Diabetes-Related Foot Interventions to Improve Outcomes for Indigenous Peoples in High-Income Countries: A Scoping Review

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aut.relation.articlenumber100031
aut.relation.endpage100031
aut.relation.journalFirst Nations Health and Wellbeing - The Lowitja Journal
aut.relation.startpage100031
aut.relation.volume2
dc.contributor.authorGarrett, Michele
dc.contributor.authorIhaka, Belinda
dc.contributor.authorMurphy, Rinki
dc.contributor.authorKenealy, Timothy
dc.date.accessioned2024-09-05T22:58:30Z
dc.date.available2024-09-05T22:58:30Z
dc.date.issued2024
dc.description.abstractPurpose Indigenous peoples from high income countries experience health disparities attributable to the ongoing legacy of colonisation and racism, including higher rates of diabetes and associated complications, including diabetes foot disease, in comparison to the relevant resident population. Providing culturally safe care through well-organised diabetes foot interventions can improve outcomes. This scoping review describes the range of publications detailing diabetes foot interventions that incorporated Indigenous peoples. Methods This scoping review followed the PRISMA-Scoping Review guide. Indigenous Māori perspectives were included in all stages of the review. Eligible publications described diabetes foot interventions that included Indigenous peoples from high-income countries. Key study characteristics included country, Indigenous population, intervention description, foot-related outcomes, and alignment with the CONSIDER statement domains for reporting on Indigenous involvement in health research. Main findings A total of 32 publications met the eligibility criteria, with publications from Australia (n = 14), Canada (n = 6), USA (n = 6), New Zealand (n = 2), Greenland (n = 2) and Nauru (n = 2). Primary prevention interventions were predominant (n=20) with a focus on increasing foot screening rates (n=16). Other interventions included health promotion and education (n=4), comprehensive foot interventions (n=5), foot care services embedded in undergraduate podiatry education, a diabetic foot ulcer management protocol, and a service brokerage model. Only 2 studies of the 29 evaluated reported all the CONSIDER statement domains. Principal conclusions Few publications described improved outcomes for Indigenous peoples and most interventions for diabetes-related foot disease overlooked Indigenous perspectives and health beliefs concerning feet. The CONSIDER statement provides useful guidance for all stages of research with Indigenous peoples and our findings suggest reporting Indigenous engagement could be strengthened.
dc.identifier.citationFirst Nations Health and Wellbeing - The Lowitja Journal, ISSN: 2949-8406 (Print), Elsevier BV, 2, 100031-100031. doi: 10.1016/j.fnhli.2024.100031
dc.identifier.doi10.1016/j.fnhli.2024.100031
dc.identifier.issn2949-8406
dc.identifier.urihttp://hdl.handle.net/10292/17981
dc.languageen
dc.publisherElsevier BV
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S2949840624000226
dc.rights© 2024 The Author(s). Published by Elsevier B.V. on behalf of Lowitja Institute (National Institute for Aboriginal and Torres Strait Islander Health Research Ltd). This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject32 Biomedical and Clinical Sciences
dc.subject4203 Health Services and Systems
dc.subject4206 Public Health
dc.subject42 Health Sciences
dc.subject3202 Clinical Sciences
dc.subjectDiabetes
dc.subjectPrevention
dc.subjectMetabolic and endocrine
dc.subject3 Good Health and Well Being
dc.titleDiabetes-Related Foot Interventions to Improve Outcomes for Indigenous Peoples in High-Income Countries: A Scoping Review
dc.typeJournal Article
pubs.elements-id567948
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