Important features of retail shoes for women with rheumatoid arthritis: A Delphi consensus survey

Autoři: Peta Ellen Tehan aff001;  William J. Taylor aff003;  Matthew Carroll aff002;  Nicola Dalbeth aff004;  Keith Rome aff002
Působiště autorů: School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Newcastle, NSW, Australia aff001;  School of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand aff002;  Department of Medicine, University of Otago, Wellington, New Zealand aff003;  School of Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand aff004;  Department of Rheumatology, Auckland District Health Board, Auckland, New Zealand aff005
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article



Footwear management aims to preserve foot function, reduce the burden of foot pain and maintain joint mobility in women with rheumatoid arthritis (RA). Whilst retail footwear is commonly recommended by health professionals, there is no current consensus on recommended features of retail footwear for women with RA. This study aimed to determine consensus from health professionals about the important features of retail footwear for women with RA.


An international Delphi exercise using online survey software was conducted with 39 participants from health care backgrounds. Three iterative rounds were conducted. In the first round, participants listed features of retail footwear that would be important for women with RA. Responses of the first round, combined with results of a scoping review of patient-reported outcome measures used in assessing footwear in arthritis and a qualitative analysis of female patients’ perspectives of retail footwear in RA were used to create items for the second round. Items were scored by a 9-point rating scale with consensus defined by the RAND/UCLA disagreement index. The third round consisted of items which did not reach consensus or scored >1 on the RAND/UCLA disagreement index from round two.


Fifty-eight items (n = 58) were generated for rating and at the end of three iterative rounds, there was agreement that thirty-eight items were important, that two were not important, and there was no agreement for a further eighteen items. Item themes reaching consensus included footwear characteristics and acceptability and psychosocial aspects of footwear. Footwear characteristics related to heel height, shape, cushioning, toe box size, adjustable fastening, removable insoles, mid-foot support and soft accommodative uppers. Acceptability and psychosocial aspects included affordability, comfort, aesthetic, style, colour and impact on femininity.


This consensus exercise has identified the important features of retail footwear for women with RA.

Klíčová slova:

Feet – Psychological and psychosocial issues – Psychological attitudes – Rheumatoid arthritis – Rheumatology – Surveys – Toes – Self-consciousness


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2019 Číslo 12
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