The Impact of the Self-efficacy Building Nursing Program on Foot Self-care Confidence and Perceived Risk of Diabetes-related Foot Complications Among Diabetic Elderly Patients: A Randomized Virtual Based Trial

Abstract Background: Diabetes-related foot complications are a major cause of morbidity among elderly patients with diabetes, often exacerbated by inadequate self-care practices and low self-efficacy. Innovative, accessible interventions are urgently needed to empower patients in preventive foot care. Objective: This study aimed to evaluate the impact of a self-efficacy building nursing program, delivered virtually, on foot self-care confidence and perceived risk of foot complications among elderly diabetic patients. Methods: A randomized controlled trial will be conducted with 120 elderly diabetic patients recruited from at the diabetic outpatient clinics at Damanhour City of El-Behaira Governorate, Egypt. Participants will be randomly assigned to either an intervention group (60 participants) receiving the virtual self-efficacy building program or a control group ( 60 participants) receiving no interventions. Outcomes Evaluation: Outcomes will be measured at baseline (pretest), and immediately post-interventions (Posttest) using validated scales. Keywords Self-efficacy, Foot self-care, Diabetes-related foot complications, Elderly patients, Virtual nursing intervention, randomized controlled trial

NCT Number	NCT06973850
Lead Sponsor	Mansoura University
Conditions	Diabetes, Diabetes Mellitus, Foot Care
Enrollment	120 participants
Start Date	2024-08-16
Primary Completion	2025-06-09 (estimated)
Study Completion	2025-08-01 (estimated)
Updated on ClinicalTrials.gov	2025-05-15