Project LEAP of New Jersey: lower extremity amputation prevention in persons with type 2 diabetes. Pub. Med. OBJECTIVE: To reduce type 2 diabetes- related lower extremity amputations (LEAs) in New Jersey through a statewide training program for primary care providers at healthcare agencies in high- risk areas. STUDY DESIGN: Project LEAP provided 2. The effect of training was evaluated based on a multiple- choice knowledge test, self- reported practice behaviors, and a medical records audit of practice behaviors, and pre- and postprogram LEA rates. PATIENTS AND METHODS: We evaluated statistically significant differences in pre- and postprogram knowledge scores using Student's t- tests. We also evaluated providers' intentions to change clinical foot- care practices and compared them with actual practices documented in medical records. We used analysis of variance to determine any statistically significant differences in pre- and postprogram LEA rates at various types of institutions. In addition, we assisted facilities in the development of self- education programs containing specific foot- care modules. RESULTS: Participating providers were: 7. Pre- and postprogram knowledge scores increased by 1. T = 1. 3. 2. 9; P < 0. T = 7. 5. 8; P < 0. Provider intentions to change clinical practice behaviors correlated with self- reported practice changes 9 months postprogram (r = . P < 0. 0. 01). Medical record audits 1 year before and 9 months after training demonstrated marked improvement in foot- care practices in the following areas: (1) foot- care education given to patients by primary care providers; 2) documentation of peripheral vascular disease; 3) documentation of patient preventive care practices; and 4) referrals to diabetes educators, orthopedists, podiatrists, and diabetologists. Education programs with specific foot- care components increased 1. The overall incidence of pre- and posttraining LEAs did not change significantly but differed depending on institution type. LEAP - Lower Extremity Amputation Prevention Program. Looking for abbreviations of LEAP? Lean Effects on Aerospace Programs: LEAP: Labor-Employee Assistance Program. Comprehensive foot care programs can reduce amputation rates by. How to use the LEAP. 3 Responses to Diabetes: Taking steps to prevent amputation. Brian. Find out more about how the Lower Extremity Amputation Prevention (LEAP) program can dramatically reduce like the likelihood of lower extremity amputations. Project LEAP of New Jersey: lower extremity amputation prevention in persons with type 2 diabetes. Education programs with specific foot-care components increased. A Comprehensive Diabetes Lower Extremity Amputation Prevention Program. Goal: Through a program that systematically applies recognized standards of foot care to all. Betty McTague Presents TheL.E.A.P. Program Lower Extremity Amputation Prevention Program. OUR GOAL 'To reduce the risk of amputation and improve the quality of life.'. Hospitals and community healthcare centers were more likely to show postprogram reductions in LEAs than nursing homes and rehabilitation centers. CONCLUSION: Institutionalization of a LEAP program resulted in improved provider knowledge and certain clinical practice behaviors. There was a trend toward an overall reduction in the number of LEAs at participating institutions. LEAP 'Lower Extremity Amputation Prevention', Lima, Ohio. St. Rita's Medical Center. The primary goal of LEAP is to address the health education needs of low-income. Lower Extremity Amputation Prevention (LEAP) is a comprehensive program that can dramatically reduce lower extremity amputations in individuals with Hansen's disease. Online Course: Comprehensive Management of the Neuropathic Foot. National Hansen's Disease Programs. and proven effective for prevention of amputation in the lower. Lower Extremity Amputation Prevention Program (CD-LEAP). Effectiveness of Comprehensive LEAP effectiveness of a LEAP. scale by diabetes foot prevention programs.
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