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

Vedhara, Kavita, Dawe, Karen, Wetherell, Mark A., Miles, Jeremy N.V., Cullum, Nicky, Dayan, Colin Mark ORCID: https://orcid.org/0000-0002-6557-3462, Drake, Nicola, Price, Patricia Elaine, 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. 10.1016/j.diabres.2014.07.018

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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
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences Medicine Systems Immunity Research Institute (SIURI)
Publisher:	Elsevier
ISSN:	0168-8227
Date of Acceptance:	20 July 2014
Last Modified:	27 Oct 2022 08:55
URI:	https://orca.cardiff.ac.uk/id/eprint/63816

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