{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:33:15Z","timestamp":1777555995735,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,12,27]],"date-time":"2017-12-27T00:00:00Z","timestamp":1514332800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Diabetes Sci Technol"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Temperature sensors are an objective way to assess adherence to diabetic footwear. Good adherence is essential for the prevention of diabetic foot problems. Little is known about the long-term course of adherence in patients at risk for diabetic foot problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A temperature sensor was incorporated into the specialized footwear of patients with type 2 diabetes after their first plantar ulceration. Kaplan-Meier curve was used to analyze when patients started to become nonadherent (not wearing the footwear for two straight weeks). Gender effects on adherence were also analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>26 patients with a mean observation time of 133.5 days could be analyzed. Mean wearing time of diabetic footwear was 4.2 \u00b1 3.6 h\/day (Mdn = 3.4 h\/day; interquartile range = 0.5-7.0 h\/day) and on 51% of the days patients did not wear their footwear at all. Kaplan-Meier curve revealed that the mean time of adherence was 27.5 weeks. Men achieved a mean time of adherence of 30.5 weeks, while women only achieved 14 weeks. However, due to the small sample size, this difference was not statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Temperature sensors revealed a low long-term adherence to diabetic footwear. Women seemed to be at a higher risk for earlier nonadherent behavior. Adherence to diabetic footwear should be closely monitored and tailored intervention strategies should be developed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1932296817747618","type":"journal-article","created":{"date-parts":[[2017,12,28]],"date-time":"2017-12-28T23:46:06Z","timestamp":1514504766000},"page":"695-700","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Adherence Over Time: The Course of Adherence to Customized Diabetic Insoles as Objectively Assessed by a Temperature Sensor"],"prefix":"10.1177","volume":"12","author":[{"given":"Dominic","family":"Ehrmann","sequence":"first","affiliation":[{"name":"Research Institute of the Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany"},{"name":"Department of Clinical Psychology and Psychotherapy, Otto-Friedrich-University of Bamberg, Bamberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"Spengler","sequence":"additional","affiliation":[{"name":"IETEC Foot Orthotics GmbH, K\u00fcnzell, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Jahn","sequence":"additional","affiliation":[{"name":"IETEC Foot Orthotics GmbH, K\u00fcnzell, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dea","family":"Niebuhr","sequence":"additional","affiliation":[{"name":"Fulda University of Applied Sciences, Fulda, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Haak","sequence":"additional","affiliation":[{"name":"Diabetes Clinic Mergentheim, Bad Mergentheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Kulzer","sequence":"additional","affiliation":[{"name":"Research Institute of the Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany"},{"name":"Department of Clinical Psychology and Psychotherapy, Otto-Friedrich-University of Bamberg, Bamberg, Germany"},{"name":"Diabetes Clinic Mergentheim, Bad Mergentheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"Hermanns","sequence":"additional","affiliation":[{"name":"Research Institute of the Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany"},{"name":"Department of Clinical Psychology and Psychotherapy, Otto-Friedrich-University of Bamberg, Bamberg, Germany"},{"name":"Diabetes Clinic Mergentheim, Bad Mergentheim, 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