The behavior and psychological functioning of people at high risk of diabetes-related foot complications.
The purpose of this review was to propose a model that describes the influences on the behavior and psychological functioning of people at risk for diabetes-related foot complications.



A literature search was conducted in Medline (1950-2005), CINAHL (1982-2005), and PsycInfo (1967-2005) databases and in reference lists of journal articles and relevant books. The search focused on published literature in the English language that was related to concepts such as diabetes-related foot complications, behavior, and psychology.



The literature reviewed was arranged to reflect the reciprocal relationship between the personal, environmental, and behavioral factors of people at risk of diabetes-related foot complications. The model proposed uses the concept of reciprocal determinism to illustrate how these factors interact and influence the development of diabetes-related foot complications.



The concept of reciprocal determinism may be useful when developing further investigation into educational and behavioral interventions in this clinical population.
Outpatient Rehabilitation Services, Bendigo Health, Bendigo, Victoria, Australia, and Department of Podiatry, Faculty of Health Sciences, La Trobe University, Melborne, Australia (Mr Perrin)
Byron
B
Perrin
Faculty of Health Sciences, La Trobe University, Melbourne, Australia (Professor Swerissen)
Hal
H
Swerissen
D017719:Diabetic Foot / Q000453:epidemiology* / Q000523:psychology*; D004777:Environment; D015438:Health Behavior; D006801:Humans; D010551:Personality; D012307:Risk Factors