Patients’ impatience is an independent determinant of poor diabetes control

Abstract Aims Some individuals have a preference for the present rather than for the future. We investigated the impact of this impatient relationship to temporality on adherence to medication and HbA1c level in type 2 diabetic patients. Methods An observational, cross-sectional monocenter study in...

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Veröffentlicht in:Diabetes & metabolism 2011-12, Vol.37 (6), p.497-504
Hauptverfasser: Reach, G, Michault, A, Bihan, H, Paulino, C, Cohen, R, Le Clésiau, H
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container_end_page 504
container_issue 6
container_start_page 497
container_title Diabetes & metabolism
container_volume 37
creator Reach, G
Michault, A
Bihan, H
Paulino, C
Cohen, R
Le Clésiau, H
description Abstract Aims Some individuals have a preference for the present rather than for the future. We investigated the impact of this impatient relationship to temporality on adherence to medication and HbA1c level in type 2 diabetic patients. Methods An observational, cross-sectional monocenter study in 90 patients consulting for a health check-up at a Center for Preventive Medicine. We used questionnaires assessing adherence to medication, impatience in a fictive monetary choice (preferring a smaller amount now to a higher amount later) and in daily life situations, foresight, locus of control, and social deprivation. Results Impatience in the monetary choice was associated with non-adherence to medication ( P = 0.005). In a multivariate logistic regression model, the risk of observing HbA1c ≥ 7% was associated with a long duration of diabetes (OR 5.2, CI 1.7–15.7, P = 0.003), monetary impatience (OR = 5.1, CI 1.7–15.4, P = 0.004), a high “chance and other people” score of the locus of control (OR = 5.1, CI 1.7–15.7, P = 0.004), a suboptimal foresight (OR 3.9, CI 1.2-12.0, P = 0.02). A decision-tree analysis (CHAID algorithm) showed that in this cohort of 90 patients, the 11 people who were adherent to medication, patient in the monetary scenario, had optimal foresight, and gave importance neither to chance nor to other people, had all HbA1c below 7%. Conclusion An impatient relationship to temporality was found associated with non-adherence to medication and uncontrolled HbA1c in type 2 diabetic patients. Treatment strategies for chronic diseases should be tailored according to this novel dimension of psychology.
doi_str_mv 10.1016/j.diabet.2011.03.004
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We investigated the impact of this impatient relationship to temporality on adherence to medication and HbA1c level in type 2 diabetic patients. Methods An observational, cross-sectional monocenter study in 90 patients consulting for a health check-up at a Center for Preventive Medicine. We used questionnaires assessing adherence to medication, impatience in a fictive monetary choice (preferring a smaller amount now to a higher amount later) and in daily life situations, foresight, locus of control, and social deprivation. Results Impatience in the monetary choice was associated with non-adherence to medication ( P = 0.005). In a multivariate logistic regression model, the risk of observing HbA1c ≥ 7% was associated with a long duration of diabetes (OR 5.2, CI 1.7–15.7, P = 0.003), monetary impatience (OR = 5.1, CI 1.7–15.4, P = 0.004), a high “chance and other people” score of the locus of control (OR = 5.1, CI 1.7–15.7, P = 0.004), a suboptimal foresight (OR 3.9, CI 1.2-12.0, P = 0.02). A decision-tree analysis (CHAID algorithm) showed that in this cohort of 90 patients, the 11 people who were adherent to medication, patient in the monetary scenario, had optimal foresight, and gave importance neither to chance nor to other people, had all HbA1c below 7%. Conclusion An impatient relationship to temporality was found associated with non-adherence to medication and uncontrolled HbA1c in type 2 diabetic patients. Treatment strategies for chronic diseases should be tailored according to this novel dimension of psychology.</description><identifier>ISSN: 1262-3636</identifier><identifier>EISSN: 1878-1780</identifier><identifier>DOI: 10.1016/j.diabet.2011.03.004</identifier><identifier>PMID: 21550831</identifier><language>eng</language><publisher>Paris: Elsevier Masson SAS</publisher><subject>Adherence ; Biological and medical sciences ; Choice Behavior ; Choix monétaire ; Clinical myopia ; Cross-Sectional Studies ; Decision Trees ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - drug therapy ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - psychology ; Diabetes. Impaired glucose tolerance ; Diabète de type 2 ; Endocrine pancreas. Apud cells (diseases) ; Endocrinology &amp; Metabolism ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; Foresight ; France - epidemiology ; Glycated Hemoglobin A - metabolism ; Horizon temporel ; Humans ; Hypoglycemic Agents - administration &amp; dosage ; Impatience ; Internal Medicine ; Life Sciences ; Locus de contrôle ; Locus of control ; Logistic Models ; Male ; Medical sciences ; Medication Adherence - psychology ; Medication Adherence - statistics &amp; numerical data ; Middle Aged ; Monetary choice ; Multivariate Analysis ; Myopie clinique ; Observance ; Odds Ratio ; Ophthalmology ; Précarité ; Prévoyance ; Self Care - psychology ; Self Care - statistics &amp; numerical data ; Social deprivation ; Socioeconomic Factors ; Surveys and Questionnaires ; Temporal horizon ; Type 2 diabetes ; Vision disorders</subject><ispartof>Diabetes &amp; metabolism, 2011-12, Vol.37 (6), p.497-504</ispartof><rights>Elsevier Masson SAS</rights><rights>2011 Elsevier Masson SAS</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Masson SAS. