Canadian Patient Perspectives on Facilitators and Barriers to Diabetic Foot Ulcer Care: A Scoping Review

Fikree, S., Pandya, R., Blanchette, V., Weisz, T., Iansavitchene, A. et de Mestral, C. (2026). Canadian Patient Perspectives on Facilitators and Barriers to Diabetic Foot Ulcer Care: A Scoping Review. Canadian Journal of Diabetes . ISSN 1499-2671 2352-3840 DOI 10.1016/j.jcjd.2026.04.009

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Résumé

Our aim in this study was to review Canadian patient and caregiver perspectives on the facilitators and barriers to diabetic foot ulcer (DFU) care. We conducted a scoping review in collaboration with a patient partner, following the PRISMA-ScR guidelines. Grey literature and primary studies from MEDLINE, CINAHL and Embase were searched from inception to February 2024. Studies of adults with active or healed DFUs and their caregivers were included. Data were independently screened and extracted by 2 reviewers and key themes were synthesized collaboratively. Twenty-two studies representing 400 patients or caregivers were included, with most individuals living in Ontario (n=15 articles, 68.1%). Five overarching themes capturing facilitators and barriers to DFU care were identified: Prevention, Access to Care, Patient Education, Wound Care, and Patient Impact. Reported barriers included emotional distress, limited mobility, low awareness of self-management strategies, and delayed referrals, while key facilitators involved caregiver and community support as well as education from health care providers. Canadian diabetic foot screening and DFU treatment (preservation) programs should focus on improving access, empowering patients through education, and leveraging community support partners to promote self-management and amputation prevention.

Type de document:	Article
Mots-clés libres:	Diabetic foot Foot ulcer Foot screening Patient participation Limb preservation Amputation prevention
Date de dépôt:	06 nov. 2026 14:12
Dernière modification:	06 nov. 2026 14:12
Version du document déposé:	Version officielle de l'éditeur
URI:	https://depot-e.uqtr.ca/id/eprint/13321

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