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Title: Understanding perceptions of foot health in diabetes
Author: Anders, Judith
Awarding Body: Lancaster University
Current Institution: Lancaster University
Date of Award: 2013
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Having spent several years working as part of a multi-disciplinary team treating people with diabetes who had severe foot problems and, subsequently, in a more peripheral role establishing a strategy to implement a preventative diabetic foot health awareness programme, it became apparent that there was a gap in the literature with regard to individual perspectives, understanding and lay knowledge of . diabetes and foot health. Whist the development, complications, economic burden and treatment of diabetes has been well researched, the effect of diabetes on patients' lives and patients' perceptions of their illness are areas of research that are still in their infancy (Williams and Airey, 2000). This is particularly the case for those who are classified as currently being at low risk of ulceration: they are almost invisible in the current body of literature on foot care and prevention of complications. This gap is the impetus behind this qualitative study that explores the accounts and perspectives that people with diabetes (and low risk of developing ulcers) hold with regard to their foot health. The research, based on 23 semi-structured interviews, investigates the factors which affect an individual's capacity to act with regard to foot health and foot self-care. It reveals that people negotiate and shape their diabetes self management priorities through their experiences of the health care system, interactions with healthcare professionals, and their concerns about living with diabetes on a day-to-day basis. These experiences, in turn , influence their attitudes towards foot health and foot self-care. A better understanding of individual needs and expectations of foot health advice and care is required in order to enhance the available provision, education and guidance in this field. A truly collaborative approach between healthcare professionals and people with diabetes is required if foot health outcomes and preventative foot care practices are to be improved
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available