The effect of education through "Zakhm yar" application on foot care in older adults with diabetic foot ulcer

Determining the effect of education through "Zakhm yar" application on foot care in older adults with diabetic foot ulcer

Clinical trial with control group, with parallel groups, unblinded, randomized, on 114 patients. The rand function of Excel software will be used for randomization.

By referring to Endocrine & Metabolism Research Institute, two intervention and control groups are randomly selected from among the referring patients who meet the conditions for entering the study, and blinding is not done.

Inclusion criteria: Being between 60 and 80 years old, Definitive diagnosis of diabetes, Access and ability to use a smart phone Exclusion criteria: The presence of severe disease complications such as wound infection, osteomyelitis, Charcot's foot, Participation in similar treatment plans in the last three months.

Intervention group: For the Intervention group, a mobile educational application will be designed to be used on smart phones with Android and iOS operating systems to teach the components of diabetic foot ulcer care in a multimedia way. The multimedia training program designed by the researcher will include educational guidelines on how to care for diabetic foot ulcers to family caregivers of patients. This educational program will be presented in the form of "Zakhm Yar" application. Control group: will only receive the usual training and care.

foot care

The sampling method will initially be convenience; The samples will then be placed in quadruple blocks by block random sampling. The blockage is usually used to balance the number of samples allocated to each of the studied groups. This feature helps researchers to equalize the number of samples allocated to each of the studied groups in cases where intermediate analyzes are required during the sampling process. All blocks are the same size, and in this two-group experiment, we will have 4 blocks (including 2 participants in the intervention group and 3 participants in the control group). Random allocation software is also used to randomize random sequence production software (Random allocation software). To conceal, we use Allocation concealment, which refers to the method used to perform a random sequence on study participants, so that the assigned group is not identified before the individual is assigned. Using non-transparent envelopes sealed with random sequences (Sequentially numbered, sealed, opaque envelopes). They are placed in order. In order to maintain the random sequence, numbering is done on the outer surface of the envelopes in the same way. Finally, the lids of the letter envelopes are glued and placed inside a box, respectively. At the beginning of the registration of participants, based on the order of entry of eligible participants in the study, one of the envelopes of the letter will be opened in order and the assigned group of the participant will be revealed.