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The Impact of the Self-efficacy Building Nursing Program on Foot Self-care Confidence and Perceived Risk of Diabetes-related Foot Complications Among Diabetic Elderly Patients: A Randomized Virtual Based Trial
Sponsor: Mansoura University
Summary
Abstract Background: Diabetes-related foot complications are a major cause of morbidity among elderly patients with diabetes, often exacerbated by inadequate self-care practices and low self-efficacy. Innovative, accessible interventions are urgently needed to empower patients in preventive foot care. Objective: This study aimed to evaluate the impact of a self-efficacy building nursing program, delivered virtually, on foot self-care confidence and perceived risk of foot complications among elderly diabetic patients. Methods: A randomized controlled trial will be conducted with 120 elderly diabetic patients recruited from at the diabetic outpatient clinics at Damanhour City of El-Behaira Governorate, Egypt. Participants will be randomly assigned to either an intervention group (60 participants) receiving the virtual self-efficacy building program or a control group ( 60 participants) receiving no interventions. Outcomes Evaluation: Outcomes will be measured at baseline (pretest), and immediately post-interventions (Posttest) using validated scales. Keywords Self-efficacy, Foot self-care, Diabetes-related foot complications, Elderly patients, Virtual nursing intervention, randomized controlled trial
Key Details
Gender
All
Age Range
60 Years - Any
Study Type
INTERVENTIONAL
Enrollment
120
Start Date
2024-08-16
Completion Date
2025-08-01
Last Updated
2025-05-15
Healthy Volunteers
Yes
Conditions
Interventions
The Self-Efficacy Building Nursing Program
Intervention Description The Self-Efficacy Building Nursing Program is a structured, theory-based educational intervention grounded in Bandura's Self-Efficacy Theory. It aims to enhance participants' confidence in their ability to perform daily foot self-care behaviors and perceive their risk of complications accurately. The content includes: Educational modules on diabetes and foot health. Training on daily foot inspection, hygiene, nail and skin care, and appropriate footwear. Motivational strategies, goal setting, and problem-solving skills. Video demonstrations, live discussions, and Q\&A sessions with a diabetes nurse educator. The program will be delivered over four weekly virtual sessions, each lasting approximately 45-60 minutes, via a user-friendly telehealth platform (e.g., Zoom or WhatsApp Video). Follow-up support and reminders will be provided through weekly text messages and phone check-ins.
Locations (1)
Mansoura University
Al Mansurah, Mansoura, Egypt