Background: Foot self-care practice is one of the most important self-management behaviors to prevent the occurrence of diabetic foot ulcers. A tool that measures all aspects of daily foot care routines and demonstrates good reliability and validity is essential to pinpointing specific foot ulcer problems and evaluating intervention outcomes. There is currently no such tool available. Purpose: This study developed a diabetes foot self-care behavior scale (DFSBS) and tested its psychometric properties. Methods: The researchers reviewed the literature to generate the initial item pool. After expert confirmation of final draft scale content validity, we used convenience sampling to recruit 295 patients with diabetes and peripheral neuropathy who completed the scale. We analyzed results to determine the scale’’s psychometric properties, including construct validity, internal consistency, and test–retest reliability. Results: The final scale consisted of a one-factor structure with seven items. The analysis of the scale indicated the DFSBS score as significantly correlated with the foot care subscale score of the Chinese version of the summary of diabetes self-care activity questionnaire (rho = .87, p < .001) and the Chinese version of the diabetes self-care scale (γ = .45, p < .001). Importantly, the DFSBS was found to differentiate between participants with and without a history of foot ulcers (Mann–Whitney Z = −3.09, p < .01). Internal consistency was acceptable (Cronbach’’s alpha = .73), and intraclass correlation coefficient for test–retest reliability over a 2-week period was .92. Conclusion/Implications for Practice: This study provides evidence of the DFSBS validity and reliability. Clinicians may use the DFSBS to screen patients’’ foot self-care behavior, and researchers can use it to elucidate foot self-care issues.

Objectives: Although the fear of falling is common among elderly residents in long-term care facilities, interventions developed for fear of falling management is very rare. Of these limited interventions, most were exercise interventions with only limited testing. The cognitive-behavioural intervention can decrease the fear of falling; however no intervention of the kind was developed and assessed to decrease fear of falling among the elderly in long-term care facilities. The purpose of this study was to examine the effectiveness of cognitive-behavioural strategies either with or without exercise in reducing fear of falling among elderly residents in nursing homes. Method: A prospective randomized control trial was conducted in six nursing homes in northern Taiwan. Seventy-five elderly participants were randomly assigned to one of the three groups: the comparison group, the cognitive-behavioural strategies with or without exercise group. The fear of falling, falls, depressive inclination, mobility, and muscle strength of extremities were collected at the two-month and five-month follow-up sessions, in which the progress of the patients were assessed. Results: The mixed model analysis revealed that elderly adults in the combination experimental group had significant improvements compared with the other two groups on fear of falling, depressive inclination, mobility, and muscle strength at five months. The incidences of falls, post intervention, in both experimental groups were significantly lower than those in the comparison group. Conclusions: The results suggest that the combination intervention helped elderly residents manage their fear of falling and falls, decrease their depressive inclination, and enhance their mobility and muscle strength.