Motivational Interviewing to prevent diabetic foot ulceration
Research type
Research Study
Full title
Feasibility and piloting of motivational interviewing as a complex intervention to improve adherence behaviours for participants at risk of recurrent diabetic foot ulceration.
IRAS ID
256728
Contact name
Ruth Barn
Contact email
Sponsor organisation
Glasgow Caledonian University
Clinicaltrials.gov Identifier
L18108, Local R&D ref number for NHS Lanarkshire
Duration of Study in the UK
1 years, 7 months, 1 days
Research summary
Diabetic foot ulceration is a major complication that can lead to disability, amputation and death (J. A. Dorresteijn et al. 2014, Bus, van Netten 2016). Diabetic foot ulceration affects 15-20% of people with diabetes (J. A. Dorresteijn et al. 2014, Jeffcoate, Harding 2003). For those who have had diabetic foot ulceration, 30-40% will have a further ulceration within a year and 70% within 5 years (J. A. Dorresteijn et al. 2014).
Ulceration results from diabetes causing numb feet due to nerve damage (neuropathy), changes in foot shape and/or changes to the blood supply in the lower limbs (Bus et al. 2016). There is insufficient research that shows how to prevent ulceration for those who have diabetes related changes in the feet. Patient education remains a key preventative strategy despite strong evidence showing that education does little to prevent ulceration (Hoogeveen et al. 2015, Dorresteijn et al. 2014). There has been interest in whether approaches that focus on adherence are more effective in preventing ulceration (Bus, van Netten 2016). Adherence is defined as the extent to which a person makes changes to their behaviours and follows the advice given by a health care worker (Sabate 2013).
Motivational interviewing is a type of counselling that is effective at improving adherence. It has been used for people accessing addictions services and for people with a range of chronic conditions such as arthritis (Knight et al. 2006, Chilton et al. 2012, Morton et al. 2015). A systematic review of research has been carried out to see if any studies have tested whether motivational interviewing is effective for the prevention of diabetic foot ulceration Only one small study with twelve participants was found (Keukenkamp 2017). The review highlighted more research is needed in this area. This study therefore aims to investigate whether it is feasible to deliver motivational interviewing in clinical podiatry practice and whether motivational interviewing is effective at improving adherence to prevent diabetic foot ulceration.
REC name
Yorkshire & The Humber - Sheffield Research Ethics Committee
REC reference
19/YH/0065
Date of REC Opinion
7 Mar 2019
REC opinion
Favourable Opinion