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. 2022 Oct 21;20(4):1304–1315. doi: 10.1111/iwj.13969

TABLE 2.

Summary of study characteristics

Article Origin Study Design Study population Name of intervention Rationale and theory Definition of self‐management in the context of the study Intervention Provider of intervention Modes of delivery Location Delivery /timepoints Tailoring of intervention
O'Brien et al 25 Australia RCT

n = 62

Mean Age: Control 71·7 / Intervention 71·3

Sex: Female 30 Male 32

Wound Type: Venous Ulceration

Median Wound Duration: Control 14 weeks / Intervention 16 weeks

Keep it up & Taking care of your legs Social Cognitive Theory Home‐based exercise programme facilitated by telephone management Home‐based exercise programme supported by goal setting and regular contact with nursing staff Research nurse

‐Initially a Face to face appointment

‐Follow up

Telephone calls

‐Supplementary written guidance (booklet/worksheets/pedometer)

Home‐based

12‐week program

Including telephone calls (Weeks −1,2,4,6,8,12)

Titrated ‐ Progressive resistance exercise program

Only graduated to the next level upon successful completion of the current level for at least 3 days

Kelechi et al 27 USA RCT

n = 24

Mean Age: Control 60.7 / Intervention 69.1

Sex: Female 10 Male 14

Wound Type: Venous Ulceration

Mean Wound Duration: Control 35 Months / Intervention 27.1 Months

FOOTFIT & FOOTFIT+ Information not provided Self‐managed exercise intervention to strengthen the lower extremities of minimally ambulatory patients with VLUs Exercise programme supported by an app that allows patient‐provider communication feature Study coordinator (Professional status not reported)

Initial Face to face appointment

FOOTFIT‐Supplementary Bluetooth enabled triaxial accelerometer and app (BEAT).

FOOTFIT+

Supplementary Mobile application also including an additional patient‐provider communication feature.

Home Based Baseline + Week 6 Titrated‐progressive exercises
Heinen et al 24 Netherlands RCT

n = 184

Mean Age: Control 67 / Intervention 65

Sex: Female 74 Male 110

Wound Type: Venous or mixed

aetiology ulcer

Mean Wound Duration: Control 7.3 Months / Intervention 7.0 Months

Lively Legs Social Cognitive Theory Physical activity behaviours and adherence to compression therapy Nurse‐led self‐management counselling programme Nurses – Trained as health counsellors Face to Face Clinic Based

Baseline

Week two

Week four

Six months (3 additional appointments could take place should a patient require extra assistance)

Personalised‐ goals were set tailored to the individual patient needs and opportunities.
Mościcka et al 30 Poland Retrospective cohort analysis.

n = 351

Mean Age: 64.5 Years

Sex: Female 232 Male 119

Wound Type: Venous Ulceration

Median Wound Duration:

26.63 ± 20.66 weeks

N/A N/A The application of compression therapy Educational activities focusing on disease management in addition to regular check‐ups with doctors and nurses Nurse Face to face Clinic Based

12‐weeks program

‐one session per week for the first month

‐one session every 2 weeks for the second month

(If ulcer unhealed education continued at all follow up appointments)

Standardised Program
Miller et al 26 Australia Prospective single sample cohort study

n = 49

Mean Age: 76.1

Sex: Female 37 Male 12

Wound Type: leg ulcer (not defined)

Average Wound Duration: 26.63 Months

Leg Ulcer Prevention Program N/A

Healthy lifestyle behaviours including:

Leg Ulcer Treatment

Activity and Exercise

Skin Care

Nutrition and Hydration

Compression stockings

for recurrence prevention

Standardised e‐Learning client education package delivering best practice recommendations for venous leg ulcer management in addition to nurse‐led education. Nurse (provided with training prior to being involved)

Face to face & e‐Learning

Supplementary summary sheet and worksheet activity to reinforce the learning.

Clinic Based

6‐week program

‐One session per week for 6 weeks

Standardised Program
Kelechi et al 29 USA Comparative study

n = 24

Mean Age: Control 65.8 / Intervention 64.8

Sex: Female 8 Male 13

Wound Type: Venous, arterial, and neuropathic leg or foot ulcers

(91% venous ulcers)

Age of ulcer in months:

0–6: 23%

7–12: 9%

13–18: 4%

19–24: 13%

>25: 38%

MECALF Developed based on previous work evaluating Motivational enhancement adopt physical activity habits that improve leg condition, reduce pain, and enhance overall health. Exercise program supported by motivational enhancement and supplementary learning materials. Nurses (provided with training prior to being involved)

Face to face

Supplementary written guidance (brochure)

Clinic Based

6‐week program

−10 minutes of the intervention at each wound care visit

Personalised program
Suehiro et al 28 Japan Retrospective cohort study

n = 41

Mean Age: 68

Sex: Female 22 male 14

Wound Type: Venous Ulceration

Median Wound Duration: 0.6 years

N/A N/A self‐care‐based strategy involving “no‐ intentional‐stretch” bandaging technique Education and assessment of compression management application. Clinicians (Type of clinicians not stated) Face to face Clinic Based

Every 1–2 weeks until compression application skills mastered

Once skills gained every 1–3 months

Standardised Program