OBJECTIVE:The objective of this review was to examine the potential benefits of plantar foot temperature monitoring in adults (18 years or older) with type 1 or type 2 diabetes mellitus without active ulcers at baseline. INTRODUCTION:Diabetic foot ulcers represent a major complication of diabetes mellitus, leading to significant morbidity, risk of amputation, and health care costs. Early detection of inflammatory changes through temperature monitoring may provide an effective strategy for prevention. ELIGIBILITY CRITERIA:This umbrella review included systematic reviews of randomized controlled trials involving adults with type 1 or type 2 diabetes and no active foot ulcers, assessing plantar temperature monitoring (thermometry and/or thermography). Any comparator was eligible, and the primary outcome was plantar ulcer incidence. Reviews of observational or non-systematic studies and those involving children or gestational diabetes were excluded. METHODS:This umbrella review followed JBI methodology. The searches were conducted on January 30, 2024, in the following databases: CINAHL (EBSCOhost), Cochrane Library, Embase.com, Epistemonikos, JBI Evidence Synthesis, PubMed, Scopus, Web of Science, and LILACS. The methodological quality of included studies was assessed using the JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses and the Assessing the Methodological Quality of Systematic Reviews-2 (AMSTAR-2) tool. RESULTS:Seven systematic reviews published between 2013 and 2023 were included, all with meta-analyses and high methodological quality. The reviews comprised between 4 and 22 randomized controlled trials evaluating infrared dermal thermometry, consistently involving individuals at high risk of foot ulceration. Across reviews, home-based foot temperature monitoring significantly reduced ulcer incidence compared with standard care, with pooled effect estimates ranging from risk ratio (RR) 0.37 (95% CI 0.21-0.66) to RR 0.53 (95% CI 0.29-0.96), and odds ratio (OR) 0.51 (95% CI 0.31-0.84), indicating an approximate halving of ulcer risk. However, a very high degree of overlap was identified, with more than 90% of primary studies included in multiple reviews. No eligible systematic reviews specifically evaluating thermography were identified, and evidence remains limited for individuals not at increased risk of foot ulceration. CONCLUSIONS:The aggregated results support home-based foot temperature monitoring as a promising strategy to reduce the risk of foot ulceration among people with diabetes at high risk of ulceration. Its effectiveness in people with diabetes who are not at increased risk of developing foot ulcers remains uncertain. REVIEW REGISTRATION:PROSPERO CRD42024509838. SUPPLEMENTAL DIGITAL CONTENT:A Spanish-language version of the abstract is available at https://links.lww.com/SRX/A194.
OBJECTIVE:This review will map the use of the Fundamentals of Care (FoC) Framework in health care. INTRODUCTION:Health care systems are increasingly complex, but person-centered care remains central to nursing, and the FoC Framework provides a structured approach to embedding this principle in practice. It emphasizes therapeutic relationships and the integration of physical and psychosocial needs through relational actions, supported by an enabling context. Despite growing evidence on person-centered care, no review has mapped the use of this framework to guide health care professionals and organizations. ELIGIBILITY CRITERIA:This scoping review will consider sources reporting the use of the FoC Framework to guide or structure activities in any health care setting (eg, hospital, primary care, community, disability, social care), with no geographic restrictions. Eligible sources will include quantitative, qualitative, or mixed methods studies, systematic reviews, and selected gray literature, such as dissertations, theses, discussion pieces, or opinion papers. Sources will be excluded if they do not reference the framework, lack empirical or descriptive data, or report solely on educational contexts (eg, student training, curricula). METHODS:This review will follow the JBI methodology for scoping reviews. Searches will be conducted in key bibliographic and gray literature sources, including CINAHL Ultimate (EBSCOhost), Embase (Embase.com), MedNar, ProQuest Central (ProQuest), OpenAlex, PubMed, and PsycINFO (APA PsycNet), with no language restrictions. Titles and abstracts, then full texts, will be screened against the eligibility criteria. Data will be extracted using a structured tool and analyzed descriptively, and results will be presented using tables and figures, with a narrative summary. REVIEW REGISTRATION:https://osf.io/srbe9/.
OBJECTIVE:This mixed methods systematic review will aim to identify, synthesize, and integrate quantitative and qualitative evidence on the barriers and facilitators affecting the implementation of exercise therapy for patients with diabetic neuropathy. INTRODUCTION:Diabetic neuropathy is one of the most prevalent and debilitating complications of diabetes, often leading to impaired mobility, pain, reduced physical function, and diminished quality of life. Exercise therapy is widely recommended as a core component of management; however, its implementation in clinical and community settings remains inconsistent. ELIGIBILITY CRITERIA:This review will include qualitative, quantitative, and mixed methods studies involving adults (≥18 years) with type 1 or type 2 diabetes mellitus and diabetic peripheral neuropathy. The review will consider evidence relating to barriers and facilitators influencing the implementation, uptake, adherence, or delivery of exercise therapy from multiple perspectives, including patient (eg, beliefs, motivation, health literacy), provider (eg, knowledge, attitudes, training), and health system (eg, accessibility, policies, financing, service delivery). METHODS:The review will follow the JBI methodology for mixed methods systematic reviews using a convergent integrated approach. The data will be extracted from databases and gray literature, including MEDLINE (Ovid), CINAHL (EBSCOhost), Embase (Ovid) Scopus, Cochrane CENTRAL, ProQuest Dissertations and Theses Global, the WHO International Clinical Trials Registry Platform (ICTRP), and Google Scholar. Two reviewers will independently extract data using a customized form, screen titles, abstracts, and full texts, and assess methodological quality. Qualitative data will be transformed into "qualitized" statements and integrated with quantitative findings. A single set of integrated findings will be developed using meta-aggregation and narrative integration techniques, resulting in synthesized statements and practical recommendations. The review will follow PRISMA reporting guidelines. REVIEW REGISTRATION:PROSPERO CRD420261284500.
OBJECTIVE:This scoping review will describe the nature and extent of evidence on intergenerational trauma (IGT) and chronic diseases impacting Indigenous peoples of Australia, Canada, Aotearoa New Zealand (NZ), and the US. INTRODUCTION:Indigenous peoples of Australia, Canada, NZ, and the US have been impacted by historical and ongoing effects of colonization. Growing evidence links past and successive trauma among these groups, that is, IGT, to a greater risk of poor mental health. This review will contribute to the growing literature on IGT as a framework for comprehensively analyzing health inequities, particularly disproportionate rates of chronic diseases, experienced by Indigenous peoples. ELIGIBILITY CRITERIA:This review will consider evidence sources that include Indigenous peoples of Australia, Canada, NZ, and the US, of all ages and genders, who are diagnosed with chronic disease(s). The sources must address IGT and its physiological impact. The review will include studies published in English and French between 1999 and 2025. METHODS:This review will follow the JBI methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Four electronic databases will be systematically searched: Scopus, PubMed, CINAHL Ultimate (EBSCOhost), and PsycINFO (Ovid). A supplementary Google Scholar search and consultation with First Nations experts in IGT will be undertaken to identify published and unpublished literature, including gray literature, such as government documents and community-led resources. Studies on any chronic disease with IGT will be eligible. Data will be extracted and analyzed, and studies' findings and characteristics will be presented in diagrams and tables. REVIEW REGISTRATION:OSF https://osf.io/8e5kg.