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-f0649b920df47bfc9423dfd28dc85a1a1d23c4dbca645f4913e09d52cddf67a3</citedby><cites>FETCH-LOGICAL-c480t-f0649b920df47bfc9423dfd28dc85a1a1d23c4dbca645f4913e09d52cddf67a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.diabet.2011.03.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=25288859$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21550831$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.inrae.fr/hal-02643999$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Reach, G</creatorcontrib><creatorcontrib>Michault, A</creatorcontrib><creatorcontrib>Bihan, H</creatorcontrib><creatorcontrib>Paulino, C</creatorcontrib><creatorcontrib>Cohen, R</creatorcontrib><creatorcontrib>Le Clésiau, H</creatorcontrib><title>Patients’ impatience is an independent determinant of poor diabetes control</title><title>Diabetes &amp; metabolism</title><addtitle>Diabetes Metab</addtitle><description>Abstract Aims Some individuals have a preference for the present rather than for the future. We investigated the impact of this impatient relationship to temporality on adherence to medication and HbA1c level in type 2 diabetic patients. Methods An observational, cross-sectional monocenter study in 90 patients consulting for a health check-up at a Center for Preventive Medicine. We used questionnaires assessing adherence to medication, impatience in a fictive monetary choice (preferring a smaller amount now to a higher amount later) and in daily life situations, foresight, locus of control, and social deprivation. Results Impatience in the monetary choice was associated with non-adherence to medication ( P = 0.005). In a multivariate logistic regression model, the risk of observing HbA1c ≥ 7% was associated with a long duration of diabetes (OR 5.2, CI 1.7–15.7, P = 0.003), monetary impatience (OR = 5.1, CI 1.7–15.4, P = 0.004), a high “chance and other people” score of the locus of control (OR = 5.1, CI 1.7–15.7, P = 0.004), a suboptimal foresight (OR 3.9, CI 1.2-12.0, P = 0.02). A decision-tree analysis (CHAID algorithm) showed that in this cohort of 90 patients, the 11 people who were adherent to medication, patient in the monetary scenario, had optimal foresight, and gave importance neither to chance nor to other people, had all HbA1c below 7%. Conclusion An impatient relationship to temporality was found associated with non-adherence to medication and uncontrolled HbA1c in type 2 diabetic patients. Treatment strategies for chronic diseases should be tailored according to this novel dimension of psychology.</description><subject>Adherence</subject><subject>Biological and medical sciences</subject><subject>Choice Behavior</subject><subject>Choix monétaire</subject><subject>Clinical myopia</subject><subject>Cross-Sectional Studies</subject><subject>Decision Trees</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - drug therapy</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabète de type 2</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinology &amp; Metabolism</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>Foresight</subject><subject>France - epidemiology</subject><subject>Glycated Hemoglobin A - metabolism</subject><subject>Horizon temporel</subject><subject>Humans</subject><subject>Hypoglycemic Agents - administration &amp; dosage</subject><subject>Impatience</subject><subject>Internal Medicine</subject><subject>Life Sciences</subject><subject>Locus de contrôle</subject><subject>Locus of control</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medication Adherence - psychology</subject><subject>Medication Adherence - statistics &amp; numerical data</subject><subject>Middle Aged</subject><subject>Monetary choice</subject><subject>Multivariate Analysis</subject><subject>Myopie clinique</subject><subject>Observance</subject><subject>Odds Ratio</subject><subject>Ophthalmology</subject><subject>Précarité</subject><subject>Prévoyance</subject><subject>Self Care - psychology</subject><subject>Self Care - statistics &amp; numerical data</subject><subject>Social deprivation</subject><subject>Socioeconomic Factors</subject><subject>Surveys and Questionnaires</subject><subject>Temporal horizon</subject><subject>Type 2 diabetes</subject><subject>Vision