Orthotic Treatment of Diabetic Foot Ulcers: Patient Adherence to Prescribed Wear and Effectiveness of Treatment

糖尿病足溃疡的矫形器治疗：患者遵守规定的佩戴方式和治疗效果

• 批准号: 10609024
• 负责人: Muturi G Muriuki
• 金额: --
• 依托单位: EDWARD HINES JR VA HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10609024
• 关键词: Address; Adherence; Adult; Affect; Age; Aging; Blood Glucose; Caring; Clinic Visits; Clinical; Clinical Data; Collaborations; Complication; Complications of Diabetes Mellitus; Computers; Consensus; Control Groups; Counseling; Data; Development; Diabetes Mellitus; Diabetic Foot Ulcer; Disease; Diurnal Rhythm; Education; Educational Materials; Foot Ulcer; Fostering; Goals; Health; Health Care Costs; Health Expenditures; Healthcare; Healthcare Systems; Holidays; Home; Hospitals; Intervention; Knowledge; Link; Location; Measures; Medical; Medical Records; Mental Depression; Mental Health; Methods; Obesity; Orthotic Devices; Outcome; Patient Care; Patient Education; Patient Participation; Patient-Focused Outcomes; Patients; Pattern; Peripheral arterial disease; Play; Podiatry; Post-Traumatic Stress Disorders; Predisposition; Prevalence; Prevention; Provider; Quality of life; Randomized, Controlled Trials; Recommendation; Recovery; Regimen; Research; Resources; Role; Schedule; Services; Techniques; Testing; Therapeutic; Time; Treatment Cost; Treatment Effectiveness; Ulcer; United States Department of Veterans Affairs; Variant; Veterans; Visit; Walking; Work; base; behavior change; comorbidity; compliance behavior; cost; diabetic patient; effectiveness measure; expectation; foot; global health; group intervention; healing; high risk; improved; improved outcome; indexing; military veteran; mortality risk; motivational enhancement therapy; patient oriented; standard of care; treatment as usual; walker; wound

Patients who present to Podiatry with a diabetic foot ulcer are prescribed orthoses to offload and protect the foot from further damage. However, the available anecdotal and scholarly data suggests that patients do not wear orthoses as prescribed. There are often negative health consequences when these orthoses are not worn and added costs to the healthcare system associated with the negative health outcomes. The goal of this work is to encourage the use of orthoses by diabetic foot ulcer patients. The diabetic foot ulcer patient’s participating in this study will have their orthosis wear-time measured between clinic visits. The use of the orthosis will be encouraged in one group using education and motivational interviewing. Measured wear time will also be discussed with this group of patients. The second group of patients will not be actively encouraged to wear the orthosis. Routine clinical data will be collected in tandem with wear-time data in both groups. These data will be used to objectively determine how often patients wear their orthosis, whether active intervention can modulate orthosis wear time, and provide an objective measure of the effectiveness of orthosis use. The goal of the study is to improve outcomes for Veterans treated in the VA for diabetic foot ulcers, reduce complication rates from non-use of orthoses and to, thereby, reduce healthcare costs.

患有糖尿病足溃疡的足病患者被处方矫形器以减轻和保护足部。 脚的进一步伤害。然而，现有的轶事和学术数据表明，患者不穿 按规定进行矫正。当这些矫形器不佩戴时，通常会产生负面的健康后果， 增加了与负面健康结果相关的医疗保健系统的成本。 这项工作的目的是鼓励糖尿病足溃疡患者使用矫形器。糖尿病足溃疡 参与本研究的患者将在门诊访视之间测量其矫形器佩戴时间。使用 在一个小组中，将使用教育和动机访谈来鼓励矫形器。实测磨损时间 我们也将与这组患者进行讨论。第二组患者不会被积极鼓励， 戴上矫形器两组的常规临床数据将与佩戴时间数据同时收集。 这些数据将用于客观地确定患者佩戴矫形器的频率， 干预可以调节矫形器的佩戴时间，并为矫形器的有效性提供客观的测量方法 使用.该研究的目标是改善退伍军人在VA治疗糖尿病足溃疡的结果， 减少不使用矫形器的并发症发生率，从而降低医疗保健成本。