ArticleDiabetic medicine : a journal of the British Diabetic Association2026
Healing through empowerment and active listening (HEALing): A mixed-methods evaluation of the feasibility and acceptability of a nurse-led self-care support intervention for people with diabetic foot ulcers.
Article in Diabetic medicine : a journal of the British Diabetic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Healing through empowerment and active listening (HEALing): A mixed-methods evaluation of the feasibility and acceptability of a nurse-led self-care support intervention for people with diabetic foot ulcers.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Advances and Challenges in the Comprehensive Management of Diabetic Foot: A Narrative Review from a General Practice Perspective.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Review
- The relationship between digital health literacy, self-efficacy, and self-management behaviors in patients with diabetes-related foot disease: a cross-sectional study.Frontiers in public health · 2026Observational
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Authors and funding
13 authors.
Funding
Abstract
aimsTo evaluate the feasibility, acceptability, and implementation of HEALing (Healing through Empowerment and Active Listening)-a clinic-integrated self-care intervention delivered by trained wound care nurses in three 30-min face-to-face sessions over 6 weeks to support diabetic foot ulcer healing.
methodsA mixed-methods, single-arm hybrid effectiveness-implementation pilot and qualitative study was conducted. Feasibility was evaluated through enrolment, retention, attendance and data completeness; acceptability via qualitative interviews; and implementation by tracking intervention delivery time. Potential effectiveness was assessed through changes in psychological (illness beliefs, foot care confidence, diabetes distress, quality of life, autonomy support), behavioural (foot care practices), knowledge (of wound deterioation), and clinical (HbA1c) outcomes from baseline to 4 weeks post intervention. Data were analysed using descriptive statistics, paired-sample t-tests and thematic analysis.
resultsA total of 29 individuals living with DFU participated in the study (response rate: 78%), with enrolment occurring between August and September 2024. Retention was 90% (N = 26). The average HEALing session lasted 32 min (range: 15-50 min). Statistically significant improvements were observed across psychological, behavioural, knowledge and clinical outcomes from baseline to post-intervention (all p < 0.005; Cohen's d = 0.8-1.1). Qualitative findings reinforced the intervention's acceptability, highlighting how HEALing enhanced knowledge, emotional healing and empowerment through autonomy,fostering greater motivation and engagement in self-care.
conclusionsThis pilot suggests the feasibility and acceptability of HEALing in nurse-led DFU care, with preliminary indications of psychological and clinical benefits. The findings support the potential for scalable integration of psychological support, warranting further evaluation in larger, controlled trials with extended follow-up.
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