Diabetic Foot Surveillance Using Mobile Phones and Automated Software Messaging, a Randomized Observational Trial

Chris A Anthony; John E Femino; Aaron C Miller; Linnea A Polgreen; Edward O Rojas; Shelby L Francis; Alberto M Segre; Philip M Polgreen

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Diabetic Foot Surveillance Using Mobile Phones and Automated Software Messaging, a Randomized Observational Trial

Journal article

Open access

Peer reviewed

Diabetic Foot Surveillance Using Mobile Phones and Automated Software Messaging, a Randomized Observational Trial

Chris A Anthony, John E Femino, Aaron C Miller, Linnea A Polgreen, Edward O Rojas, Shelby L Francis, Alberto M Segre and Philip M Polgreen

The Iowa orthopaedic journal, Vol.40(1), pp.35-42

2020

PMCID: PMC7368528

PMID: 32742206

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7368528/View

Published (Version of record) Open Access

Abstract

Early detection of diabetic foot ulcers can improve outcomes. However, patients do not always monitor their feet or seek medical attention when ulcers worsen. New approaches for diabetic-foot surveillance are needed. The goal of this study was to determine if patients would be willing and able to regularly photograph their feet; evaluate different foot-imaging approaches; and determine clinical adequacy of the resulting pictures. We recruited adults with diabetes and assigned them to Self Photo (SP), Assistive Device (AD), or Other Party (OP) groups. The SP group photographed their own feet, while the AD group used a selfie stick; the OP group required another adult to photograph the patient's foot. For 8 weeks, we texted all patients requesting that they text us a photo of each foot. The collected images were evaluated for clinical adequacy. Numbers of (i) submitted and (ii) clinically useful images were compared among groups using generalized linear models and generalized linear mixed models. A total of 96 patients consented and 88 participated. There were 30 patients in SP, 29 in AD, and 29 in OP. The completion rate was 77%, with no significant differences among groups. However, 74.1% of photographs in SC, 83.7% in AD, 92.6% in OP were determined to be clinically adequate, and these differed statistically significantly. Patients with diabetes are willing and able to take photographs of their feet, but using selfie sticks or having another adult take the photographs increases the clinical adequacy of the photographs. .

Photography

Software

Adult

Aged

Cell Phone

Diabetic Foot - diagnosis

Diabetic Foot - physiopathology

Female

Humans

Male

Middle Aged

Patient Compliance

Self-Help Devices

Surveys and Questionnaires

Text Messaging

Young Adult

Details

Title: Subtitle: Diabetic Foot Surveillance Using Mobile Phones and Automated Software Messaging, a Randomized Observational Trial
Creators: Chris A Anthony - Department of Orthopaedic Surgery University of Iowa, Iowa City, IA
John E Femino - Department of Orthopedics and Rehabilitation
Aaron C Miller - Department of Epidemiology
Linnea A Polgreen - Department of Pharmacy Practice and Science
Edward O Rojas - Carver College of Medicine
Shelby L Francis - Department of Internal Medicine
Alberto M Segre - Department of Computer Science
Philip M Polgreen - Department of Internal Medicine
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.40(1), pp.35-42
PMID: 32742206
PMCID: PMC7368528
NLM abbreviation: Iowa Orthop J
ISSN: 1541-5457
eISSN: 1555-1377
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
Grant note: P30 DK054759 / NIDDK NIH HHS UL1 TR002537 / NCATS NIH HHS
Language: English
Date published: 2020
Academic Unit: Infectious Diseases; Epidemiology; Economics; Orthopedics and Rehabilitation; Nursing; Pharmacy Practice and Science; Fraternal Order of Eagles Diabetes Research Center; Injury Prevention Research Center; Computer Science; Internal Medicine
Record Identifier: 9984259429302771

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