Patient and provider perspective of smart wearable technology in diabetic foot ulcer prevention : a systematic review

Orlando, G ORCID:, Prior, Y ORCID:, Reeves, ND ORCID: and Vileikyte, L 2021, 'Patient and provider perspective of smart wearable technology in diabetic foot ulcer prevention : a systematic review' , Medicina, 57 (12) , e1359.

PDF - Published Version
Available under License Creative Commons Attribution 4.0.

Download (624kB) | Preview


Background and Objectives: Smart wearable devices are effective in diabetic foot ulcer (DFU) prevention. However, factors determining their acceptance are poorly understood. This systematic review aims to examine the literature on patient and provider perspectives of smart wearable devices in DFU prevention. Materials and Methods: PubMed, Scopus, and Web of Science were systematically searched up to October 2021. The selected articles were assessed for methodological quality using the quality assessment tool for studies with diverse designs. Results: A total of five articles were identified and described. The methodological quality of the studies ranged from low to moderate. Two studies employed a quantitative study design and focused on the patient perspective, whereas three studies included a mixed, quantitative/qualitative design and explored patient or provider (podiatrist) perspectives. Four studies focused on an insole system and one included a smart sock device. The quantitative studies demonstrated that devices were comfortable, well designed and useful in preventing DFU. One mixed design study reported that patients did not intend to adopt an insole device in its current design because of malfunctions, a lack of comfort. and alert intrusiveness, despite the general perception that the device was a useful tool for foot risk monitoring. Two mixed design studies found that performance expectancy was a predictor of a podiatrist’s behavioural intention to recommend an insole device in clinical practice. Disappointing participant experiences negatively impacted the podiatrists’ intention to adopt a smart device. The need for additional refinements of the device was indicated by patients and providers before its use in this population. Conclusions: The current evidence about patient and provider perspectives on smart wearable technology is limited by scarce methodological quality and conflicting results. It is, thus, not possible to draw definitive conclusions regarding acceptability of these devices for the prevention of DFU in people with diabetes.

Item Type: Article
Contributors: Rizzo, M (Editor)
Additional Information: ** From MDPI via Jisc Publications Router ** Licence for this article: **Journal IDs: eissn 1648-9144 **History: published 13-12-2021; accepted 09-12-2021
Schools: Schools > School of Health and Society
Journal or Publication Title: Medicina
Publisher: MDPI
ISSN: 1648-9144
Related URLs:
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 16 Dec 2021 09:29
Last Modified: 15 Feb 2022 16:59

Actions (login required)

Edit record (repository staff only) Edit record (repository staff only)


Downloads per month over past year