Feasibility of Virtual Simulation-Based Diabetes Foot Care Education in Patients with Diabetes in Ethiopia: Protocol for a Randomized Controlled Trial

Figures & data

Figure 1 Areas of investigation for advancing phases of virtual simulation-based DFCE development and evaluation using randomized controlled feasibility study design.

Note: Data from.⁴²

Figure 2 Virtual Simulation-Based DFCE sessions: The Feasibility and Potential Effectiveness of Simulation-Based Diabetic Foot Care Education/DFCE/ in adult patients with type 2 diabetes mellitus.

Table 1 Analysis Method for Each Study Question

Research Questions	Instrument	Analysis Method	Remarks
• Is virtual simulation-based DFCE an acceptable intervention among patients with diabetes in Ethiopia?	• Technology Acceptance Survey • (TAS) perceived usefulness subscale	• Descriptive statistics for perceived usefulness subscales of the Technology acceptance survey among intervention participants (percentages, means, medians, standard deviations) • Pearson correlation • Content analysis
• Is virtual simulation-based DFCE practical among adult patients with diabetes?	• Technology Acceptance Survey • (TAS) perceived ease of use subscale • Fieldnotes	• Descriptive statistics for practicality/ usability/ subscales of the Technology acceptance survey among intervention participants (percentages, means, medians, standard deviations) • Content analysis
• What is the potential impact of virtual simulation-based DFCE on diabetes foot care knowledge among patients with diabetes mellitus?	• Foot Care Knowledge (FCK) questionnaire	• Comparison of foot care knowledge comparing interventions and control groups. (Independent samples t-test) • Paired sample t-test • Factorial ANOVA • Post-hoc test	• Proposed primary dependent variables of the future clinical trial.
• What is the potential impact of virtual simulation-based DFCE on diabetes foot care behaviour among patients with diabetes mellitus?	• Foot Self-Care Behaviour Scale (FSCBS)	• Independent samples t-test • Paired sample t-test • Factorial ANOVA
• What is the potential impact of virtual simulation-based DFCE on diabetes foot self-care efficacy among patients with diabetes mellitus?	• Foot Care Confidence Scale (FCCS)	• Independent samples t-test • Paired sample t-test • Factorial ANOVA

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