Improvement of Cadres’ and Health Care Workers’ Knowledge of Diabetic Foot Care and Rehabilitation with Community-Based Rehabilitation Webinar Program in Indonesia

Objectives: To analyse the effect of a community-based rehabilitation (CBR) webinar program on cadres’ and health care workers’ knowledge of diabetic foot care and rehabilitation.

Study design: A quasi-experimental study.

Setting: Public Health Center of Kepulauan Seribu, Jakarta, Indonesia.

Subjects: Thirty-five Cadres and health care workers who voluntarily registered and attended a 6-session webinar program on diabetic foot care and rehabilitation.

Methods: The webinar program consisted of 3 topics: 2 sessions on early detection, 1 session on prevention, and 3 sessions on basic rehabilitative management of diabetic foot care. The participants had to complete a pre-test before each webinar session to assess their basic knowledge of each topic and a post-test to re-assess newly learned knowledge. The scores of the pre- and post-tests were then analyzed using the Wilcoxon-Signed rank test to measure the improvement of the participants’ knowledge.

Results: The pre-test scores showed that basic knowledge was highest in the early detection topic and least in the basic rehabilitative management. The post-test scores were increased significantly in most of the webinar sessions (p-value < 0.05), except in the 4th session (p-value > 0.05).

Conclusion: The 6-session CBR webinar program on diabetic foot care improved cadres’ and health care workers’ knowledge of diabetic foot care and rehabilitation. A subsequent study to evaluate the implementation of the webinar CBR program for patients with diabetic foot in Kepulauan Seribu is needed.