ArticleBMJ open diabetes research & care2022
Factors associated with adherence to using removable cast walker treatment among patients with diabetes-related foot ulcers.
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 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Rehabilitation for people wearing offloading devices for diabetes-related foot ulcers: a systematic review and meta-analyses.Journal of foot and ankle research · 2023Pooled it
- Taking a Load Off: User Perceptions of Smart Offloading Walkers for Diabetic Foot Ulcers Using the Technology Acceptance Model.Sensors (Basel, Switzerland) · 2023Trial
- Development and Validation of an Algorithm to Objectively Quantify Adherence to Offloading Interventions.Journal of foot and ankle research · 2026Article
- Can a Chatbot Help Heal a Wound? Context-Aware Prompts for Boosting Adherence in Diabetic Foot Ulcers.Diabetology · 2026Article
- Development and Validation of a Nursing-Integrated Nomogram to Predict 1-Year Ulcer Recurrence in Patients with Diabetic Foot Ulcers After Endovascular Therapy.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Article
- Addressing Balance Issues in Diabetic Foot Ulcer Patients: Offloading, Mobility, and Fall Prevention.Cureus · 2025Review
- Physical activity among adults with type 2 diabetes mellitus in Jordan: a qualitative study.Therapeutic advances in endocrinology and metabolism · 2025Article
- Offloading and adherence through technological advancements: Modern approaches for better foot care in diabetes.Diabetes/metabolism research and reviews · 2024Review
- Offloading and adherence through technological advancements: Modern approaches for better foot care in diabetes.Diabetes/metabolism research and reviews · 2024Review
- Patients' Buying Behavior for Non-Reimbursed Off-Loading Devices Used in Diabetic Foot Ulcer Treatment-An Observational Study during COVID-19 Pandemic from a Romanian Physical Therapy Unit.Journal of clinical medicine · 2023Article
- Physical therapy in diabetic foot ulcer: Research progress and clinical application.International wound journal · 2023Review
- Evaluation and Management of Diabetes-related Foot Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
- Mechanical and contact characteristics of foam materials within wound dressings: Theoretical and practical considerations in treatment.International wound journal · 2023Article
- The Validity and Reliability of Self-Reported Adherence to Using Offloading Treatment in People with Diabetes-Related Foot Ulcers.Sensors (Basel, Switzerland) · 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
- Personalized Offloading Treatments for Healing Plantar Diabetic Foot Ulcers.Journal of diabetes science and technology · 2023Article
- A vicious cycle: employment challenges associated with diabetes foot ulcers in an economically marginalized Southwest US sample.Frontiers in clinical diabetes and healthcare · 2023Article
- 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
- Diabetic foot ulcers: Classification, risk factors and management.World journal of diabetes · 2022Review
- Factors Associated With Foot Self-Care in Patients With Diabetes-Related High-Risk Feet: A Cross-Sectional Design.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAdherence to using knee-high offloading treatment is critical for healing diabetes-related foot ulcers (DFUs). However, few studies have investigated patients' adherence to using knee-high offloading treatment. We aimed to investigate the levels and factors associated with adherence to using knee-high removable cast walker (RCW) treatment among patients with DFUs. RESEARCH DESIGN AND
methodsIn this multicenter cross-sectional study, we investigated adherence to using knee-high RCWs in 57 participants with DFUs. All participants were clinically examined for multiple sociodemographic, physiological, and psychosocial factors. Each participant's adherence level to using RCWs was then objectively measured using dual activity monitors (attached to the wrist and RCW) over a 1-week period. Multiple linear regression was undertaken to determine those factors independently associated with adherence levels.
resultsThe mean adherence level to using RCWs was 33.6% (SD 16.5) of weight-bearing activity. Factors independently associated with lower adherence levels were being male, longer diabetes duration, not having peripheral artery disease (PAD), and having higher perceived RCW heaviness (p≤0.05). No associations were found with psychosocial factors.
conclusionsPatients with DFUs adhered to using their RCWs on average for only a third of their prescribed weight-bearing treatment duration. Factors linked to lower RCW adherence levels were being male, longer diabetes duration, not having PAD, and perceived heavier RCWs. These findings highlight the importance of using gold standard non-removable knee-high offloading device treatment. Furthermore, these findings suggest, when gold standard devices are containdicated, that these factors be considered when prescribing the second choice RCW offloading treatment to optimise adherence. Regardless, further longitudinal studies are needed to confirm these factors.
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