Skip to main content

Research Repository

Advanced Search

Patient and provider perspective of smart wearable technology in diabetic foot ulcer prevention : a systematic review

Orlando, G; Prior, Y; Reeves, ND; Vileikyte, L

Patient and provider perspective of smart wearable technology in diabetic foot ulcer prevention : a systematic review Thumbnail


Authors

G Orlando

ND Reeves

L Vileikyte



Contributors

M Rizzo
Editor

Abstract

Background and Objectives: Smart wearable devices are effective in diabetic foot ulcer (DFU) prevention. However, factors determining their acceptance are poorly understood. This systematic review aims to examine the literature on patient and provider perspectives of smart wearable devices in DFU prevention. Materials and Methods: PubMed, Scopus, and Web of Science were systematically searched up to October 2021. The selected articles were assessed for methodological quality using the quality assessment tool for studies with diverse designs. Results: A total of five articles were identified and described. The methodological quality of the studies ranged from low to moderate. Two studies employed a quantitative study design and focused on the patient perspective, whereas three studies included a mixed, quantitative/qualitative design and explored patient or provider (podiatrist) perspectives. Four studies focused on an insole system and one included a smart sock device. The quantitative studies demonstrated that devices were comfortable, well designed and useful in preventing DFU. One mixed design study reported that patients did not intend to adopt an insole device in its current design because of malfunctions, a lack of comfort. and alert intrusiveness, despite the general perception that the device was a useful tool for foot risk monitoring. Two mixed design studies found that performance expectancy was a predictor of a podiatrist’s behavioural intention to recommend an insole device in clinical practice. Disappointing participant experiences negatively impacted the podiatrists’ intention to adopt a smart device. The need for additional refinements of the device was indicated by patients and providers before its use in this population. Conclusions: The current evidence about patient and provider perspectives on smart wearable technology is limited by scarce methodological quality and conflicting results. It is, thus, not possible to draw definitive conclusions regarding acceptability of these devices for the prevention of DFU in people with diabetes.

Citation

Orlando, G., Prior, Y., Reeves, N., & Vileikyte, L. (2021). Patient and provider perspective of smart wearable technology in diabetic foot ulcer prevention : a systematic review. Medicina, 57(12), e1359. https://doi.org/10.3390/medicina57121359

Journal Article Type Article
Acceptance Date Dec 9, 2021
Publication Date Dec 13, 2021
Deposit Date Dec 16, 2021
Publicly Available Date Dec 16, 2021
Journal Medicina
Print ISSN 0025-7729
Volume 57
Issue 12
Pages e1359
DOI https://doi.org/10.3390/medicina57121359
Publisher URL https://doi.org/10.3390/medicina57121359
Related Public URLs https://www.mdpi.com/journal/medicina
Additional Information Additional Information : ** From MDPI via Jisc Publications Router ** Licence for this article: https://creativecommons.org/licenses/by/4.0/ **Journal IDs: eissn 1648-9144 **History: published 13-12-2021; accepted 09-12-2021

Files





You might also like



Downloadable Citations