The association between foot-care self efficacy beliefs and actual foot-care behaviour in people with peripheral neuropathy: a cross-sectional study

Background People with diabetes and peripheral neuropathy often do not implement the foot-care behavioural strategies that are suggested by many health professionals. The concept of self-efficacy has been shown to be an effective predictor of behaviour in many areas of health. This study investigate...

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Published in:Journal of foot and ankle research Vol. 2; no. 1; pp. 3 - n/a
Main Authors: Perrin, Byron M, Swerissen, Hal, Payne, Craig
Format: Journal Article
Language:English
Published: London BioMed Central 03.02.2009
BioMed Central Ltd
Wiley
Subjects:
Care and treatment
Complications and side effects
Damage Behaviour
Efficacy Belief
Foot
Medicine
Medicine & Public Health
Orthopedics
Peripheral Neuropathy
Polyneuropathies
Preventative Behaviour
Rehabilitation
Risk factors
Social Cognitive Theory
Ulcers
Australia
Social Cognitive Theory
Preventative Behaviour
Peripheral Neuropathy
Damage Behaviour
Efficacy Belief
ISSN:1757-1146, 1757-1146
Online Access:Get full text
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Summary:Background People with diabetes and peripheral neuropathy often do not implement the foot-care behavioural strategies that are suggested by many health professionals. The concept of self-efficacy has been shown to be an effective predictor of behaviour in many areas of health. This study investigated the relationships between foot-care self-efficacy beliefs, self-reported foot-care behaviour and history of diabetes-related foot pathology in people with diabetes and loss of protective sensation in their feet. Methods Ninety-six participants were included in this cross-sectional study undertaken in a regional city of Australia. All participants had diabetes and clinically diagnosed loss of protective sensation in their feet. The participants completed a self-report pen-paper questionnaire regarding foot-care self efficacy beliefs (the "Foot Care Confidence Scale") and two aspects of actual foot-care behaviour-preventative behaviour and potentially damaging behaviour. Pearson correlation coefficients were then calculated to determine the association between foot-care self-efficacy beliefs and actual reported foot-care behaviour. Multiple analysis of variance was undertaken to compare mean self-efficacy and behaviour subscale scores for those with a history of foot pathology, and those that did not. Results A small positive correlation (r = 0.2, p = 0.05) was found between self-efficacy beliefs and preventative behaviour. There was no association between self-efficacy beliefs and potentially damaging behaviour. There was no difference in self-efficacy beliefs in people that had a history of foot pathology compared to those that did not. Conclusion There is little association between foot-care self-efficacy beliefs and actual foot-care behaviour. The usefulness of measuring foot-care self-efficacy beliefs to assess actual self foot-care behaviour using currently available instruments is limited in people with diabetes and loss of protective sensation.
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contains supplementary material, which is available to authorized users.
10.1186/1757‐1146‐2‐3
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ISSN:1757-1146
1757-1146
DOI:10.1186/1757-1146-2-3