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Patients' perspectives on social and goal-based comparisons regarding their diabetes health status.
Martinez, William; Wallston, Kenneth A; Schlundt, David G; Hickson, Gerald B; Bonnet, Kemberlee R; Trochez, Ricardo J; Elasy, Tom A.
Afiliación
  • Martinez W; Division of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Wallston KA; Vanderbilt University School of Nursing, Nashville, Tennessee, USA.
  • Schlundt DG; Department of Psychology, Vanderbilt University, Nashville, Tennessee, USA.
  • Hickson GB; Quality, Safety and Risk Prevention, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Bonnet KR; Department of Psychology, Vanderbilt University, Nashville, Tennessee, USA.
  • Trochez RJ; Division of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Elasy TA; Division of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
BMJ Open Diabetes Res Care ; 6(1): e000488, 2018.
Article en En | MEDLINE | ID: mdl-29862032
OBJECTIVE: Social comparisons (ie, self-evaluation in comparison with others) influence patients' perspectives of their disease and may impact motivation and health behavior; however, little is known about patients' perspectives toward receiving such information in a clinical context (eg, from their doctor's office or health system). This study aims to understand patients' perspectives and anticipated responses to receiving social comparison information regarding measures of their diabetes-related health status (eg, A1C) and how receiving such information would compare with goal-based comparisons (ie, self-evaluation in comparison with goal). RESEARCH DESIGN AND METHODS: We conducted semistructured interviews with 25 patients with type 2 diabetes mellitus (T2DM) regarding social and goal-based comparisons involving their diabetes health status and qualitatively analyzed interviews for themes. RESULTS: We identified seven major themes: self-relevance, motivation, self-concept, emotions, information seeking, medical care, and self-care. Participants commonly anticipated increased motivation and improved health behaviors in response to both social and goal-based comparisons. Subthemes unique to social comparisons included belief that this information would be motivating by engaging some patients' competitiveness, perception that this information was more 'personalized' than comparisons with a standard goal (eg, A1C<7), and desire to learn from individuals similar to oneself who were doing better. CONCLUSIONS: Our findings provide significant insights into the anticipated response of patients with T2DM to receiving social and goal-based comparison information regarding their diabetes health status. Providing patients with diabetes with social and goal-based comparison information may affect motivation, mood, and self-concept in ways that may improve or sustain diabetes self-care behaviors for some patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Patient_preference Idioma: En Revista: BMJ Open Diabetes Res Care Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Patient_preference Idioma: En Revista: BMJ Open Diabetes Res Care Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido