Step Up: An Evaluation of Question-Behavior Effects in Diabetes Footcare in Middle-Aged and Older Adults Article Swipe
Anna C. Robertson
,
Katherine A. Johanson
,
Allison Walden
,
Rebecca Ingram
,
Lauren M. Schneider
,
Leilani Feliciano
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1093/geroni/igaa057.1468
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1093/geroni/igaa057.1468
Type 2 diabetes mellitus (T2DM) is a major public health concern requiring engagement with specific self-care activities for improvement. Due to the increased risk for neuropathy, foot ulcers, and infections, engagement with certain footcare practices (e.g., inspecting feet and inside shoes, washing and drying between toes) is an important part of overall diabetes self-care. However, interventions targeting blood glucose monitoring, medication management, nutrition, and/or physical activity often precede footcare interventions. Question-Behavior Effects (QBEs), which describe the effects of behavior questioning on future engagement in that behavior, provide a unique framework for studying diabetes self-care. Although clinicians may not administer footcare interventions for people with T2DM, footcare behaviors are often still assessed (e.g., through questionnaires) in session and, consistent with QBEs, may improve through the repetition of questioning. The present study evaluated footcare QBEs (specifically, the number of days of foot inspection and cleaning in the past week) across 7 sessions of an at-home diabetes management program without intentional footcare intervention. Paired-samples t-tests (N = 78, ages 40-88 years) revealed significant improvements in the number of days of foot inspection and cleaning from intake to session 1 and intake to session 5. However, from intake to session 7, only significant improvements in foot inspection were detected. These findings reflect the potency of footcare QBEs in the absence of specific footcare interventions. They also reveal differential engagement in foot inspection and cleaning after an extended period of questioning, suggesting certain diabetes self-care behaviors may taper without the intentional introduction of intervention.
Related Topics
Concepts
Psychological intervention
Medicine
Diabetes mellitus
Foot (prosody)
Intervention (counseling)
Session (web analytics)
Diabetic foot
Physical therapy
Health care
Diabetes management
Gerontology
Type 2 diabetes
Nursing
Endocrinology
Philosophy
Economics
Linguistics
Computer science
Economic growth
World Wide Web
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/geroni/igaa057.1468
- https://academic.oup.com/innovateage/article-pdf/4/Supplement_1/453/34918059/igaa057.1468.pdf
- OA Status
- gold
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3114942924
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3114942924Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/geroni/igaa057.1468Digital Object Identifier
- Title
-
Step Up: An Evaluation of Question-Behavior Effects in Diabetes Footcare in Middle-Aged and Older AdultsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-12-01Full publication date if available
- Authors
-
Anna C. Robertson, Katherine A. Johanson, Allison Walden, Rebecca Ingram, Lauren M. Schneider, Leilani FelicianoList of authors in order
- Landing page
-
https://doi.org/10.1093/geroni/igaa057.1468Publisher landing page
- PDF URL
-
https://academic.oup.com/innovateage/article-pdf/4/Supplement_1/453/34918059/igaa057.1468.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/innovateage/article-pdf/4/Supplement_1/453/34918059/igaa057.1468.pdfDirect OA link when available
- Concepts
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Psychological intervention, Medicine, Diabetes mellitus, Foot (prosody), Intervention (counseling), Session (web analytics), Diabetic foot, Physical therapy, Health care, Diabetes management, Gerontology, Type 2 diabetes, Nursing, Endocrinology, Philosophy, Economics, Linguistics, Computer science, Economic growth, World Wide WebTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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