Abstract

Daily foot inspection is recommended for patients with diabetes to identify signs of skin breakdown, such as inflammation, that could be precursors to diabetic foot ulceration (DFU)Purpose: The purpose of this study is to assess the utility of a commercially available infrared thermometer (CAIT) as a foot-self management tool. Methods: As part of a mixed-methods study, an RCT tested a CAIT and education intervention (n=34) vs. education alone (n=26). Participants logged their daily assessments for six months; the primary researcher conducted structured assessments at baseline, 3 months and 6 months. Qualitative interviews were then conducted (n=9) to help explain the RCT findings. Results: The usability of the thermometer was categorized into benefits, challenges, and reasons to continue use. The benefits were increased frequency of assessments, reduced callusing, and facilitation of a discussion with health-care providers (HCPs). Conclusions: Findings suggest that a CAIT is a low-cost tool that could support foot self-management for people with diabetes.

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