Identifying decision-making biases in self-care behaviours among patients with type 2 diabetes mellitus: A qualitative study from a behavioural economics perspective

IF 7.1 1区医学 Q1 NURSING

International Journal of Nursing Studies Pub Date : 2025-08-05 DOI:10.1016/j.ijnurstu.2025.105182

Fanghong Yan , Guotian Peng , Ruiyi Sun , Yanan Zhang , Pengyu Qiao , Meimei Liu , Yuxia Ma , Lin Han

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引用次数: 0

Abstract

Background

Patients with type 2 diabetes mellitus often make self-care behaviour decisions according to their immediate needs and desires in the real world. Deviations from optimal choices in seeking satisfying options are known as decision-making biases, which are not obvious in the self-care behaviours of patients with type 2 diabetes mellitus. Qualitative research can provide insights into patients' descriptions of and experiences in self-care, aiding in systematically identifying decision-making biases.

Objective

To identify the decision-making biases of patients with type 2 diabetes mellitus from their descriptions of and experiences in self-care to guide targeted strategies for supplementing existing intervention paradigms.

Design

Qualitative, descriptive design.

Participants

We used purposive sampling to recruit 18 participants with type 2 diabetes mellitus at the endocrinology outpatient unit of a large urban general hospital in Lanzhou, China, between July and September 2023.

Methods

We conducted individual, semi-structured interviews to identify decision-making biases of self-care behaviours from the behavioural economics perspective. The interviews were transcribed verbatim, and the thematic analysis approach was utilized to code the transcribed data and identify themes.

Results

We found that patients with type 2 diabetes mellitus showed emotion-driven and short-term-oriented decision-making biases regarding self-maintenance. Self-monitoring decisions tend to be personal experiences and based on individual perceptions. Self-management decisions depend heavily on accessibility to and sources of information.

Conclusions

Decision-making biases clearly impact the self-care behaviours of patients with type 2 diabetes mellitus. We identified 10 decision-making biases related to self-care behaviour maintenance, monitoring, and management, suggesting that future research can leverage these biases to improve the health-related behaviours of patients with type 2 diabetes mellitus.

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2型糖尿病患者自我护理行为的决策偏差：行为经济学视角的定性研究

背景2型糖尿病患者经常根据他们在现实世界中的直接需求和愿望做出自我保健行为决定。在寻求满意的选择时偏离最优选择被称为决策偏差，这种偏差在2型糖尿病患者的自我护理行为中并不明显。定性研究可以深入了解患者对自我护理的描述和经历，帮助系统地识别决策偏差。目的从2型糖尿病患者自我保健的描述和经验中发现其决策偏差，以指导有针对性的干预策略补充现有干预模式。设计定性的、描述性的设计。研究人员采用目的抽样方法，于2023年7月至9月在中国兰州一家大型城市综合医院内分泌科门诊招募18名2型糖尿病患者。方法采用个人半结构化访谈，从行为经济学的角度分析自我保健行为的决策偏差。对访谈进行逐字记录，并利用主题分析方法对记录的数据进行编码并确定主题。结果2型糖尿病患者在自我维持方面存在情绪驱动和短期导向的决策偏差。自我监控的决定往往是个人的经历，基于个人的看法。自我管理决策在很大程度上取决于信息的可访问性和来源。结论决策偏差明显影响2型糖尿病患者的自我护理行为。我们确定了10个与自我保健行为维持、监测和管理相关的决策偏差，表明未来的研究可以利用这些偏差来改善2型糖尿病患者的健康相关行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Studies 医学-护理

CiteScore

15.00

自引率

2.50%

发文量

181

审稿时长

21 days

期刊介绍： The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).