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The primary aim of this study is to evaluate the feasibility of virtual simulation-based diabetes foot care education on foot care knowledge and practice/behaviour.
Research Questions
The primary question for this study is:
• Is virtual simulation-based diabetes foot care education a practical and acceptable intervention among patients with diabetes in Ethiopia?
The secondary questions are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Virtual Simulation-Based Arm | Experimental | Access virtual simulation-based diabetes foot care education once for 30 minutes plus the standard care. |
|
| Standard Care Arm | No Intervention | Participants will continue utilizing the usual follow-up diabetes care which occurs every month. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diabetes Foot Care Education (DFCE) | Behavioral | Virtual simulation-based DFCE sessions on seven topics (the reasons for inspecting one's feet, risk factors and prevention strategies of diabetic foot ulcer, how to wash and moisturize feet, comfortable sock and shoe choices, what to look for, and what to do during feet inspection, how to trim fingernails, and how to maintain foot health) at University of Gondar computer lab for 30 minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| The number of participants who accepted the virtual simulation-based foot care education. | Number of participants who scored 70 and above for the virtual simulation-based foot care education acceptance questionnaire. | One week after the commencement of intervention. |
| The number of participants who believed in the practicality of the virtual simulation-based foot care education. | Number of participants who scored 70 and above for the virtual simulation-based foot care education practicality questionnaire. | One week after the commencement of intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| The participants' level of foot self-care knowledge. | Mean change from the baseline in foot self-care knowledge of participants one week after the commencement of the intervention. Diabetes foot self-care knowledge will be assessed with the Foot Care Knowledge (FCK) questionnaire. The Foot Care Knowledge questions evaluate the respondent's foot care knowledge. The maximum possible knowledge score will be 11 and can range from 1 to 11. A higher score means a better foot self-care knowledge. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fisseha Zewdu Amdie, Msc. | Contact | 251-918-046567 | 18fza@queensu.ca | |
| Kevin Woo, Ph.D. | Contact | 1 613-533-6000 | 74747 | kevin.woo@queensu.ca |
| Name | Affiliation | Role |
|---|---|---|
| Fisseha Zewdu Amdie, Msc. | School of Nursing, Queen's University | Principal Investigator |
| Kevin Woo, Ph.D. | School of Nursing, Queen's University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Gondar Referral Hospital | Recruiting | Gonder | Amhara | 196 | Ethiopia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33294694 | Background | Abate TW, Enyew A, Gebrie F, Bayuh H. Nurses' knowledge and attitude towards diabetes foot care in Bahir Dar, North West Ethiopia. Heliyon. 2020 Nov 23;6(11):e05552. doi: 10.1016/j.heliyon.2020.e05552. eCollection 2020 Nov. | |
| 30231456 | Background | Aklilu T, Hiko D, Mohammed MA, Dekema NH. Diabetic Patients' Knowledge of Their Disease, Therapeutic Goals, and Self-management: Association With Goal Attainment at Dessie Referral Hospital, Ethiopia. Ther Innov Regul Sci. 2014 Sep;48(5):583-591. doi: 10.1177/2168479014524960. |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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Access to virtual simulation-based diabetes foot care education for once for 30 minutes.
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Data collectors will not be informed about participants' group allocation.
|
| Baseline and week one. |
| The participants' level of foot self-care behavior. | Mean change from the baseline in foot self-care behavior of participants one week after the commencement of the intervention. Diabetes Foot Care Behavior will be assessed with the 15-item Foot Self-Care Behavior Scale (FSCBS). The Foot Self-Care Behavior Scale is a brief self-report questionnaire that measures foot care behavior. Patients will be asked to choose the most suitable response; never (1), rarely (2), sometimes (3), often (4), and always (5) to each question. The score ranged from 15-75 and a higher score indicates a better foot self-care behavior. | Baseline and week one. |
| The participants' level of foot self-care efficacy to perform recommended diabetic foot self-care activities. | Mean change from the baseline in foot self-care efficacy of participants one week after the commencement of the intervention. This will be measured with Foot Care Confidence Scale (FCCS). The tool consists of 12 items on a 5-point Likert scale strongly not confident (1), not confident (2), moderately confident (3), confident (4), and strongly confident (5). The score ranged from 12 - 60; a higher score indicates a higher level of diabetes foot self-care efficacy. | Baseline and week one. |
| Marian Luctkar-Flude, Ph.D. |
| School of Nursing, Queen's University |
| Study Director |
| Erna Snelgrove-Clarke, Ph.D. | School of Nursing, Queen's University | Study Director |
| Mona Sawhney, Ph.D. | School of Nursing, Queen's University | Study Director |
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| 35386589 | Derived | Amdie FZ, Luctkar-Flude M, Snelgrove-Clarke E, Sawhney M, Alemu S, Woo K. Feasibility of Virtual Simulation-Based Diabetes Foot Care Education in Patients with Diabetes in Ethiopia: Protocol for a Randomized Controlled Trial. Diabetes Metab Syndr Obes. 2022 Mar 31;15:995-1009. doi: 10.2147/DMSO.S345722. eCollection 2022. |