Healing through empowerment and active listening ( HEALing ): A mixed‐methods evaluation of the feasibility and acceptability of a nurse‐led self‐care support intervention for people with diabetic foot ulcers
Authors' conclusion
This pilot suggests the feasibility and acceptability of HEALing in nurse-led DFU care, with preliminary indications of psychological and clinical benefits. The findings support the potential for scalable integration of psychological support, warranting further evaluation in larger, controlled trials with extended follow-up.
Study context
- Population
- People living with DFU26 retained
- Participants
- 29 people
- Comparison
- HEALing nurse-led self-care support, baseline vs 4 weeks post intervention
- HEALingn = 29
- Outcome
- Feasibility: enrolment, retention, attendance and data completeness
Methodological detailsnurse-led
- Nurse-led
Main finding
As reported in the abstract
Feasibility
Response rate
78%
Retention
90%
N = 26
Average session duration (range 15-50 min)
32 min
Further findings
Psychological, behavioural, knowledge and clinical (HbA1c) outcomes · baseline to 4 weeks post intervention
- Statistically significant improvements, all p < 0.005
- Cohen's d = 0.8-1.1
Acceptability (qualitative)
- HEALing enhanced knowledge, emotional healing and empowerment through autonomy, fostering motivation and engagement in self-care
Original publication
Healing through empowerment and active listening ( HEALing ): A mixed‐methods evaluation of the feasibility and acceptability of a nurse‐led self‐care support intervention for people with diabetic foot ulcers. Diabet Med. Published 30 December 2025. doi:10. 1111/ dme. 70187
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