Foot care behavior assessment tools for patients with diabetes mellitus: a systematic review
10.3760/cma.j.cn115682-20250107-00115
- VernacularTitle:糖尿病患者足部护理行为评估工具的系统评价
- Author:
Xin FU
1
;
Qingli JIANG
1
;
Linfei DING
1
;
Fang HE
1
Author Information
1. 绵阳市中心医院伤口治疗中心，绵阳 621000
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Foot care;
Assessment tools;
Measurement properties;
COSMIN guideline;
Systematic review
- From:
Chinese Journal of Modern Nursing
2025;31(27):3664-3672
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the measurement properties of foot care behavior assessment tools for patients with diabetes mellitus and the methodological quality of the study, and to inform the selection of a high-quality assessment tool for healthcare professionals.Methods:Two researchers independently searched Chinese and English databases such as CINAHL, Web of Science, Cochrane Library, PubMed, Embase, China National Knowledge Infrastructure, VIP, and Wanfang Data to screen for studies of foot care behavior assessment tools for patients with diabetes mellitus. The search period was from database establishment to June 2024. Based on the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) systematic review guideline, the risk of bias checklist and quality standard rating scale were used to evaluate the measurement properties and form recommendations.Results:A total of 20 studies were included, comprising 9 diabetes foot care behavior assessment tools, of which 12 were translated versions of the original scales and the remaining 8 were developed and validated as localized scales in each country. None of the studies reported on the cross-cultural validity and responsiveness of the assessment tools.Conclusions:None of the foot care behavior assessment tools for patients with diabetes mellitus included in this study has perfect measurement properties. Compared with other scales, the Chinese Community Diabetic Foot Care Behavior Questionnaire and the Colombian Instrument of Self-Care for Prevention of Diabetic Foot (ISPDF) provide evidence of high-quality psychometric properties and can be recommended for use, but further in-depth validation is needed. There is no evidence of "adequate" content validity and internal consistency for the remaining scales, which are recommended at Level B.
