Healing Happens Between Appointments: Lifestyle Redesign for Diabetic Foot Care #ActAgainstAmputation

A care plan leaves the clinic on paper. A person takes it home into a life.

That gap is where occupational therapy can make a meaningful contribution—and where our USC colleagues Stacey Schepens Niemiec, Tze-Woei Tan, and their team are focusing their work.

In their new publication, the researchers used the ADAPT-ITT framework to adapt Lifestyle Redesign® occupational therapy for diabetic foot ulcer self-management. Patients, clinicians, and experts helped shape practical resources addressing offloading, foot checks, emotional well-being, and daily routines.

The contribution is an adapted intervention package. Whether it improves clinical outcomes still requires testing.

For limb preservation teams, the underlying question deserves attention: How do we help people make a treatment plan workable within the lives they actually lead?

Occupational therapy offers a bridge between what we prescribe and what happens between appointments.

Congratulations to Stacey, Tze-Woei, and colleagues for advancing this thoughtful work toward more hospital-free, activity-rich, dignity-filled days.

Reference

Schepens Niemiec SL, Styer L, Chapman J, Myong E, Moshtael R, Lopez C, Arteaga J, Wong E, Motta Morales D, Kumar N, Tan TW. Applying the ADAPT-ITT framework to adapt a lifestyle Redesign® occupational therapy intervention for diabetic foot ulcer self-management. Transl Behav Med. 2026;16(1):ibag030. doi:10.1093/tbm/ibag030. PubMed: 42228560.

#ActAgainstAmputation #DiabeticFoot #LifestyleRedesign #OccupationalTherapy #Offloading #LimbPreservation

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