Evidence map›Paper›PMID 18682014›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2008

Patients' perspectives on foot complications in type 2 diabetes: a qualitative study.

Lone Gale, Kavita Vedhara, Aidan Searle, Terry Kemple, Rona Campbell

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Reframing the narrative in diabetes-related foot ulcer care: A primary care perspective.Diabetic medicine : a journal of the British Diabetic Association · 2025
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  5. Development of a Motivation Communication Training to Aid Diabetes-Specialist Podiatrists With Adherence Discussions.Health education & behavior : the official publication of the Society for Public Health Education · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Lone GaleDepartment of Social Medicine, University of Bristol, Horfield Health Centre, Bristol. Lone.Gale@bristol.ac.uk
Kavita Vedhara
Aidan Searle
Terry Kemple
Rona Campbell
University of Bristol · GB

Funding

Medical Research Council G78/8331Medical Research Council MC_U145079313
6 · The paper itself

Abstract

backgroundFoot ulceration is a major health problem for people with diabetes. To minimise the risk of ulceration, patients are advised to perform preventive foot self-care.

aimTo explore beliefs about diabetic foot complications and everyday foot self-care practices among people with type 2 diabetes. DESIGN OF STUDY: Qualitative study using one-to-one interviews.

settingA suburban primary care health centre.

methodSemi-structured interviews with a purposive sample of adults with type 2 diabetes but with no experience of foot ulceration.

resultsMost participants were unsure of what a foot ulcer is and unaware of the difficulties associated with ulcer healing. Prevention of accidental damage to the skin was not considered a priority, as few participants knew that this is a common cause of foot ulceration. Although it was recognised that lower-limb amputation is more common in people with diabetes, this was perceived to be predominantly caused by poor blood supply to the feet and unrelated to foot ulceration. Therefore, preventive foot care focused on stimulating blood circulation, for example by walking barefoot. Consequently, some of the behaviours participants considered beneficial for foot health could potentially increase the risk of ulceration. In some cases the uptake of advice regarding preventive foot care was hampered because participants found it difficult to communicate with health professionals.

conclusionPatients with type 2 diabetes may have beliefs about foot complications that differ from medical evidence. Such illness beliefs may play a role in foot-related behaviours that have previously been unrecognised. Health professionals need to explore and address the beliefs underlying patients' foot self-care practices.

Indexed as

Attitude to HealthAgedAmputation, SurgicalDiabetes Mellitus, Type 2Diabetic FootFamily PracticeFemaleHumansLife StyleMaleMiddle AgedPatient Education as TopicRisk FactorsRisk Reduction BehaviorSelf Care

Identifiers

PMID18682014
PMCPMC2566520
OpenAlexW2099305439

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.