Making use of the ADAPT-ITT framework to adapt a way of life Redesign® occupational remedy intervention for diabetic foot ulcer self-management

Background:

Diabetic foot ulcers (DFUs) have an effect on roughly 25% of individuals with diabetes and are related to decreased high quality of life, excessive healthcare prices, recurrent wounds, and amputation threat. Standard DFU care emphasizes offloading to advertise therapeutic; nevertheless, adherence is commonly poor because of behavioral, psychosocial, and on a regular basis life challenges. These gaps spotlight the necessity for person-centered interventions that assist DFU self-management inside every day routines.

Purpose:

To systematically adapt a Lifestyle Redesign® occupational remedy intervention (LR-OT) for DFU self-management utilizing the ADAPT-ITT framework.

Methods:

An iterative, stakeholder-engaged adaptation course of was performed throughout the primary seven ADAPT-ITT phases: Assessment, Decision, Administration, Production, Topical Experts, Integration, and Training. Activities included focused literature synthesis, theater testing with people with DFUs and DFU care suppliers, iterative materials growth, and skilled session. Adaptation efforts targeted on refining intervention content material, supply, and coaching helps to DFU-specific care calls for whereas retaining alignment with LR-OT core parts.

Results:

The ADAPT-ITT course of yielded an interventionist-ready, DFU-specific LR-OT package deal, together with patient-facing supplies, an interventionist useful resource information, and a conceptual mapping linking LR-OT theoretical parts to DFU-targeted administration actions. Stakeholder enter knowledgeable coordinated refinements to content material, session construction, and supply to assist feasibility inside DFU care contexts.

Conclusion:

Application of the ADAPT-ITT framework supported a clear, stakeholder-informed, and reproducible course of for adapting an evidence-based occupational remedy intervention for a high-risk and medically complicated inhabitants. This work illustrates how lifestyle-focused interventions may be systematically tailored for specialty care contexts, with subsequent testing wanted to guage constancy and effectiveness.

Clinical trial data:

#NCT06278935.