Episodic future thinking in type 2 diabetes: Further development and validation of the Health Information Thinking control for clinical trials.

Episodic future thinking in type 2 diabetes: Further development and validation of the Health Information Thinking control for clinical trials.
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DOI:
10.1371/journal.pone.0289478
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发表时间:
2023
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
文献类型:
--
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情景未来思维(EFT)可以减少延迟折扣,并且可能有潜力作为一种临床工具来增加促进健康行为的可能性。然而,在临床环境中EFT的评估需要控制条件,匹配的努力和频率的提示生成,以及参与者的期望改善。健康信息思维(HIT)控制解决了这些问题,但这种控制如何影响糖尿病和肥胖症患者的延迟折扣时,利用糖尿病管理特定的健康信息的小插曲是未知的。此外,很少有研究探讨EFT是否会减少2型糖尿病患者的延迟折扣。为此,我们研究了EFT,HIT和次要无提示控制条件(NCC;照常评估)对使用Amazon Mechanical Turk招募的434名自我报告的2型糖尿病和肥胖成年人延迟折扣的影响。在完成初步筛选问卷后,合格的参与者报告人口统计学,然后随机分配到EFT,HIT或NCC条件。在产生七个EFT或HIT线索后,被分配到EFT或HIT条件的参与者在想象EFT或HIT线索的同时完成了延迟折扣任务;无线索参与者在没有线索的情况下完成了任务。EFT参与者的延迟折扣水平显著低于HIT或NCC参与者; HIT和NCC参与者之间的延迟折扣没有差异。这些结果表明,参与EFT,而不是糖尿病特异性HIT,导致2型糖尿病和肥胖成年人的延迟折扣较低。这进一步证明了HIT对照用于临床试验的适当性,该临床试验检查了EFT对自我报告的2型糖尿病成人延迟折扣的影响。
Episodic Future Thinking (EFT) reduces delay discounting and may have the potential as a clinical tool to increase the likelihood of health-promoting behaviors. However, evaluations of EFT in clinical settings require control conditions that match the effort and frequency of cue generation, as well as participants’ expectations of improvement. The Health Information Thinking (HIT) control addresses these issues, but how this control affects delay discounting in individuals with diabetes and obesity when utilizing diabetes-management specific health-information vignettes is unknown. Moreover, little research has explored whether EFT reduces delay discounting in individuals with type 2 diabetes. To this end, we examined the impact of EFT, HIT, and a secondary no-cue control condition (NCC; assessments as usual) on delay discounting in 434 adults with self-reported type 2 diabetes and obesity recruited using Amazon Mechanical Turk. After completing an initial screening questionnaire, eligible participants reported demographics, then were randomized to EFT, HIT, or NCC conditions. Following the generation of seven EFT or HIT cues, participants assigned to EFT or HIT conditions completed a delay discounting task while imagining EFT or HIT cues; no-cue participants completed the task without cues. EFT participants demonstrated significantly lower delay discounting levels than HIT or NCC participants; no differences in delay discounting between HIT and NCC participants were observed. These results suggest that engaging in EFT, but not diabetes-specific HIT, results in lower delay discounting in adults with type 2 diabetes and obesity. This provides further evidence for the appropriateness of the HIT control for clinical trials examining the effect of EFT on delay discounting in adults with self-reported type 2 diabetes.
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发表时间: 2020-02-01
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影响因子: 4.2
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