5. Conclusions
wear offloading boots, DFUs
Overall, findings from this study suggest that smart offloading with a remote patient monitoring solution may help promote adherence among older adults to wear offloading boots prescribed for DFUs. The design of the particular walker that was used in this study, regardless of being irremovable or removable, was better accepted among people who identified as Hispanic or Latino. Further, findings suggest clinicians could provide additional patient education for people who report experiencing at least one fall over the previous 12 months, particularly in putting on and taking off the walker. Manufacturers could also consider designs that improve perceptions of stability and appearance of the walker. Ultimately, smart technology and considerations surrounding ethnicity and fall status may help improve adherence in older adults with DFUs who are prescribed offloading walkers.