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Effectiveness of the Implementation of a Standardized Foot Care Protocol in Individuals With Diabetes in Primary Care in Salamanca
Sponsor study identifier
interventional
25,631
1 country
1
Study Start
March 1, 2023
Actual (reported)Primary Completion
October 1, 2023
Actual (reported)Study Completion
November 1, 2023
Actual (reported)Introduction: Diabetic foot (DF) is among the most prevalent complications affecting individuals with diabetes. In Salamanca, 25,631 individuals are enrolled in the Diabetes Care Service, with only 3.06% undergoing a foot examination. Objective: To evaluate the effectiveness of implementing a standardized foot care protocol for individuals with diabetes, accompanied by a sensitization and training strategy for nursing professionals. Methodology: Quasi-experimental pre- and post-study with a control group conducted in the Health Centers of Salamanca. Population: Patients included in the Diabetes Care Service (306) (12,458 men and 11,348 women). Measurements: In professionals: number of professionals involved and satisfaction level. In diabetic individuals: Sociodemographic, anthropometric, lifestyle, and clinical variables related to disease control will be measured, along with variables related to protocol implementation (percentage of diabetics who have undergone foot examination, Ankle-Brachial Index (ABI), risk stratification and foot monitoring, percentage of individuals with DF, percentage of individuals with healed DF ulcers, and percentage of individuals who have undergone amputation). Improvement in quality of life will be measured using the COOP-WONCA questionnaire. Expected outcomes: It is anticipated that this study will provide evidence regarding the relationship between protocol implementation and an increase in the detection and care of at-risk feet and DF, as well as an improvement in the quality of life of individuals with diabetes.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
November 1, 2023
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
March 1, 2023
Actual (reported)October 1, 2023
Actual (reported)November 1, 2023
Actual (reported)January 12, 2024
Actual (reported)February 8, 2024
Actual (reported)Percentage of individuals with diabetes mellitus who have undergone examination and exploration of both feet
Number of individuals with diabetes mellitus who have undergone examination and exploration of both feet.
Pre (baseline period) and Post-intervention (6-month)
Number of individuals with diabetes who have undergone foot risk stratification.
Number of individuals with diabetes who have undergone foot risk stratification.
Pre (baseline period) and Post-intervention (6-month)
Number of individuals with diabetes who have received group education related to diabetic foot care.
Number of individuals with diabetes who have received group education related to diabetic foot care.
Pre (baseline period) and Post-intervention (6-month)
Quality of life of individuals with diabetes
Quality of life of individuals with diabetes pre and post intervention measured through the COOP-WONCA questionnaire. The COOP/WONCA questionnaire was originally developed by a group of primary care physicians at The Darmouth Primary Care Cooperative Information Project (COOP Project), Hanover, New Hampsshire USA. The questionnaire consists of 9 items with a 5-point Likert-type scale. , where higher scores express worse levels of functioning. It was in 1988 when the World Organization of National Colleges, Academies, and Academic Associations of General Practitioners/Family Physicians (WONCA) adopted this instrument.
Pre (baseline period) and Post-intervention (6-month)
Number of Primary Care teams where the sensitization and training strategy has been implemented.
Post-intervention (6-month)
Satisfaction level of professionals regarding sensitization and training
Post-intervention (6-month)
Percentage of professionals who have implemented the protocol after training.
Pre (baseline period) and Post-intervention (6-month)
Number of individuals detected with at-risk feet.
Pre (baseline period) and Post-intervention (6-month)
Number of individuals detected with diabetic foot.
Pre (baseline period) and Post-intervention (6-month)
This group of patients will be attended according to a diabetic foot care protocol implemented in Primary Care in Salamanca. In addition, those patients and/or caregivers will receive group education sessions on Diabetic Foot Care at the Health Centers.
Usual care
Introduction of the diabetic foot care protocol in Primary Care in Salamanca, sensitization, and training of nursing professionals in Health Centers (HC).
Conducting group education sessions for patients and/or caregivers on Diabetic Foot Care at the Health Centers.
Marta Manzano García
Salamanca, 37007, Spain
Marta Manzano García
Sanidad de Castilla y León
25,631 participants (actual enrollment reported by the registry).
First Submitted
January 12, 2024
First Posted
February 8, 2024
Study Start
March 1, 2023
Actual (reported)Number of individuals with diabetes with a nursing care plan established.
Number of individuals with diabetes with a nursing care plan established.
Pre (baseline period) and Post-intervention (6-month)
Number of individuals with diabetes who have received individual education related to diabetic foot care.
Number of individuals with diabetes who have received individual education related to diabetic foot care.
Pre (baseline period) and Post-intervention (6-month)
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Primary Completion
October 1, 2023
Actual (reported)Study Completion
November 1, 2023
Actual (reported)Last Updated
May 28, 2025
Record last verified: 2025-05
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Source: ClinicalTrials.gov.
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