A qualitative-based evaluation of the impact of participating in a social media-based foot self-management program among people with diabetes

Abstract

BackgroundThe rising prevalence of diabetes, along with continued challenges associated with diabetes self-management, including foot self-care activities critical to reducing the incidence of diabetic foot ulcers among people with diabetes (PWD), calls for an alternative approach to diabetes self-management education and support (SMES) programs. AimThis study aimed to explore PWD’s experience of participating in a social media-based foot SMES program tagged Diabetic Foot Care Group (DFCG) and their perspective on how the program changed their foot self-care practices. MethodsThis qualitative-based summative evaluation study involved content analysis of transcripts from telephone interviews about PWD’s current foot self-care practices, change process, likes/dislikes, preferences, and recommendations three months after participating in DFCG. FindingsThe participants had a positive experience in DFCG and reported improved foot self-care practices. Five themes emerged to describe how DFCG helped participants change their foot self-care practice — in-depth knowledge, perceived susceptibility, sense-making, informed decision, and self-motivation. Most participants preferred an online program like DFCG to an in-person program. Participants’ recommendations include increasing individual access to DFCG, integrating virtual group meetings, increasing participants’ engagement, framing posts more positively, and ensuring program continuity. DiscussionDFCG content and structure facilitated cognitive processes that activated PWD to discern the reality of their diabetic foot risks, take ownership of their health, and become committed to practicing the required foot self-care activities. ConclusionThe findings of this study indicate the potential of a social media-based SMES program in promoting healthy foot self-care practices among PWD.