Knowledge, attitudes, and practices regarding diabetic foot ulcer prevention among people with type 2 diabetes in Dhaka, Bangladesh.

Only a small minority of participants demonstrated good knowledge about diabetic foot ulcer prevention.

• 15.8% of the 424 participants demonstrated good knowledge regarding DFU prevention.
• The study was conducted at East West Medical College and Hospital, Dhaka.
• Data were collected using a structured, researcher-developed 30-item KAP questionnaire.
• The questionnaire was developed based on existing literature with expert review, pilot testing, and acceptable internal consistency.

Positive attitudes toward diabetic foot ulcer prevention were extremely rare among participants.

• Only 1.7% of participants had a positive attitude toward DFU prevention.
• The predominance of neutral responses was noted, suggesting substantial uncertainty and limited practical awareness.
• Sample size was 424 adult patients with type 2 diabetes.
• This represents one of the lowest reported attitude scores in KAP studies on DFU prevention.

Good preventive practices related to diabetic foot ulcer prevention were reported by very few participants.

• Only 4.7% of participants reported good preventive practices.
• The study design was a hospital-based cross-sectional study.
• Descriptive statistics, Chi-square tests, and multivariable logistic regression were used to analyze data.
• The finding indicates that poor practices were widespread across the study population.

Bivariate analysis revealed a weak association between age and attitude, but no significant independent predictors of good KAP were found in multivariate analysis.

• A weak association between age and attitude was identified in bivariate analysis (p = 0.046).
• Multivariate logistic regression models revealed no significant independent predictors of good KAP.
• Model adequacy was confirmed using the Hosmer-Lemeshow test (p > 0.05).
• Poor KAP was described as 'widespread across all demographic groups,' indicating no specific subgroup was better informed.

Regional data on KAP regarding diabetic foot ulcer prevention in South Asia, including Bangladesh, were scarce prior to this study.

• The authors noted that 'regional data from South Asia remain scarce.'
• The study was designed to identify socio-demographic predictors to inform targeted interventions and health policy.
• Diabetic foot ulcers are described as 'a major global complication of diabetes, leading to high rates of disability, amputation, and mortality.'
• Evidence cited in the paper suggests inadequate KAP contributes significantly to preventable DFUs.

The study authors recommend systematic foot-risk screening, structured patient education, and integration of DFU prevention into routine diabetes management in Bangladesh.

• Authors call for 'systematic foot-risk screening' and 'structured patient education initiatives.'
• Recommendations include integration of DFU prevention strategies into 'routine diabetes management and broader non-communicable disease care services in Bangladesh.'
• The findings were interpreted as underscoring the need for policy-level interventions.
• The predominance of neutral responses was cited as evidence of 'substantial uncertainty and limited practical awareness' that could be addressed through education.