TABLE 2.
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 |