Instruments for measuring diabetic foot self-care behavior: a systematic review of measurement properties
Authors' conclusion
Despite generally adequate psychometric properties, the evidence is limited by small and variable sample sizes, lack of longitudinal data, incomplete cross-cultural representation, and potential publication bias. Overall, the DFSQ demonstrated the most robust psychometric properties and recommended as a reliable and valid tool for assessing diabetic foot self-care behaviors in both research and clinical practice.
Study context
- Population
- Adults (≥18 years) with diabetes able to independently perform daily foot care; instruments assessing self-reported foot care practices16 studies
- Outcome
- Psychometric properties of PROMs assessing diabetic foot self-care behaviors
Methodological detailsCOSMIN checklist, modified GRADE approach, Search of PubMed, EMBASE, CINAHL and Cochrane up to February 2024
- COSMIN checklist
- Modified GRADE approach
- Search of PubMed, EMBASE, CINAHL and Cochrane up to February 2024
Pooled result
As reported in the abstract
Measurement properties of self-report instruments
Self-report instruments identified
7
Original publication
Instruments for measuring diabetic foot self-care behavior: a systematic review of measurement properties. Diabetes Res Clin Pract. Published 22 October 2025. doi:10.
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