The barriers and facilitators of foot care practices in diabetic patients in Indonesia: A qualitative study

Abstract

Abstract Aim To investigate the barriers and facilitators of foot care practice in diabetic patients in Indonesia. Design A qualitative content analysis with an inductive approach. Method Semi‐structured interviews were conducted on 34 type 2 diabetes mellitus (T2DM) patients, health providers and family members in Purwokerto, Indonesia, between July 2020 and December 2020. The interview transcripts were coded using NVivo 12. Results Four themes emerged from data analysis, including personal barriers (low susceptibility of developing foot ulcer, limited knowledge about foot care, fatalistic practices, financial problems, glucose control taking priority over foot care, lack of motivation, lack of confidence, fear of being labelled), environmental barriers (lack of knowledge and time of health providers, lack of family support and climate conditions), perceived foot health benefits (intention to feel better and desire to stay socially active) and religious practices (foot washing as part of religious practice and intention to feel clean before praying).

Keywords

• barriers
• facilitators
• foot care
• health belief model
• qualitative study