{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T12:56:40Z","timestamp":1778936200555,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:00:00Z","timestamp":1657843200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1117061"],"award-info":[{"award-number":["1117061"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100016058","name":"Townsville Hospital and Health Service","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016058","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001792","name":"James Cook University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001792","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this study was to explore the perceptions of health professionals regarding the ideal design of a remotely delivered diabetes-related foot disease (DFD) secondary prevention program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A qualitative study involving 33 semistructured phone interviews was conducted with health professionals with experience managing DFD. Interviews discussed the role of health professionals in managing DFD, their experience in using telehealth, perceived management priorities, preferences for a secondary prevention management program, and perceived barriers and facilitators for such a program. Interviews were audio-recorded and transcribed, and inductive thematic analysis was used to derive key themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Three themes were derived: (1) barriers in current model of DFD care, (2) facilitators and ideas for a remotely delivered secondary prevention program, and (3) potential challenges in implementation. DFD care remains acute-care focused, with variability in access to care and a lack of \u201cclinical ownership.\u201d Patients were perceived as often having poor knowledge and competing priorities, meaning engagement in self-care remains poor. Participants felt a remote secondary prevention program should be simple to follow and individualized to patients\u2019 context, with embedded support from a case manager and local multidisciplinary service providers. Challenges to implementation included limited DFD awareness, poor patient motivation, patient-related issues with accessing and using technology, and the inability to accurately assess and treat the foot over telehealth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Health professionals felt that an ideal remotely delivered secondary prevention program should be tailored to patients\u2019 needs with embedded support from a case manager and complemented with multidisciplinary collaboration with local service providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350106221112115","type":"journal-article","created":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T05:19:52Z","timestamp":1657862392000},"page":"349-361","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Health Professionals\u2019 Opinions About Secondary Prevention of Diabetes-Related Foot Disease"],"prefix":"10.1177","volume":"48","author":[{"given":"Aaron","family":"Drovandi","sequence":"first","affiliation":[{"name":"Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia"},{"name":"Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonard","family":"Seng","sequence":"additional","affiliation":[{"name":"Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Crowley","sequence":"additional","affiliation":[{"name":"Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malindu E.","family":"Fernando","sequence":"additional","affiliation":[{"name":"Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia"},{"name":"Ulcer and wound Healing consortium (UHEAL), Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD, Australia"},{"name":"Faculty of Health and Medicine, School of Health Sciences, University of Newcastle, Newcastle, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5779-8848","authenticated-orcid":false,"given":"Rebecca","family":"Evans","sequence":"additional","affiliation":[{"name":"James Cook University, Townsville, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Golledge","sequence":"additional","affiliation":[{"name":"Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia"},{"name":"Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD, Australia"},{"name":"Ulcer and wound Healing consortium (UHEAL), Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, QLD, Australia"},{"name":"Department of Vascular and Endovascular Surgery, Townsville University Hospital, Townsville, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,7,15]]},"reference":[{"key":"bibr1-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12683"},{"key":"bibr2-26350106221112115","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.01198"},{"key":"bibr3-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"bibr4-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1177\/1534734612438729"},{"key":"bibr5-26350106221112115","doi-asserted-by":"publisher","DOI":"10.2337\/dc17-1836"},{"key":"bibr6-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1097\/MOL.0000000000000638"},{"key":"bibr7-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14323"},{"key":"bibr8-26350106221112115","unstructured":"Australian Institute of Health and Welfare. Rural & remote health. Australian Institute of Health and Welfare; 2019. Updated October 22, 2019. Accessed January 7, 2022. https:\/\/www.aihw.gov.au\/reports\/rural-remote-australians\/rural-remote-health\/contents\/summary"},{"key":"bibr9-26350106221112115","doi-asserted-by":"publisher","DOI":"10.3390\/s20164527"},{"key":"bibr10-26350106221112115","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.848695"},{"key":"bibr11-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.08.244"},{"key":"bibr12-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"bibr13-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-017-0574-8"},{"key":"bibr14-26350106221112115","unstructured":"Australian Government Department of Health. Modified Monash model. July 2019. Accessed January 7, 2022. https:\/\/www.health.gov.au\/resources\/publications\/modified-monash-model-mmm-suburb-and-locality-classification-home-care-subsidy"},{"key":"bibr15-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2738"},{"key":"bibr16-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1177\/15347346221099798"},{"key":"bibr17-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr18-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"bibr19-26350106221112115","volume-title":"Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory","author":"Corbin J","year":"2014"},{"key":"bibr20-26350106221112115","author":"World Health Organization","year":"2003","journal-title":"Adherence to Long-Term Therapies: Evidence for Action"},{"key":"bibr21-26350106221112115","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-0553"},{"key":"bibr22-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1111\/j.1368-5031.2006.00899.x"},{"key":"bibr23-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3270"},{"key":"bibr24-26350106221112115","author":"The National Association of Diabetes Centres and The Australian Diabetes Society","year":"2018","journal-title":"NADC Collaborative Interdisciplinary Diabetes High Risk Foot Services (HRFS) Standards"},{"key":"bibr25-26350106221112115","author":"Short-Life Working Group","year":"2019","journal-title":"Capability Framework for Integrated Diabetic Lower Limb Care: A User\u2019s Guide"},{"issue":"4","key":"bibr26-26350106221112115","first-page":"34","volume":"22","author":"Wylie D","year":"2019","journal-title":"Diabetic Foot J"},{"key":"bibr27-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcte.2017.03.003"},{"key":"bibr28-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2009.12.026"},{"key":"bibr29-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1867"},{"key":"bibr30-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1089\/pop.2015.0097"},{"key":"bibr31-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1071\/PY20235"},{"key":"bibr32-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1177\/19322968211012456"},{"key":"bibr33-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1071\/AH09794"},{"key":"bibr34-26350106221112115","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2016.1231932"}],"container-title":["The Science of Diabetes Self-Management and Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350106221112115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26350106221112115","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350106221112115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:14:32Z","timestamp":1777598072000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26350106221112115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,15]]},"references-count":34,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1177\/26350106221112115"],"URL":"https:\/\/doi.org\/10.1177\/26350106221112115","relation":{},"ISSN":["2635-0106","2635-0114"],"issn-type":[{"value":"2635-0106","type":"print"},{"value":"2635-0114","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,15]]}}}