A Novel Use of Discourse Analysis and Culture Theories to Inform the Development of a Health Education Tool of Diabetic Foot Ulcer in a Resource Limited Setting

Bibliographic Data

ID3266389
AuthorsLaura Lovell (0000-0001-8067-2525), Natalie S Greaves (0000-0003-0960-222X)
Year2025
Volume24
Publication date2025-09-01
Open AccessYes
TypeARTICLE
VenueInternational Journal of Qualitative Methods (JOURNAL)
Journal identifiersISSN: 1609-4069 • E-ISSN: 1609-4069
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/16094069251378899
OpenAlexW4414232900
LanguageEN
Citations received1
References cited20

Diabetic foot ulceration (DFU) is a complication of diabetes which contributes to global public health burden. In Afro-Caribbean populations, increasing diabetes incidence has resulted in increased likelihood of DFU and its dreaded sequelae of lower limb amputation. We describe the use of an interpretivist qualitative approach with aspects of discourse and cultural theories, to develop a video-based health education tool to increase understanding in Afro-Caribbean populations of the signs and symptoms of DFU. Focus groups, dyads and triads were conducted with persons living with DFU in a low-resourced health care setting. Modified verbatim transcripts were subject to inductive coding with application of discourse and culture theories to identify and explore themes around: illness; perceptions of illness; and preferred methods for knowledge transfer. The study unearthed the role that cultural and historical narratives of DFU play in influencing access and utilization of health care and informed the creation of a culturally sensitive tool that could improve uptake of healthcare information by marginalized populations

Diabetes Management and Education · Diabetic Foot Ulcer Assessment and Management · Pressure Ulcer Prevention and Management

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