The Effect of Educational Programs on Foot Care Knowledge and Practices among Diabetes Patients in Asia: A Systematic Review

Abstract

Diabetic foot complications are a significant public health concern, contributing to increased morbidity, disability, and diminished quality of life. Inadequate knowledge of foot care and suboptimal self-care practices remain key modifiable risk factors, particularly in Asian populations. This systematic review evaluated the effectiveness of educational interventions in improving foot care knowledge and practices among individuals with diabetes. Guided by PRISMA 2020, studies published between 2015 and 2025 were included, comprising three randomized controlled trials and 13 quasi-experimental studies. Interventions varied, including face-to-face education, printed materials, multimedia, and mobile health strategies. Overall, findings indicate significant improvements in knowledge, self-efficacy, and foot care practices. Nevertheless, further rigorous trials with long-term follow-up are warranted.