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Time preference, outcome expectancy, and self-management in patients with type 2 diabetes
| Content Provider | Scilit |
|---|---|
| Author | Karl, Florian M. Holle, Rolf Schwettmann, Lars Peters, Annette Laxy, Michael |
| Copyright Year | 2018 |
| Description | Journal: Patient preference and adherence |
| Abstract | Time preference, outcome expectancy, and self-management in patients with type 2 diabetes Florian M Karl,1,2 Rolf Holle,1,2 Lars Schwettmann,1 Annette Peters,2,3 Michael Laxy1,2 1Institute of Health Economics and Health Care Management, Helmholtz Zentrum München (GmbH), German Research Center for Environmental Health, Neuherberg, Germany; 2German Center for Diabetes Research (DZD), Neuherberg, Germany; 3Institute of Epidemiology II, Helmholtz Zentrum München (GmbH), German Research Center for Environmental Health, Neuherberg, Germany Background: Patient self-management is crucial to prevent complications and mortality in type 2 diabetes. From an economic perspective, time preference predicts short-sighted decision making and thus might help to explain non-adherence to self-anagement recommendations. However, recent studies on this association have shown mixed results. Purpose: In this study, we tested whether the combination of time preference and outcome expectancy can improve the predictions of self-management behavior. Patients and methods: Data from 665 patients with type 2 diabetes were obtained from the cross-sectional KORA (Cooperative Health Research in the Region of Augsburg) GEFU 4 study. Time preference and outcome expectancy were measured by one question each, which were answered on a 4-point Likert scale. Their association with six self-managing behaviors was tested in logistic and linear regression analyses. Likewise, we examined the association between self-management and the interaction of outcome expectancy and time preference. Results: A high time preference was associated with a significantly lower sum of self-management behaviors (β=-0.29, 95% CI [-0.54, -0.04]). Higher outcome expectancy was associated with a higher self-management score (β=0.21, 95% CI [-0.03, 0.45]). The interaction model showed that low time preference was only associated with better self-management when combined with a high outcome expectancy (β=0.05, 95% CI [-0.28, 0.39] vs β=0.27, 95% CI [-0.09, 0.63]). Conclusion: Time preference and outcome expectancy are interrelated predictors of patient self-management and could be used to identify and to intervene on patients with a potentially poor self-management. Keywords: behavioral economics, adherence, temporal discounting, health behavior |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6163016/pdf https://www.dovepress.com/getfile.php?fileID=44771 |
| Ending Page | 1945 |
| Page Count | 9 |
| Starting Page | 1937 |
| ISSN | 1177889X |
| DOI | 10.2147/ppa.s175045 |
| Journal | Patient preference and adherence |
| Volume Number | ume 12 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2018-09-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Patient preference and adherence Rehabilitation Behavioral Economics Health Behavior Temporal Discounting |
| Content Type | Text |
| Subject | Social Sciences Pharmacology, Toxicology and Pharmaceutics Health Policy |
