ArticleBMJ open diabetes research & care2022
Custom-made footwear designed for indoor use increases short-term and long-term adherence in people with diabetes at high ulcer risk.
Article in BMJ open diabetes research & care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Diabetic foot prevention, assessment, and management using innovative smart wearable technology: a systematic review.Journal of neuroengineering and rehabilitation · 2025Pooled it
- One Shoe Doesn't Fit All: A Contextual Approach to Therapeutic Footwear for People at Risk of Diabetes-Related Foot Ulceration.Journal of foot and ankle research · 2026Review
- Interpretable machine learning model for predicting recurrence in patients with diabetic foot ulcers.BMJ open diabetes research & care · 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
- The efficacy of custom-made offloading devices for diabetic foot ulcer prevention: a systematic review.Diabetology & metabolic syndrome · 2024Review
- Perceptions of protective shoes and recommendations from patients with diabetic foot ulcers.Global health & medicine · 2023Article
- Article
- Differences in adherence to using removable cast walker treatment during daytime and nighttime weight-bearing activities in people with diabetes-related foot ulcers.Therapeutic advances in endocrinology and metabolism · 2023Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTo explore changes in footwear adherence following provision of custom-made indoor footwear in people with diabetes at high risk for plantar foot ulceration and in possession of regular custom-made footwear. RESEARCH DESIGN AND
methodsAdherence indoors and outdoors was assessed objectively as percentage of steps custom-made footwear was worn, at baseline (in regular custom-made footwear), and at 1 and 12 months after providing custom-made indoor footwear (in both indoor and regular footwear). Primary group: participants with low (<80%) baseline indoor adherence; secondary group: participants with high (≥80%) baseline indoor adherence. Peak plantar pressures of the indoor footwear were compared with the regular custom-made footwear. Footwear usability was evaluated at 3 months via a questionnaire. At 12 months, ulcer recurrence was assessed through participant/prescriber reporting.
resultsOf 31 participants, 23 had low baseline indoor adherence (<80%). Overall adherence in this group increased statistically significant from median 65% (IQR: 56%-72%) at baseline to 77% (60%-89%) at 1 month (p=0.002) and 87% (60%-93%) at 12 months (p<0.001). This was due to a significant increase in adherence indoors: baseline: 48% (21%-63%); 1 month: 71% (50%-83%) (p=0.001); and 12 months: 77% (40%-91%) (p<0.001). Mean peak plantar pressures were comparable between the indoor and regular custom-made footwear. Participants were positive about usability. One-year ulcer recurrence rate was 26%.
conclusionsFootwear adherence increased in the short-term and long-term after provision of custom-made indoor footwear in people at high risk of diabetic foot ulceration with low baseline adherence, because they actively wore their newly provided indoor footwear inside their house. Footwear adherence may be helped by using both regular and indoor custom-made footwear in clinical practice; the effect on ulcer recurrence should be investigated in future trials.
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