Disaster Preparedness in Patients With Diabetic Foot: The Effect of an Educational Intervention

Senem Duman

Status: Completed

Conditions: Diabetic Foot; Type 2 Diabetes Mellitus

Treatments: Behavioral: Disaster Preparedness Education Program

Study type: Interventional

Funder types: Other

Identifiers

NCT07385833

SaglikBilimleriU-3

Details and patient eligibility

About

This quasi-experimental study aims to evaluate the effect of a disaster preparedness education program on disaster preparedness levels, foot care behaviors, and diabetic foot care self-efficacy in patients with type 2 diabetes diagnosed with diabetic foot. Participants are assigned to an intervention group receiving structured education on diabetic foot management and disaster preparedness, or to a control group receiving routine care. Outcomes are assessed at baseline, post-intervention, and follow-up.

Full description

Patients with diabetic foot are considered a vulnerable population during disasters due to disrupted access to healthcare, medications, and self-care resources. This study evaluates a structured disaster preparedness education program designed specifically for patients with diabetic foot. The intervention includes education on diabetic foot management, disaster preparedness strategies, and preparation of emergency kits and go-bags. The effects of the program on disaster preparedness, foot self-care behaviors, and self-efficacy are assessed using validated measurement tools across three time points. The findings aim to contribute to the development of disaster-focused educational interventions for individuals with chronic conditions.

Enrollment: 68 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• • Diagnosed with type 2 diabetes mellitus for at least 6 months

  • Diagnosed with diabetic foot classified as Wagner grade 1, 2, or 3
  • Receiving outpatient or inpatient care at the diabetic foot center
  • Able to communicate and complete self-report questionnaires
  • Willing to participate and provide written informed consent

Exclusion criteria

• • History of diabetic foot-related amputation

  • Presence of active Charcot neuroarthropathy
  • Severe cognitive impairment affecting participation
  • Significant communication barriers preventing completion of assessments
  • Presence of acute medical conditions requiring immediate intensive treatment during the study period

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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68 participants in 2 patient groups

Disaster Preparedness Education Program

Other group

Description:

The intervention consists of two face-to-face theoretical education sessions delivered over two weeks. Week 1 includes a 2-hour session on diabetic foot management (definition, risk factors, care principles) supported by visual materials and interactive Q\&A. Week 2 includes a session on disaster and emergency management for individuals with diabetic foot, covering preparedness before disasters, actions during disasters, and post-disaster strategies to protect foot health. The contents of an emergency kit/go-bag are physically demonstrated, and participants are asked to prepare their own kit and bring it to the next visit. At post-test, emergency kits/go-bags are inspected using a standardized checklist and feedback is provided for missing or incorrect items.

Treatment:

Behavioral: Disaster Preparedness Education Program

Routine Care (Control)

No Intervention group

Description:

Participants receive routine diabetes care and follow-up as provided by the institution. No structured education on disaster preparedness or foot self-care behaviors is delivered during the study period. Data are collected at the same time points as the intervention group.