"Your feet call you”: Impact of an intervention to improve self-care of feet in diabetes





Objective: To evaluate the impact of an individualized educational intervention on knowledge, self-care of the feet, glycemic control, risk of ulceration and incidence of ulcers in patients with type 2 diabetes.

Material and Methods: The intervention study, carried out on 65 outpatients, over 35 years of age, with type 2 diabetes, were randomly distributed into two groups: the control group (35), who received a manual on foot care, and the intervention group (30), who received the intervention, a foot care kit, and manual. Follow-up was done at three and six months after the intervention. Statistical analysis included the Chi-square test, Wilcoxon test and the ANOVA test of repeated measures.

Results: The intervention improved knowledge and foot self-care in the intervention group with significant differences between groups (p=.001), but not the glycemic control or the ulceration risk.

Conclusions: The program "Your feet call you" was partially effective, and this study can be ordinarily replicated in first-level institutions to improve self-care and prevent foot ulceration in the medium term.


Keywords: Diabetes mellitus; Type 2; Knowledge; Self-care; Foot; Intervention studies.


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Author Biographies

Dra. en C. Patricia Bañuelos-Barrera, Juárez University of the State of Durango

PhD in Public Health Sciences
Professor-Researcher at the Faculty of Nursing. UJED
Attached to the Durango Health Services

PhD. MD. Dr. César Ochoa-Martínez, Universidad Occidental de Ciencias de la Salud

Specialist in Internal Medicine, Endocrinology, and Cardiovascular Medicine.

​Post Doctorate (PhD) in Diabetes and Obesity Research from the National Institutes of Health (NIH), National Institute of Diabetes and Digestive System and Kidney Diseases, and USC (University of Southern California) Keck School of Medicine in USA .

​Professor of Clinical Research, Associate Professor of Internal Medicine and Endocrinology at Western University of Health Sciences, Pomona, CA.

Dra. en C. Claudia Jennifer Domínguez-Chávez, Autonomous University of Baja California

PhD in Nursing Sciences,

Research Professor of the Faculty of Nursing

Autonomous University of Baja California. Baja California, Mexico.

Dr. Agustín Lara-Esqueda, Juárez University of the State of Durango

Public Health Specialist.

Professor attached to the Faculty of Psychology of the Juárez University of the State of Durango. Durango, Mexico.

M. en C. Miriam Karina Ortíz-Rivas, Juárez University of the State of Durango

Master of Science in Nursing.

Full-time professor at the Faculty of Nursing



How to Cite

Bañuelos-Barrera, P., Ochoa-Martínez, C. ., Domínguez-Chávez, C. J. ., Lara-Esqueda, A., & Ortiz-Rivas, M. K. (2023). "Your feet call you”: Impact of an intervention to improve self-care of feet in diabetes. Horizonte Sanitario, 22(3), 607-613. https://doi.org/10.19136/hs.a22n3.5605



Research article

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