Priority 15 from the Foot Health PSP

UNCERTAINTY: What are the most effective ways to provide education about foot health to the general public? (JLA PSP Priority 15)
Overall ranking	15
JLA question ID	0092/15
Explanatory note	Enabling people to self-manage their foot health and to understand the most effective and long term strategies by which foot health education, generally, can be provided to the general public, is key to the bedrock of foot health care provision. Understanding what is required in order to effectively deliver easily accessible foot heath education is a complex process bound by a number of multifactorial issues, however the impact that appropriately designed accessible and effectively delivered, foot health education could have on lower limb morbidity is potentially significant, both to patients and foot health care providers.
Evidence	Diabet Med. 2018 Nov;35(11):1470-1479. doi: 10.1111/dme.13694. Epub 2018 Jun 20. Associations of health literacy with diabetic foot outcomes: a systematic review and meta-analysis. Chen PY(1), Elmer S(1), Callisaya M(2), Wills K(2), Greenaway TM(3), Winzenberg TM(1). No association found between levels of health literacy and self-reported footcare – other outcomes too limited to make conclusions – more robust data needed.
Health Research Classification System category	Generic health relevance

Extra information provided by this PSP
Original uncertainty examples	Education is a big factor but is foot health education marketed to target patients that are likely to get foot health problems? ~ Is there accessible information to allow me to assess and diagnose my foot health problems? ~ Where do we go to find out about safe and appropriate foothealth information? ~ Is there different ways other than leaflets that we can improve the patients taking notice of foot health education? ~ Is a patient centred and designed approach the best method of delivering patient education to prevent foot health problems?
Submitted by	Healthcare professional x 21, Patient x 22

Extra information provided by this PSP

Original uncertainty examples

Education is a big factor but is foot health education marketed to target patients that are likely to get foot health problems? ~ Is there accessible information to allow me to assess and diagnose my foot health problems? ~ Where do we go to find out about safe and appropriate foothealth information? ~ Is there different ways other than leaflets that we can improve the patients taking notice of foot health education? ~ Is a patient centred and designed approach the best method of delivering patient education to prevent foot health problems?

Submitted by

Healthcare professional x 21, Patient x 22

PSP information
PSP unique ID	0092
PSP name	Foot Health
Total number of uncertainties identified by this PSP.	30 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	26 September 2019