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October 2004, Vol 94, No. 10 | American Journal of Public Health 1664-1666
© 2004 American Public Health Association

FIELD ACTION REPORT

Aiming at "De Feet" and Diabetes: A Rural Model to Increase Annual Foot Examinations

Susie E. Beem, BS, Margaret Machala, RN, MPH, Craig Holman, DPM, Randal Wraalstad, DPM and Ann Bybee, RN, CDE

At the time this article was completed, Susie E. Beem and Margaret Machala were with South Central District Health, Craig Holman was with Magic Valley Foot Clinic, and Randal Wraalstad was with South Idaho Foot and Ankle Clinic, Twin Falls, Idaho. Ann Bybee was with St. Benedict’s Family Medical Center, Jerome, Idaho.

Correspondence: Requests for reprints should be sent to Susie E. Beem, South Central District Health, 1020 Washington St N, Twin Falls, ID 83301 (e-mail: sbeem{at}phd5.state.id.us).

Something is afoot in south central Idaho. After 2 years of work, the percentage of people with diabetes receiving recommended annual foot examinations has increased by 13.8%, exceeding the state average. This turnaround, from being the region with the lowest percentage of foot examinations in the state, was made possible when South Central District Health joined diabetes coalition members to develop a comprehensive program that maximizes limited resources in the rural, 8-county service area.

Key program components include (1) development of a curriculum on CD-ROM called 2 Minute Diabetes Foot Examination, (2) training area physicians and nurses in the curriculum, (3) incorporating the curriculum into the nursing program at the local college, (4) offering free foot-screening clinics to targeted populations, and (5) conducting public education and outreach.




This article has been cited by other articles:


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The Diabetes Educator, March 1, 2008; 34(2): 334 - 347.
[Abstract] [Full Text] [PDF]


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