2","first-page":"358","article-title":"Factors associated with foot ulcer among diabetic patients","volume":"3","author":"Dee TMT","year":"2020","unstructured":"Dee TMT, Sukartini T, Probowati R. Factors associated with foot ulcer among diabetic patients. Int J Nurs Heal Serv. 2020;3(3):358-363. doi:https:\/\/doi.org\/10.35654\/ijnhs.v3i3.222.","journal-title":"Int J Nurs Heal Serv"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-2470"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2021.02.003"},{"key":"e_1_3_3_23_2","article-title":"Risk factors for diabetic foot ulcer recurrence: a prospective 2-years follow-up study in Egypt","author":"Walaa AK.","unstructured":"Walaa AK. 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