Effect of awareness of being monitored on wearing time and wearing of orthopaedic footwear

Thijs Lutjeboer, Jaap J van Netten, Klaas Postema, Juha M Hijmans
2020 Journal of Rehabilitation Medicine  
To investigate the effect of awareness of being monitored on wearing time and adherence to wearing orthopaedic footwear. Quantitative assessment of wearing time was made using direct measurement with temperature sensors during the first 3 months after provision of footwear. Randomized controlled trial. Awareness of the purpose of the study: measuring wearing time of their orthopaedic footwear. All 55 participants had a temperature sensor built into the medial arch of the left insole of their
more » ... hopaedic footwear. Participants were assigned randomly to either an "awareness group" (n = 25, mean age 67 years) and knew they were being monitored for wearing time, or a "no awareness group" (n = 30, mean age 65 years) and only knew their shoe temperature was being measured. Differences were assessed with a linear mixed model. Mean (standard deviation; SD) wearing time in the intervention group was 7.32 h/day (SD 4.2), and 6.11 h/day (SD 4.1) in the control group (p = 0.017). A significant interaction effect was found for awareness and pathology group (p = 0.036). The difference was especially large (7.0 (SD 4.7) vs 2.4 (SD 2.2) h/day) in the subgroup of people with diabetes. Awareness of being monitored increases wearing time and wearing of orthopaedic footwear.
doi:10.2340/16501977-2759 pmid:33094825 fatcat:dzsqbupodvghnaaczjvzpy5xfm