Relaxation intervention to improve diabetic foot ulcer healing: Results from a pilot randomized controlled study

Detalhes bibliográficos
Autor(a) principal: Ferreira, Gabriela
Data de Publicação: 2023
Outros Autores: Faria, Susana, Carvalho, André, Pereira, M. Graça
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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spelling 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
instname_str 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
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