Nonvisual Foot Examination for People With Diabetes and Visual Impairment

NCT ID: NCT02102958

Last Updated: 2023-11-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

57 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2013-12-31

Brief Summary

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Because people who have both diabetes and visual impairment have high risk for foot problems, prevention of ulcers and amputation is a high priority. Usual care in diabetes self-management education (DSME) is to teach them to seek sighted assistance for regular foot examination, yet clinical experience suggests that this advice is seldom heeded. One possible solution is to teach use of the nonvisual senses of touch and smell for a systematic, thorough foot self-examination. The purpose of this pilot study was to compare the efficacy, acceptability, and feasibility of nonvisual foot examination with usual care (examination of the visually impaired person's feet by a sighted family member or friend).

Detailed Description

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Conditions

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Diabetes Visual Impairment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Experimental

DSME with Nonvisual Foot Examination

Group Type EXPERIMENTAL

DSME with Nonvisual Foot Examination

Intervention Type BEHAVIORAL

Diabetes Self-Management Education (DSME) with Nonvisual Foot Examination included comprehensive DSME taught by Certified Diabetes Educators that included instruction in nonvisual self-examination of feet using the senses of touch and smell.

Comparison

DSME with Usual Foot Examination Instruction

Group Type ACTIVE_COMPARATOR

DSME with Usual Foot Examination Instruction

Intervention Type BEHAVIORAL

DSME with usual foot examination instruction was comprehensive diabetes self management education taught by Certified Diabetes Educators that included usual care instructions for examination for feet at home by visually impaired persons, i.e., to have a sighted person check the feet regularly.

Interventions

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DSME with Nonvisual Foot Examination

Diabetes Self-Management Education (DSME) with Nonvisual Foot Examination included comprehensive DSME taught by Certified Diabetes Educators that included instruction in nonvisual self-examination of feet using the senses of touch and smell.

Intervention Type BEHAVIORAL

DSME with Usual Foot Examination Instruction

DSME with usual foot examination instruction was comprehensive diabetes self management education taught by Certified Diabetes Educators that included usual care instructions for examination for feet at home by visually impaired persons, i.e., to have a sighted person check the feet regularly.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* over age 18
* diagnosed with either type 1 or type 2 diabetes
* stated they had visual impairment

Exclusion Criteria

* unable to pass a brief decisional capacity test
* had a score above 80 on the near vision scale of the National Eye Institute Visual Functioning Questionnaire
* had bilateral lower extremity amputations
* by self-report were unable to sense light touch on two or more fingers or either hand
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Case Western Reserve University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ann S Williams, PhD

Role: PRINCIPAL_INVESTIGATOR

Case Western Reserve University

Locations

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Case Western Reserve University

Cleveland, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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R21NR012513

Identifier Type: NIH

Identifier Source: org_study_id

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