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Article

Podiatrist-Delivered Health Coaching to Facilitate the Use of a Smart Insole to Support Foot Health Monitoring in People with Diabetes-Related Peripheral Neuropathy

1
Holsworth Research Initiative, La Trobe Rural Health School, College of Science, Health and Engineering, La Trobe University, Bendigo 3550, Australia
2
Diabetes Centre, Goulburn Valley Health, Shepparton 3630, Australia
3
Quality, Risk and Innovation Unit, Goulburn Valley Health, Shepparton 3630, Australia
4
Department of Exercise Sciences, University of Auckland, Auckland 1023, New Zealand
*
Author to whom correspondence should be addressed.
Academic Editors: Redha Taiar and Mario Bernardo-Filho
Sensors 2021, 21(12), 3984; https://doi.org/10.3390/s21123984
Received: 14 May 2021 / Revised: 5 June 2021 / Accepted: 6 June 2021 / Published: 9 June 2021
(This article belongs to the Special Issue Impact of Sensors in Biomechanics, Health Disease and Rehabilitation)
This trial evaluated the feasibility of podiatrist-led health coaching (HC) to facilitate smart-insole adoption and foot monitoring in adults with diabetes-related neuropathy. Adults aged 69.9 ± 5.6 years with diabetes for 13.7 ± 10.3 years participated in this 4-week explanatory sequential mixed-methods intervention. An HC training package was delivered to podiatrists, who used HC to issue a smart insole to support foot monitoring. Insole usage data monitored adoption. Changes in participant understanding of neuropathy, foot care behaviours, and intention to adopt the smart insole were measured. Focus group and in-depth interviews explored quantitative data. Initial HC appointments took a mean of 43.8 ± 8.8 min. HC fidelity was strong for empathy/rapport and knowledge provision but weak for assessing motivational elements. Mean smart-insole wear was 12.53 ± 3.46 h/day with 71.2 ± 13.9% alerts not effectively off-loaded, with no significant effect for time on usage F(3,6) = 1.194 (p = 0.389) or alert responses F(3,6) = 0.272 (p = 0.843). Improvements in post-trial questionnaire mean scores and focus group responses indicate podiatrist-led HC improved participants’ understanding of neuropathy and implementation of footcare practices. Podiatrist-led HC is feasible, supporting smart-insole adoption and foot monitoring as evidenced by wear time, and improvements in self-reported footcare practices. However, podiatrists require additional feedback to better consolidate some unfamiliar health coaching skills. ACTRN12618002053202. View Full-Text
Keywords: diabetes; health coaching; technology adoption; foot monitoring; telehealth; peripheral neuropathy; diabetes foot disease diabetes; health coaching; technology adoption; foot monitoring; telehealth; peripheral neuropathy; diabetes foot disease
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MDPI and ACS Style

Macdonald, E.M.; Perrin, B.M.; Cleeland, L.; Kingsley, M.I.C. Podiatrist-Delivered Health Coaching to Facilitate the Use of a Smart Insole to Support Foot Health Monitoring in People with Diabetes-Related Peripheral Neuropathy. Sensors 2021, 21, 3984. https://doi.org/10.3390/s21123984

AMA Style

Macdonald EM, Perrin BM, Cleeland L, Kingsley MIC. Podiatrist-Delivered Health Coaching to Facilitate the Use of a Smart Insole to Support Foot Health Monitoring in People with Diabetes-Related Peripheral Neuropathy. Sensors. 2021; 21(12):3984. https://doi.org/10.3390/s21123984

Chicago/Turabian Style

Macdonald, Emma M., Byron M. Perrin, Leanne Cleeland, and Michael I.C. Kingsley. 2021. "Podiatrist-Delivered Health Coaching to Facilitate the Use of a Smart Insole to Support Foot Health Monitoring in People with Diabetes-Related Peripheral Neuropathy" Sensors 21, no. 12: 3984. https://doi.org/10.3390/s21123984

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