“Even though Doctor has Advised to Practice Foot Care I have not Practiced Soaking Feet in Lukewarm Water so Far” Self-care Practices, Enablers, and Barriers: A Mixed Methods Study among Individuals with Diabetes from a Rural Area of South India

Background: Self-efficacy is the ability by which a person confronts problems in day-to-day life with goal- centered attitude. The clinician plays a vital role in promoting self-care though a series of social, cultural and economic factors also contribute positively towards it. This study was conduc...

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Main Authors: Abhay S. Nirgude, TM Revathi, Nagendra Navya, Poonam R. Naik
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Indian Journal of Community Medicine
Subjects:
Online Access:https://journals.lww.com/10.4103/ijcm.ijcm_769_23
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author Abhay S. Nirgude
TM Revathi
Nagendra Navya
Poonam R. Naik
author_facet Abhay S. Nirgude
TM Revathi
Nagendra Navya
Poonam R. Naik
author_sort Abhay S. Nirgude
collection DOAJ
description Background: Self-efficacy is the ability by which a person confronts problems in day-to-day life with goal- centered attitude. The clinician plays a vital role in promoting self-care though a series of social, cultural and economic factors also contribute positively towards it. This study was conducted to assess the self-care practices among diabetic individuals aged 30 years and above and to understand its enablers and barriers. Materials and Methods: Explanatory mixed method study was conducted from August 2018 to October2020. Quantitative assessment was done wherein a questionnaire was administered to 297 study participants enrolled by simple random sampling followed by in-depth interviews by purposive sampling as qualitative component. Multivariate logistic regression analysis was used to study the relationship of independent variables with various domains of self- care practice. P value <0.05 was considered as statistically significant. Results: Study found educational status, occupation and religion had a statistically significant association with self-care practices. Regular physical activity, good dietary practices and family support were a few enablers, whereas lack of awareness, time constraints, co-morbidities and environmental factors were some of the barriers to self-care practice. Conclusions: In the present study, self-care practice in terms of diet and physical activity were found to be good whereas blood sugar level monitoring and foot care practices were poor.
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institution Kabale University
issn 0970-0218
1998-3581
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publishDate 2025-01-01
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spelling doaj-art-aef0fca7244647f9abad78a935a3f7cf2025-02-06T05:32:49ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812025-01-0150112613510.4103/ijcm.ijcm_769_23“Even though Doctor has Advised to Practice Foot Care I have not Practiced Soaking Feet in Lukewarm Water so Far” Self-care Practices, Enablers, and Barriers: A Mixed Methods Study among Individuals with Diabetes from a Rural Area of South IndiaAbhay S. NirgudeTM RevathiNagendra NavyaPoonam R. NaikBackground: Self-efficacy is the ability by which a person confronts problems in day-to-day life with goal- centered attitude. The clinician plays a vital role in promoting self-care though a series of social, cultural and economic factors also contribute positively towards it. This study was conducted to assess the self-care practices among diabetic individuals aged 30 years and above and to understand its enablers and barriers. Materials and Methods: Explanatory mixed method study was conducted from August 2018 to October2020. Quantitative assessment was done wherein a questionnaire was administered to 297 study participants enrolled by simple random sampling followed by in-depth interviews by purposive sampling as qualitative component. Multivariate logistic regression analysis was used to study the relationship of independent variables with various domains of self- care practice. P value <0.05 was considered as statistically significant. Results: Study found educational status, occupation and religion had a statistically significant association with self-care practices. Regular physical activity, good dietary practices and family support were a few enablers, whereas lack of awareness, time constraints, co-morbidities and environmental factors were some of the barriers to self-care practice. Conclusions: In the present study, self-care practice in terms of diet and physical activity were found to be good whereas blood sugar level monitoring and foot care practices were poor.https://journals.lww.com/10.4103/ijcm.ijcm_769_23diabetes mellitusfoot-carephysical activitysdscaself-care
spellingShingle Abhay S. Nirgude
TM Revathi
Nagendra Navya
Poonam R. Naik
“Even though Doctor has Advised to Practice Foot Care I have not Practiced Soaking Feet in Lukewarm Water so Far” Self-care Practices, Enablers, and Barriers: A Mixed Methods Study among Individuals with Diabetes from a Rural Area of South India
Indian Journal of Community Medicine
diabetes mellitus
foot-care
physical activity
sdsca
self-care
title “Even though Doctor has Advised to Practice Foot Care I have not Practiced Soaking Feet in Lukewarm Water so Far” Self-care Practices, Enablers, and Barriers: A Mixed Methods Study among Individuals with Diabetes from a Rural Area of South India
title_full “Even though Doctor has Advised to Practice Foot Care I have not Practiced Soaking Feet in Lukewarm Water so Far” Self-care Practices, Enablers, and Barriers: A Mixed Methods Study among Individuals with Diabetes from a Rural Area of South India
title_fullStr “Even though Doctor has Advised to Practice Foot Care I have not Practiced Soaking Feet in Lukewarm Water so Far” Self-care Practices, Enablers, and Barriers: A Mixed Methods Study among Individuals with Diabetes from a Rural Area of South India
title_full_unstemmed “Even though Doctor has Advised to Practice Foot Care I have not Practiced Soaking Feet in Lukewarm Water so Far” Self-care Practices, Enablers, and Barriers: A Mixed Methods Study among Individuals with Diabetes from a Rural Area of South India
title_short “Even though Doctor has Advised to Practice Foot Care I have not Practiced Soaking Feet in Lukewarm Water so Far” Self-care Practices, Enablers, and Barriers: A Mixed Methods Study among Individuals with Diabetes from a Rural Area of South India
title_sort even though doctor has advised to practice foot care i have not practiced soaking feet in lukewarm water so far self care practices enablers and barriers a mixed methods study among individuals with diabetes from a rural area of south india
topic diabetes mellitus
foot-care
physical activity
sdsca
self-care
url https://journals.lww.com/10.4103/ijcm.ijcm_769_23
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