Application of Continuous Care Pattern Based on Information-Motivation-Behavioral Skills Model in out-of-Hospital Rehabilitation of Diabetic Foot Ulceration Patients: A Randomized Controlled Trial.
Zhenxue Zhao, Wenchao Xu, Suxia Wang et al.
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In 30 seconds
This prospective randomized controlled trial evaluated information-motivation-behavioral skills (IMB)-based continuing care after hospital discharge in 88 patients with diabetic foot ulceration. Forty-four patients received routine care plus IMB-based continuing care, while 44 received routine care alone. Compared with control, the study group had significantly better blood glucose indicators at week 1, more patients without infection at weeks 1 and 3, more cured patients at week 3, and larger ulcer-healing areas at weeks 1 and 3 (all reported as P < .05).
Key findings
- At week 1, FBS, PBG (2 h) and HbA1c were significantly lower in the IMB-based continuing-care group than in controls (P < .05).
- The study group had significantly more non-infected patients at weeks 1 and 3 than the control group (P < .05).
- At week 3, significantly more patients were cured in the study group; ulcer-healing area was also significantly larger at weeks 1 and 3 (P < .05).
- Blood glucose indicators improved from week 1 to weeks 3 and 6 in both groups (P < .05).
Why it matters
Diabetic foot ulceration requires ongoing wound and metabolic management beyond hospital care. This trial suggests that structured continuing care incorporating information, motivation and behavioral skills may improve short-term glycemic measures and wound-related outcomes compared with routine care alone. The findings support further consideration of organized post-discharge support, while the reported results do not establish longer-term benefit.
What to keep in mind
The abstract reports outcomes only through week 6 and provides no effect sizes, limiting assessment of the magnitude and durability of benefit.