Partnering with Communities to Improve Diabetic Foot Ulcer Care in High-Risk Populations.
Background: Diabetic foot ulcers (DFUs) remain one of the most devastating complications of diabetes, accounting for over 80% of nontraumatic amputations and contributing to a 5-year mortality rate exceeding 30%. Despite significant clinical advances, profound disparities persist. Racial and ethnic...
| Publicado en: | Advances in Wound Care (2162-1918) Vol. 15; no. 7; pp. 481 - 487 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193813561&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193813561 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21621918 EGZ0 jtl: Advances in Wound Care (2162-1918) issn: 21621918 maglogo: N pubinfo: dt: Jul2026 vid: 15 iid: 7 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 193813561 193813561 193813561 10.1177/21621918261440435 193813561 ppf: 481 ppct: 6 formats: tig: atl: Partnering with Communities to Improve Diabetic Foot Ulcer Care in High-Risk Populations. aug: au: Gauvin, Nancy Wayne, Breana Mathew-Steiner, Shomita S. Jones, Teresa L.Z. Pop-Busui, Rodica Spino, Cathie Maturo, Fleur Schmidt, Brian M. Holmes, Crystal Sen, Chandan K. Semere, Wagahta affil: Department of Communication Science and Disorders, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. sug: subj: Diabetic Foot Prevention and Control Risk Assessment Collaboration Action Research Consortia Models, Theoretical Early Diagnosis Diabetic Foot Therapy Research Subject Recruitment Cultural Competence Health Care Delivery Patient Participation Treatment Outcomes Medically Underserved Trust Interpersonal Relations Conceptual Framework Healthcare Disparities Communication Culture Power Patient Compliance Diagnosis, Delayed Research Subject Retention Consumer Participation Health Care Delivery Methods Research Priorities Health Facility Business Ventures Conversation Health Knowledge Urban Areas Religion and Religions Anniversaries and Special Events Committees Referral and Consultation ab: Background: Diabetic foot ulcers (DFUs) remain one of the most devastating complications of diabetes, accounting for over 80% of nontraumatic amputations and contributing to a 5-year mortality rate exceeding 30%. Despite significant clinical advances, profound disparities persist. Racial and ethnic minoritized populations, rural communities, and people with low socioeconomic resources experience disproportionate rates of severe ulceration, infection, delayed healing, and amputation. Problem: Traditional research approaches, often developed in academic settings without community input, have insufficiently addressed the contextual, cultural, and structural factors shaping DFU risk and outcomes. Approach: Community-engaged research (CEnR) offers a promising pathway to address these inequities; yet, DFU-specific evidence remains limited and heterogeneous. In response, the Diabetic Foot Consortium (DFC), a national research network funded by the National Institute of Diabetes and Digestive and Kidney Diseases, has initiated multisite efforts to embed community advisory boards, faith-based partnerships, mobile outreach, and culturally aligned engagement into DFU research. Model: We propose the DFC-CEnR Model, a conceptual framework for integrating community-engaged approaches to DFU prevention, early detection, treatment, and research participation. The model distinguishes CEnR from related approaches (community-based participatory research, patient and public involvement, cultural humility, and equity-focused system interventions), outlining hypothesized mechanisms and evaluation domains. Illustrative consortium examples demonstrate how engagement domains may be operationalized and inform future testing of validated outcome measures. Implications: This article positions community engagement as a hypothesis-generating strategy that requires rigorous empirical testing to determine its impact on DFU outcomes and disparities. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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