Illness beliefs predict self-care behaviours in patients with diabetic foot ulcers: A prospective study

Vedhara, Kavita, Dawe, Karen, Wetherell, Mark, Miles, Jeremy, Cullum, Nicky, Dayan, Colin, Drake, Nikki, Price, Patricia, Tarlton, John, Weinman, John, Day, Andrew and Campbell, Rona (2014) Illness beliefs predict self-care behaviours in patients with diabetic foot ulcers: A prospective study. Diabetes Research and Clinical Practice, 106 (1). pp. 67-72. ISSN 0168-8227

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Official URL: http://dx.doi.org/10.1016/j.diabres.2014.07.018

Abstract

Aims

Patients’ illness beliefs are known to be influential determinants of self-care behaviours in many chronic conditions. In a prospective observational study we examined their role in predicting foot self-care behaviours in patients with diabetic foot ulcers.

Methods

Patients (n = 169) were recruited from outpatient podiatry clinics. Clinical and demographic factors, illness beliefs and foot self-care behaviours were assessed as baseline (week 0). Foot self-care behaviours were assessed again 6, 12 and 24 weeks later. Linear regressions examined the contribution of beliefs at baseline to subsequent foot self-care behaviours, controlling for past behaviour (i.e., foot self-care at baseline) and clinical and demographic factors that may affect foot self-care (i.e., age and ulcer size).

Results

Our models accounted for between 42 and 58% of the variance in foot self-care behaviours. Even after controlling for past foot-care behaviours, age and ulcer size; patients’ beliefs regarding the symptoms associated with ulceration, their understanding of ulceration and their perceived personal control over ulceration emerged as independent determinants of foot self-care.

Conclusions

Patients’ beliefs are important determinants of foot-care practices. They may, therefore, also be influential in determining ulcer outcomes. Interventions aimed at modifying illness beliefs may offer a means for promoting self-care and improving ulcer outcomes.

Item Type: Article
Uncontrolled Keywords: Diabetic foot ulcers; Illness beliefs; Self-care behaviours; Self-management
Subjects: A900 Others in Medicine and Dentistry
C800 Psychology
Department: Faculties > Health and Life Sciences > School of Life Sciences > Psychology
Depositing User: Paul Burns
Date Deposited: 23 Oct 2014 09:59
Last Modified: 03 Nov 2016 12:42
URI: http://nrl.northumbria.ac.uk/id/eprint/17779

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