Observational studyJournal of diabetes science and technology2018
Adherence Over Time: The Course of Adherence to Customized Diabetic Insoles as Objectively Assessed by a Temperature Sensor.
Observational study in Journal of diabetes science and technology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Ankle-foot orthoses for improving walking in adults with calf muscle weakness due to neuromuscular disorders.The Cochrane database of systematic reviews · 2025Pooled it
- Objective Methods of Monitoring Usage of Orthotic Devices for the Extremities: A Systematic Review.Sensors (Basel, Switzerland) · 2023Pooled it
- Pooled it
- Usability Evaluation and Perceived Performance of the MoonWalkingSensors (Basel, Switzerland) · 2026Article
- Adherence and Radiological Outcomes in Braced Adolescents with Idiopathic Scoliosis: A Real-World Study Using Thermal Sensors.Journal of clinical medicine · 2025Article
- Short-Term Efficacy of a Multi-Modal Intervention Program to Improve Custom-Made Footwear Use in People at High Risk of Diabetes-Related Foot Ulceration.Journal of clinical medicine · 2025Article
- Development of a research agenda for medical grade footwear in the Netherlands: A multidisciplinary multiphase project to determine the key research questions to advance scientific knowledge in the field.Journal of foot and ankle research · 2024Article
- Adherence to wearing prescribed footwear in people at risk of diabetes-related foot ulcers.Journal of foot and ankle research · 2024Article
- Objectively assessed long-term wearing patterns and predictors of wearing orthopaedic footwear in people with diabetes at moderate-to-high risk of foot ulceration: a 12 months observational study.Journal of foot and ankle research · 2023Observational
- A Scoping Review of Footwear Worn by People With Diabetes in Low- and Middle-Income Countries: Implications for Ulcer Prevention Programs.Global health, science and practice · 2023Article
- Adherence and Wearing Time of Prescribed Footwear among People at Risk of Diabetes-Related Foot Ulcers: Which Measure to Use?Sensors (Basel, Switzerland) · 2023Article
- Data-driven digital health technologies in the remote clinical care of diabetic foot ulcers: a scoping review.Frontiers in clinical diabetes and healthcare · 2023Article
- Factors associated with changes in plantar pressure of people with peripheral diabetic neuropathy.Journal of diabetes and metabolic disorders · 2022Article
- Accurate Estimation of Upper Limb Orthosis Wear Time Using Miniature Temperature Loggers.Journal of rehabilitation medicine · 2022Observational
- The Potential Role of Sensors, Wearables and Telehealth in the Remote Management of Diabetes-Related Foot Disease.Sensors (Basel, Switzerland) · 2020Review
- Predictors of adherence to wearing therapeutic footwear among people with diabetes.Journal of foot and ankle research · 2020Article
- Factors influencing Australian podiatrists' behavioural intentions to adopt a smart insole into clinical practice: a mixed methods study.Journal of foot and ankle research · 2020Article
- Methodological considerations of investigating adherence to using offloading devices among people with diabetes.Patient preference and adherence · 2018Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTemperature sensors are an objective way to assess adherence to diabetic footwear. Good adherence is essential for the prevention of diabetic foot problems. Little is known about the long-term course of adherence in patients at risk for diabetic foot problems.
methodA temperature sensor was incorporated into the specialized footwear of patients with type 2 diabetes after their first plantar ulceration. Kaplan-Meier curve was used to analyze when patients started to become nonadherent (not wearing the footwear for two straight weeks). Gender effects on adherence were also analyzed.
results26 patients with a mean observation time of 133.5 days could be analyzed. Mean wearing time of diabetic footwear was 4.2 ± 3.6 h/day (Mdn = 3.4 h/day; interquartile range = 0.5-7.0 h/day) and on 51% of the days patients did not wear their footwear at all. Kaplan-Meier curve revealed that the mean time of adherence was 27.5 weeks. Men achieved a mean time of adherence of 30.5 weeks, while women only achieved 14 weeks. However, due to the small sample size, this difference was not statistically significant.
conclusionsTemperature sensors revealed a low long-term adherence to diabetic footwear. Women seemed to be at a higher risk for earlier nonadherent behavior. Adherence to diabetic footwear should be closely monitored and tailored intervention strategies should be developed.
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