Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/23367
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dc.contributor.authorMcBride, Emilyen_UK
dc.contributor.authorHacking, Belindaen_UK
dc.contributor.authorO'Carroll, Ronanen_UK
dc.contributor.authorYoung, Matthewen_UK
dc.contributor.authorJahr, Jessicaen_UK
dc.contributor.authorBorthwick, Claireen_UK
dc.contributor.authorCallander, Alanaen_UK
dc.contributor.authorBerrada, Zaynaben_UK
dc.date.accessioned2016-11-19T00:31:44Z-
dc.date.available2016-11-19T00:31:44Z-
dc.date.issued2016-11en_UK
dc.identifier.urihttp://hdl.handle.net/1893/23367-
dc.description.abstractAims  This pilot study aimed to explore whether the use of an intervention to increase shared decision-making (Decision Navigation) increased decision self-efficacy and foot-treatment adherence in patients with a diabetic foot ulcer.  Methods  Fifty-six patients with a diabetic foot ulcer were randomized to receive Decision Navigation (N= 30) or usual care (N= 26). Primary outcomes included decision self-efficacy, adherence to foot treatment as reported by the participant and adherence to foot treatment as reported by the clinician. Secondary outcomes included foot ulcer healing rate, health-related quality of life, decision conflict and decision regret.  Results  Despite participants rating Decision Navigation as very helpful, mixed analyses of variance revealed no differences in decision self-efficacy or adherence between those receiving Decision Navigation and those receiving usual care. There were no differences between groups with regards to the secondary outcomes, with the exception of decision conflict which increased over time (12 weeks) for those receiving Decision Navigation.  Conclusions  An intervention that facilitated patient involvement in treatment decisions did not have any impact on decisional confidence or adherence to foot treatment. This does not provide support for the suggestion that personalized care can improve health-related outcomes at this progressed stage of the patient's disease trajectory. We suggest that the diabetic foot population may benefit from interventions aimed at increasing motivation to engage with care pathways, centred on challenging personal controllability beliefs.en_UK
dc.language.isoenen_UK
dc.publisherWiley-Blackwell for Diabetes UKen_UK
dc.relationMcBride E, Hacking B, O'Carroll R, Young M, Jahr J, Borthwick C, Callander A & Berrada Z (2016) Increasing Patient Involvement in the Diabetic Foot Pathway: A Pilot Randomised Controlled Trial. Diabetic Medicine, 33 (11), pp. 1483-1492. https://doi.org/10.1111/dme.13158en_UK
dc.rightsThis item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is the peer reviewed version of the following article: McBride E, Hacking B, O'Carroll R, Young M, Jahr J, Borthwick C, Callander A & Berrada Z (2016) Increasing Patient Involvement in the Diabetic Foot Pathway: A Pilot Randomised Controlled Trial, Diabetic Medicine, 33 (11), pp. 1483-1492, which has been published in final form at http://doi.org/10.1111/dme.13158. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.en_UK
dc.titleIncreasing Patient Involvement in the Diabetic Foot Pathway: A Pilot Randomised Controlled Trialen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Increasing Patient Involvement in the Diabetic Foot Pathway- A Pilot Randomised Controlled Trial 09 03 16BH.pdf] Publisher requires embargo of 12 months after formal publication.en_UK
dc.identifier.doi10.1111/dme.13158en_UK
dc.identifier.pmid27223310en_UK
dc.citation.jtitleDiabetic Medicineen_UK
dc.citation.issn1464-5491en_UK
dc.citation.issn0742-3071en_UK
dc.citation.volume33en_UK
dc.citation.issue11en_UK
dc.citation.spage1483en_UK
dc.citation.epage1492en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.author.emailronan.ocarroll@stir.ac.uken_UK
dc.citation.date25/05/2016en_UK
dc.contributor.affiliationNHS Lothianen_UK
dc.contributor.affiliationNHS Lothianen_UK
dc.contributor.affiliationPsychologyen_UK
dc.contributor.affiliationNHS Lothianen_UK
dc.contributor.affiliationNHS Lothianen_UK
dc.contributor.affiliationNHS Lothianen_UK
dc.contributor.affiliationNHS Lothianen_UK
dc.contributor.affiliationNHS Lothianen_UK
dc.identifier.isiWOS:000386029200007en_UK
dc.identifier.scopusid2-s2.0-84978431976en_UK
dc.identifier.wtid563811en_UK
dc.contributor.orcid0000-0002-5130-291Xen_UK
dc.date.accepted2016-05-23en_UK
dcterms.dateAccepted2016-05-23en_UK
dc.date.filedepositdate2016-06-22en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionAMen_UK
local.rioxx.authorMcBride, Emily|en_UK
local.rioxx.authorHacking, Belinda|en_UK
local.rioxx.authorO'Carroll, Ronan|0000-0002-5130-291Xen_UK
local.rioxx.authorYoung, Matthew|en_UK
local.rioxx.authorJahr, Jessica|en_UK
local.rioxx.authorBorthwick, Claire|en_UK
local.rioxx.authorCallander, Alana|en_UK
local.rioxx.authorBerrada, Zaynab|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2017-05-26en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||2017-05-25en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/all-rights-reserved|2017-05-26|en_UK
local.rioxx.filenameIncreasing Patient Involvement in the Diabetic Foot Pathway- A Pilot Randomised Controlled Trial 09 03 16BH.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source0742-3071en_UK
Appears in Collections:Psychology Journal Articles

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