This comparative study was purposefully designed to reflect true-tolife patient health behaviour.
Therefore,footwear, socks, exact amount and technique of product application, activities
following application, frequency of bathing,use of different soaps, for example, were
not controlled and thus their effect cannot be excluded. However, with the participants acting as their own control this allowed for fair comparison between feet.
The methodology design reflects the complex nature of providing diabetic foot health education. Confounding factors such as concordance and contamination were accounted for but could not be
controlled.
In clinical practice, patients are advised to adopt a self-care foot regime and the same degree of variability to the accuracy of its undertaking will apply