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The aim of this study is to determine the effect of Social Cognitive Learning Theory-based education on patient participation, self-efficacy and wound healing in individuals with diabetic foot ulcers. The research was conducted with 52 patients (25 intervention and 27 control) with Wagner 2 diabetic foot ulcers at Gülhane Training and Research Hospital between January and September 2024.
The study was conducted in four stages: first application to the clinic, 1st month, 2nd month and 3rd month. While the Social Cognitive Learning Theory was applied to the intervention group, only the currrent clinical education was provided to the control group. The research data were collected using the "Data Collection Form Regarding Participants' Identifying Characteristics", "Diabetic Foot Information Form", "Metabolic Status and Wound Follow-up Form", "Patient Participation Scale" and "Diabetic Foot Care Self-Efficacy Scale". The results of this study show that education based on Social Cognitive Learning Theory is effective on patient participation, self-efficacy and wound healing in individuals with diabetic foot ulcers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The intervention group | Active Comparator | The intervention group received training based on Social Cognitive Learning Theory |
|
| The control group | No Intervention | The control group received routine clinical training (is in the form of verbal information) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The intervention group received training based on Social Cognitive Learning Theory. | Behavioral | One of the theories that provides a conceptual framework for the learning and behavior change process is Social Cognitive Learning Theory. Verbal information is commonly provided in the education of individuals with diabetic foot ulcers. The difference of this study from other studies is that an educational booklet, an educational video and a demonstration method with a diabetic foot model are used during the education within the scope of theory-based education. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in ulcer size | The result obtained by multiplying the length and width measurements of the ulcer with each other expresses the ulcer size in cm2. | From enrollment to the end of treatment at 3 months |
| Change in patient participation | It was assessed with the Patient Health Engagement Scale (PHE-s). The PHE-s was developed based on a 4-stage model of patient. Items of the PHE-s: blackout, arousal, adhesion and eudaimonic project. Patients were asked to respond by positioning themselves between one and seven points in relation to their experience. | From enrollment to the end of treatment at 3 months |
| Change in self-efficacy | "Participants achieved a response if they scored a self efficacy status of 0 or 10 on a scale ranging from 0 (worst outcome) to 90 (best outcome)." | From enrollment to the end of treatment at 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Fadime Koyuncu, 2 | University of Health Sciences Gulhane Faculty of Nursing | Study Chair |
| Kerim Bora YILMAZ, 3 | Gulhane Training and Research Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Health Sciences Gulhane Faculty of Nursing | Ankara | 06010 | Turkey (Türkiye) |
all collected IPD
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|
| ID | Term |
|---|---|
| D017719 | Diabetic Foot |
| D010358 | Patient Participation |
| ID | Term |
|---|---|
| D003925 | Diabetic Angiopathies |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016523 | Foot Ulcer |
| D007871 | Leg Ulcer |
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D048909 | Diabetes Complications |
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |
| D003929 | Diabetic Neuropathies |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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