Several reports have shown self-efficacy to be a reliable way of predicting foot self-care behavior in patients with diabetes. However, at a global level in general, and in Saudi Arabia in particular, investigation of the factors related to self-efficacy in executing foot self-care continues to remain inadequate. This study endeavors to identify the factors associated with the self-efficacy of foot self-care among patients with diabetes in Saudi Arabia. From a tertiary diabetes care center in Saudi Arabia, 175 patients with diabetes were selected to participate in this cross-sectional study. Employing the Arabic version of the Foot Care Confidence Scale (FCCS), the principal end results and the sociodemographic, clinical, and psychosocial independent variables were collected and assessed. From the total reported FCCS score, the mean was found to be 28.1 ± 8.2. Multiple linear regression analysis indicated 2 independent factors were positively associated with a higher reported FCCS score; being middle-aged (< 60 years old) (β=0.31, P< .01) and having a higher score on the Foot Care Outcome Expectations Scale (FCOES) (β=0.36, P< .01). In conclusion, patients with diabetes in Saudi Arabia have a mild level of self-efficacy to perform the needed foot self-care. Therefore, this has turned the spotlight on the young or middle-aged < 60-year-old Saudi population with diabetes as the target group, making them the priority for future self-efficacy promotion programs to upgrade the level of foot self-care.
RobertAAAl DawishMA. The worrying trend of diabetes mellitus in Saudi Arabia: an urgent call to action. Curr Diabetes Rev.2020;16(3):204-210.
2.
Al DawishMARobertAABrahamR, et al.Diabetes mellitus in Saudi Arabia: a review of the recent literature. Curr Diabetes Rev.2016;12(4):359-368.
3.
RobertAAAl DawishMABrahamRMusallamMAAl HayekAAAl KahtanyNH. Type 2 diabetes mellitus in Saudi Arabia: major challenges and possible solutions. Curr Diabetes Rev.2017;13(1):59-64.
4.
Prevalence of diabetes in Saudi Arabia to almost double by 2045: Report. IDF.2021.
5.
ArmstrongDGSwerdlowMAArmstrongAAConteMSPadulaWVBusSA. Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer. J Foot Ankle Res.2020;13(1):1-4.
6.
MairghaniMElmusharafKPattonD, et al.The prevalence and incidence of diabetic foot ulcers among five countries in the Arab world: a systematic review. J Wound Care.2017;26(Sup9):S27-S34.
7.
Al-RubeaanKAl DerwishMOuiziS, et al.Diabetic foot complications and their risk factors from a large retrospective cohort study. PloS One. 2015;10(5):e0124446.
8.
BusSALaveryLAMonteiro-SoaresM, et al.Foot IWGotD. Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2019 update). Diabetes Metab Res Rev.2020;36(suppl 1):e3269.
9.
AbabnehAFinlaysonKEdwardsHLazzariniPA. Factors associated with adherence to using removable cast walker treatment among patients with diabetes-related foot ulcers. BMJ Open Diabetes Res Care. 2022;10(1):e002640.
10.
CrewsRTShenB-JCampbellL, et al.Role and determinants of adherence to off-loading in diabetic foot ulcer healing: a prospective investigation. Diabetes Care. 2016;39(8):1371-1377.
11.
BanduraA. Social cognitive theory. The International Encyclopedia of Communication 1989.
12.
NguyenTPLEdwardsHDoTNDFinlaysonK. Effectiveness of a theory-based foot care education program (3STEPFUN) in improving foot self-care behaviours and foot risk factors for ulceration in people with type 2 diabetes. Diabetes Res Clin Pract.2019;152:29-38.
13.
Ahmad SharoniSKAbdul RahmanHMinhatHSShariff-GhazaliSAzman OngMH. The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: a randomised controlled trial in elderly care facility, Peninsular Malaysia. PloS One. 2018;13(3):e0192417.
14.
SharoniSKARahmanHAMinhatHSGhazaliSSOngMHA. A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a quasi-experimental Pilot Study. BMJ Open. 2017;7(6):e014393.
15.
KwanYHChengTYYoonS, et al.A systematic review of nudge theories and strategies used to influence adult health behaviour and outcome in diabetes management. Diabetes Metab. 2020;46(6):450-460.
16.
WendlingSBeadleV. The relationship between self-efficacy and diabetic foot self-care. J Clin Transl Endocrinol. 2015;2(1):37-41.
17.
