09/08/2026
What happens after the patient leaves the clinic?
New USC research is exploring an important question in diabetic foot care: how can treatment recommendations fit more realistically into everyday life?
Researchers adapted a Lifestyle Redesign® occupational therapy intervention for people managing diabetic foot ulcers, incorporating real-world challenges involving offloading, foot-care routines, mobility, emotional well-being and other demands of daily life. The intervention has been developed; its clinical effectiveness still needs to be tested.
The issue is important. In one study cited by the researchers, people prescribed removable cast walkers wore them during only 28% of their daily steps—a powerful illustration of the gap that can exist between a clinical recommendation and what actually happens at home.
David Armstrong summarized the larger idea recently in DF Blog: helping people make a treatment plan workable within the lives they actually lead.
For everyone involved in foot care, it’s a useful reminder that the real world is part of the treatment plan.
Sources: Schepens Niemiec SL et al., Translational Behavioral Medicine, 2026; Armstrong DG et al., Diabetes Care, 2003; DF Blog, Sept. 6, 2026.