Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://hdl.handle.net/1822/84892 |
Resumo: | The data that support the findings of this study are available from the corresponding author, upon reasonable request. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled studydiabetic foot ulcerfeasibilityguided imageryhealingprogressive muscle relaxationquality of lifeCiências Sociais::PsicologiaScience & TechnologySaúde de qualidadeThe data that support the findings of this study are available from the corresponding author, upon reasonable request.This pilot randomised controlled study (RCT) aimed to assess the feasibility and acceptability of a progressive muscle relaxation with guided imagery intervention (experimental group [EG]) compared to a neutral guided imagery placebo (active control group [ACG]) and standard care to diabetic foot ulcer [DFU] treatment (passive control group [PCG]), to decide on the need for a definitive RCT. Diabetic foot patients with one or two chronic DFU and significant levels of stress/anxiety/depression were recruited and assessed during a period of 6 months, at three moments. Primary outcomes: feasibility rates and satisfaction with relaxation sessions. Secondary outcomes: DFU healing score, DFU-related quality of life (DFUQoL), physical and mental HRQoL, stress and emotional distress, DFU representations, arterial blood pressure, and heart rate. A total of 146 patients completed the baseline (T0) assessment with 54 participants presenting significant distress being randomised into three groups. Patients were assessed 2 months post-intervention (T1) and 4 months after T1 (T2). Feasibility rates showed reduced values on eligibility, recruitment and inclusion in the study, although with an acceptable rate of refusal lower than 10%. On average, participants reported being satisfied with relaxation sessions and recommended them to other patients. Differences between groups showed that, at T1, PCG participants reported higher levels of stress than those from EG and ACG. Within-group differences showed improvements in stress, distress, DFUQoL and DFU extent over time only in EG and ACG. Only EG showed significant changes in DFU representations at T1. The results suggest that relaxation may be a promising coping strategy to deal with DFU distress and an important adjuvant therapy for DFU healing, supporting the implementation of a definitive RCT.This study was conducted at the Psychology Research Centre (CIPsi/UM) School of Psychology, University of Minho, supported by the Foundation for Science and Technology (FCT) through the Portuguese State Budget (UIDB/01662/2020), by a PhD fellowship from FCT assigned to the first author, Gabriela Ferreira (SFRH/BD/131780/2017) and a FCT grant (PTDC/PSI-GER/28163/2017) assignedto the last author, M. Graça Pereira.WileyUniversidade do MinhoFerreira, GabrielaFaria, SusanaCarvalho, AndréPereira, M. Graça2023-04-202023-04-20T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/1822/84892engFerreira, G., Faria, S., Carvalho, A., & Pereira, M. G. (2023, May 9). Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study. Wound Repair and Regeneration. Wiley. http://doi.org/10.1111/wrr.130851067-19271524-475X10.1111/wrr.1308537078427https://onlinelibrary.wiley.com/doi/10.1111/wrr.13085info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-12T01:17:54Zoai:repositorium.sdum.uminho.pt:1822/84892Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:51:33.546545Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study |
title |
Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study |
spellingShingle |
Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study Ferreira, Gabriela diabetic foot ulcer feasibility guided imagery healing progressive muscle relaxation quality of life Ciências Sociais::Psicologia Science & Technology Saúde de qualidade |
title_short |
Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study |
title_full |
Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study |
title_fullStr |
Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study |
title_full_unstemmed |
Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study |
title_sort |
Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study |
author |
Ferreira, Gabriela |
author_facet |
Ferreira, Gabriela Faria, Susana Carvalho, André Pereira, M. Graça |
author_role |
author |
author2 |
Faria, Susana Carvalho, André Pereira, M. Graça |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Ferreira, Gabriela Faria, Susana Carvalho, André Pereira, M. Graça |
dc.subject.por.fl_str_mv |
diabetic foot ulcer feasibility guided imagery healing progressive muscle relaxation quality of life Ciências Sociais::Psicologia Science & Technology Saúde de qualidade |
topic |
diabetic foot ulcer feasibility guided imagery healing progressive muscle relaxation quality of life Ciências Sociais::Psicologia Science & Technology Saúde de qualidade |
description |
The data that support the findings of this study are available from the corresponding author, upon reasonable request. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-04-20 2023-04-20T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://hdl.handle.net/1822/84892 |
url |
https://hdl.handle.net/1822/84892 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Ferreira, G., Faria, S., Carvalho, A., & Pereira, M. G. (2023, May 9). Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study. Wound Repair and Regeneration. Wiley. http://doi.org/10.1111/wrr.13085 1067-1927 1524-475X 10.1111/wrr.13085 37078427 https://onlinelibrary.wiley.com/doi/10.1111/wrr.13085 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Wiley |
publisher.none.fl_str_mv |
Wiley |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799133104315564032 |