Development of efficacy based foot care by family models to family behavior in prevention of diabetic foot ulcer

The incidence of diabetic foot ulcer (DFU) in the world is increasing due to poor family behavior. Family behavior is influenced by various factors including efficacy. The purpose of this study was to develop a model of family-based foot care by family efficacy in improving family behavior in the prevention of DFU. A cross-sectional approach with 108 people with multistage cluster random sampling. This research instrument used a questionnaire modified NIHM Family efficacy scale and foot care behavior scale for diabetes (FCBS). Data was analyzed using Structural Equation Modeling (SEM) based on variance or Partial Least Squares (PLS). Development of a family efficacy-based foot care by family model, after the path analysis study and formulate strategic issues through focus group discussions and expert discussions in accordance with the research conducted. The influence of family factors (p=0,00), DM patient factors (p=0,01), health facilities (p=0.04) and information factors (p=0,00) showed a t-statistic > 1.96 and p-value <0.05. This means that there was a significant influence on all of these variables on family efficacy. The resulting coefficient was positive 0.285 and it means the development of efficacy-based foot care by family tends to improve family behavior in the prevention of DFU. The model of developing foot care by family has a major influence on family behavior in the prevention of DFU. Family factors become the strongest factor affecting efficacy-based foot care by family, thus families with strong efficacy are important in improving family behavior in the prevention of diabetic foot ulcer.