Ahmad SharoniSKMohd RaziMNAbdul RashidNFMahmoodYE. Self-efficacy of foot care behaviour of elderly patients with diabetes. Malays Fam Physician. 2017;12(2):2-8.
18.
SharmaM. Theoretical foundations of health education and health promotion. Jones & Bartlett Publishers; 2016.
19.
IkuraKKatoHAzumaH,et al.A fact-finding survey on self-efficacy of foot care behaviour in patients with diabetes: analysis using the diabetes study from the Center of Tokyo Women's Medical University 2017 (DIACET 2017). Endocrinol Diabetes Metab. 2021;4(2):e00219.
20.
PerrinBSnowP. Foot care confidence in people with diabetes. Australas J Podiatr Med. 2006;40(1):3-8.
21.
Al-AmerRRamjanLGlewPRandallSSalamonsonY. Self-efficacy, depression, and self-care activities in adult Jordanians with type 2 diabetes: the role of illness perception. Issues Ment Health Nurs.2016;37(10):744-755.
22.
Al-KhawaldehOAAl-HassanMAFroelicherES. Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. J Diabetes Complicat.2012;26(1):10-16.
23.
AbabnehAFinlaysonKLazzariniPEdwardsH. Cross-cultural adaptation and reliability testing of Arabic versions of several diabetic foot psychosocial scales. Int J Low Extrem Wounds.2021:15347346211016699. doi:10.1177/15347346211016699
24.
SloanHL. Developing and testing the foot care confidence scale to measure self-efficacy in foot care. Diabetes Educ.2000;26(3):484.
25.
VanVoorhisCWMorganBL. Understanding power and rules of thumb for determining sample sizes. Tutor Quant Methods Psychol.2007;3(2):43-50.
26.
HinchliffeRJForsytheROApelqvistJ, et al.Guidelines on diagnosis, prognosis, and management of peripheral artery disease in patients with foot ulcers and diabetes (IWGDF 2019 update). Diabetes Metab Res Rev.2020;36(suppl 1):e3276.
27.
SchaperNCvan NettenJJApelqvistJ, et al.Practical guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update). Diabetes Metab Res Rev.2020;36(suppl 1):e3266.
28.
van NettenJJBusSAApelqvistJ, et al.Definitions and criteria for diabetic foot disease. Diabetes Metab Res Rev.2019;36(suppl 1):e3268.
29.
NoorSKhanRUAhmadJ. Understanding diabetic foot infection and its management. Diabetes Metab Syndr Clin Res Rev. 2017;11(2):149-156.
30.
VileikyteLPeyrotMBundyC, et al.The development and validation of a neuropathy-and foot ulcer-specific quality of life instrument. Diabetes Care. 2003;26(9):2549-2555.
31.
NguyenTPL. Foot self-care among patients with diabetes in Vietnam: The effectiveness of an education program to fill the self-care gap. Queensland University of Technology; 2019.
32.
SloanHL. Developing and testing of the foot care confidence scale. J Nurs Meas.2002;10(3):207-218.
33.
SaadAMYounesZMAhmedHBrownJAAl OwesieRMHassounAA. Self-efficacy, self-care and glycemic control in Saudi Arabian patients with type 2 diabetes mellitus: A cross-sectional survey. Diabetes Res Clin Pract.2018;137:28-36. doi:10.1016/j.diabres.2017.12.014
34.
ALAboudiISHassaliMAShafieAASaleemF. Self-efficacy, self-care behaviours and glycaemic control in type 2 diabetic patients in Riyadh, Saudi Arabia. J Public Health (Bangkok).2016;24(4):281-290.
35.
AfifiMH. Determinants of diabetic knowledge and self-efficacy and their associations with diabetic management in patients with type 2 diabetes. JHMN. 2017;36:55-66.
36.
GoodallRJEllauziJTanMKOnidaSDaviesAHShalhoubJ. A systematic review of the impact of foot care education on self-efficacy and self-care in patients with diabetes. Eur J Vasc Endovasc Surg.2020;60(2):282-292.
37.
D'SouzaMSKarkadaSNParahooKVenkatesaperumalRAchoraSCayabanARR. Self-efficacy and self-care behaviours among adults with type 2 diabetes. Appl Nurs Res.2017;36:25-32. doi:10.1016/j.apnr.2017.05.004
38.
Shortridge-BaggettLM. The theory and measurement of the self-efficacy construct. Self-efficacy in nursing: Research and measurement perspectives 2000:9–28.
