Original articlesI Cannot Afford Off-loading Boots Perceptions of Socioeconomic Factors Influencing Engagement in Self-management of Diabetic Foot UlcerCosta, Idevania G. PhD, RN, NSWOC; Tregunno, Deborah PhD, RN; Camargo-Plazas, Pilar PhD, RNAuthor Information School of Nursing, Lakehead University, Thunder Bay, Ontario, Canada (Dr Costa); and School of Nursing, Queen's University, Kingston, Ontario, Canada (Drs Tregunno and Camargo-Plazas). Correspondence: Idevania G. Costa, PhD, RN, NSWOC, School of Nursing, Lakehead University, 955 Oliver Rd, Thunder Bay, ON P7B 5E1, Canada ([email protected]). Financial support was provided by the Canadian Frailty Network to complete the many steps of this study. The authors gratefully acknowledge Drs Elizabeth VanDenKerkhof and Dana Edge for their collaboration in this research study as thesis' committee members. Conflicts of Interest: None. Advances in Nursing Science: October/December 2020 - Volume 43 - Issue 4 - p 322-337 doi: 10.1097/ANS.0000000000000328 Buy Metrics Abstract This study aimed at uncovering the factors influencing individuals' ability to engage in self-management of diabetic foot ulcer (DFU) and presenting a theoretical model depicting these factors and the outcomes. We used constructivist grounded theory methodology to guide this study and recruited 30 participants with an active DFU attending a wound care clinic in Ontario, Canada. The study's findings indicate that participants' engagement in self-management of DFU was influenced by internal and external factors. While some factors contributed to enhance participants' engagement in everyday self-management, others seemed to have prevented them from achieving engagement and hence the desired DFU outcomes. © 2020 Wolters Kluwer Health, Inc. All rights reserved.