PMID- 29862032
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220318
IS  - 2052-4897 (Print)
IS  - 2052-4897 (Electronic)
IS  - 2052-4897 (Linking)
VI  - 6
IP  - 1
DP  - 2018
TI  - Patients' perspectives on social and goal-based comparisons regarding their 
      diabetes health status.
PG  - e000488
LID - 10.1136/bmjdrc-2017-000488 [doi]
LID - e000488
AB  - 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.
FAU - Martinez, William
AU  - Martinez W
AUID- ORCID: 0000-0002-3155-4386
AD  - Division of General Internal Medicine and Public Health, Vanderbilt University 
      Medical Center, Nashville, Tennessee, USA.
FAU - Wallston, Kenneth A
AU  - Wallston KA
AD  - Vanderbilt University School of Nursing, Nashville, Tennessee, USA.
FAU - Schlundt, David G
AU  - Schlundt DG
AD  - Department of Psychology, Vanderbilt University, Nashville, Tennessee, USA.
FAU - Hickson, Gerald B
AU  - Hickson GB
AD  - Quality, Safety and Risk Prevention, Vanderbilt University Medical Center, 
      Nashville, Tennessee, USA.
FAU - Bonnet, Kemberlee R
AU  - Bonnet KR
AD  - Department of Psychology, Vanderbilt University, Nashville, Tennessee, USA.
FAU - Trochez, Ricardo J
AU  - Trochez RJ
AD  - Division of General Internal Medicine and Public Health, Vanderbilt University 
      Medical Center, Nashville, Tennessee, USA.
FAU - Elasy, Tom A
AU  - Elasy TA
AD  - Division of General Internal Medicine and Public Health, Vanderbilt University 
      Medical Center, Nashville, Tennessee, USA.
LA  - eng
GR  - K23 DK106511/DK/NIDDK NIH HHS/United States
GR  - P30 DK092986/DK/NIDDK NIH HHS/United States
GR  - UL1 TR000445/TR/NCATS NIH HHS/United States
PT  - Journal Article
DEP - 20180521
PL  - England
TA  - BMJ Open Diabetes Res Care
JT  - BMJ open diabetes research & care
JID - 101641391
PMC - PMC5969729
OTO - NOTNLM
OT  - diabetes
OT  - health behavior
OT  - qualitative research
OT  - social comparison
COIS- Competing interests: None declared.
EDAT- 2018/06/05 06:00
MHDA- 2018/06/05 06:01
PMCR- 2018/05/21
CRDT- 2018/06/05 06:00
PHST- 2017/10/19 00:00 [received]
PHST- 2018/04/18 00:00 [revised]
PHST- 2018/04/25 00:00 [accepted]
PHST- 2018/06/05 06:00 [entrez]
PHST- 2018/06/05 06:00 [pubmed]
PHST- 2018/06/05 06:01 [medline]
PHST- 2018/05/21 00:00 [pmc-release]
AID - bmjdrc-2017-000488 [pii]
AID - 10.1136/bmjdrc-2017-000488 [doi]
PST - epublish
SO  - BMJ Open Diabetes Res Care. 2018 May 21;6(1):e000488. doi: 
      10.1136/bmjdrc-2017-000488. eCollection 2018.