The effectiveness of motivational interviewing on adherence to wearing orthopedic shoes in people with diabetes at low-to-high risk of foot ulceration: A multicenter cluster-randomized controlled trial
Authors' conclusion
One podiatrist-led MI-consultation in its current form did not result in higher adherence to wearing orthopedic shoes in people with diabetes 3 and 6 months after inclusion.
Study context
- Population
- People with diabetes with loss of protective sensation and/or peripheral artery disease, at low-to-high risk of foot ulceration, with orthopedic shoes prescription
- Participants
- 53 vs 68
- Comparison
- Podiatrist-led motivational interviewing vs usual care
- Motivational interviewing (MI)n = 53
- Usual caren = 68reference
- Primary endpoint
- Adherence to wearing orthopedic shoes: % of steps taken while wearing them (insole temperature microsensor and wrist-worn activity tracker, one week)
- Follow-up
- 3 and 6 months
Methodological detailsmulticenter, cluster-randomized
- Multicenter
- Cluster-randomized
Primary result
As reported in the abstract
≥80% adherent to wearing orthopedic shoes · 3 months
P = 0.044
Further findings
- ≥80% adherent to wearing orthopedic shoes · 6 months — Control group vs MI-intervention group, ≥80% adherent at 6 months · not significantly different
- 22.1 % vs 13.2 % · P = 0.210
- Average adherence (% of steps wearing orthopedic shoes) · 3 months — Average adherence higher in control group than intervention group at 3 months · higher in control group
- 60.9 % vs 50.9 % · P = 0.029
- Average adherence (% of steps wearing orthopedic shoes) · 6 months — Average adherence higher in control group than intervention group at 6 months · higher in control group
- 59.9 % vs 49.5 % · P = 0.025
Original publication
The effectiveness of motivational interviewing on adherence to wearing orthopedic shoes in people with diabetes at low-to-high risk of foot ulceration: A multicenter cluster-randomized controlled trial. Diabetes Res Clin Pract. Published 12 September 2023. doi:10.
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