disorders</subject><issn>1262-3636</issn><issn>1878-1780</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkstu1TAQhiMEoqXwBghlgyoWCeNLEnuDVFVAkQ4Cie4tx54IHxI72DmVuuM1eD2eBKc5FIkNG3vG-ubif6YonhOoCZD29b62Tve41BQIqYHVAPxBcUpEJyrSCXiYbdrSirWsPSmepLQHIFQy8bg4oaRpQDByWnz8rBeHfkm_fvws3TTfeQZLl0rtS-ctzpgPv5QWF4yT8zrbYSjnEGK5dYCpNMEvMYxPi0eDHhM-O95nxfW7t9eXV9Xu0_sPlxe7ynABSzVAy2UvKdiBd_1gJKfMDpYKa0SjiSaWMsNtb3TLm4FLwhCkbaixdmg7zc6KV1var3pUc3STjrcqaKeuLnZqfQPacialvCGZPd_YOYbvB0yLmlwyOI7aYzgkJQmRDFgnM8k30sSQUsThPjUBtUqu9mr7sFolV8BUljyHvTgWOPQT2vugPxpn4OUR0MnocYjaG5f-cg0VQjRr_Tcbh1m5G4dRJXM3DOsimkXZ4P7Xyb8JzOi8yzW_4S2mfThEn6eiiEpUgfqyrse6HYQAQMso-w0gV7Zh</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>Reach, G</creator><creator>Michault, A</creator><creator>Bihan, H</creator><creator>Paulino, C</creator><creator>Cohen, R</creator><creator>Le Clésiau, H</creator><general>Elsevier Masson SAS</general><general>Masson</general><general>Elsevier Masson</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>20111201</creationdate><title>Patients’ impatience is an independent determinant of poor diabetes control</title><author>Reach, G ; Michault, A ; Bihan, H ; Paulino, C ; Cohen, R ; Le Clésiau, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-f0649b920df47bfc9423dfd28dc85a1a1d23c4dbca645f4913e09d52cddf67a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adherence</topic><topic>Biological and medical sciences</topic><topic>Choice Behavior</topic><topic>Choix monétaire</topic><topic>Clinical myopia</topic><topic>Cross-Sectional Studies</topic><topic>Decision Trees</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - drug therapy</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabète de type 2</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinology &amp; Metabolism</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Female</topic><topic>Foresight</topic><topic>France - epidemiology</topic><topic>Glycated Hemoglobin A - metabolism</topic><topic>Horizon temporel</topic><topic>Humans</topic><topic>Hypoglycemic Agents - administration &amp; dosage</topic><topic>Impatience</topic><topic>Internal Medicine</topic><topic>Life Sciences</topic><topic>Locus de contrôle</topic><topic>Locus of control</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medication Adherence - psychology</topic><topic>Medication Adherence - statistics &amp; numerical data</topic><topic>Middle Aged</topic><topic>Monetary choice</topic><topic>Multivariate Analysis</topic><topic>Myopie clinique</topic><topic>Observance</topic><topic>Odds Ratio</topic><topic>Ophthalmology</topic><topic>Précarité</topic><topic>Prévoyance</topic><topic>Self Care - psychology</topic><topic>Self Care - statistics &amp; numerical data</topic><topic>Social deprivation</topic><topic>Socioeconomic Factors</topic><topic>Surveys and Questionnaires</topic><topic>Temporal horizon</topic><topic>Type 2 diabetes</topic><topic>Vision disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reach, G</creatorcontrib><creatorcontrib>Michault, A</creatorcontrib><creatorcontrib>Bihan, H</creatorcontrib><creatorcontrib>Paulino, C</creatorcontrib><creatorcontrib>Cohen, R</creatorcontrib><creatorcontrib>Le Clésiau, H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Diabetes &amp; metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reach, G</au><au>Michault, A</au><au>Bihan, H</au><au>Paulino, C</au><au>Cohen, R</au><au>Le Clésiau, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patients’ impatience is an independent determinant of poor diabetes control</atitle><jtitle>Diabetes &amp; metabolism</jtitle><addtitle>Diabetes Metab</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>37</volume><issue>6</issue><spage>497</spage><epage>504</epage><pages>497-504</pages><issn>1262-3636</issn><eissn>1878-1780</eissn><abstract>Abstract Aims Some individuals have a preference for the present rather than for the future. We investigated the impact of this impatient relationship to temporality on adherence to medication and HbA1c level in type 2 diabetic patients. Methods An observational, cross-sectional monocenter study in 90 patients consulting for a health check-up at a Center for Preventive Medicine. We used questionnaires assessing adherence to medication, impatience in a fictive monetary choice (preferring a smaller amount now to a higher amount later) and in daily life situations, foresight, locus of control, and social deprivation. Results Impatience in the monetary choice was associated with non-adherence to medication ( P = 0.005). In a multivariate logistic regression model, the risk of observing HbA1c ≥ 7% was associated with a long duration of diabetes (OR 5.2, CI 1.7–15.7, P = 0.003), monetary impatience (OR = 5.1, CI 1.7–15.4, P = 0.004), a high “chance and other people” score of the locus of control (OR = 5.1, CI 1.7–15.7, P = 0.004), a suboptimal foresight (OR 3.9, CI 1.2-12.0, P = 0.02). A decision-tree analysis (CHAID algorithm) showed that in this cohort of 90 patients, the 11 people who were adherent to medication, patient in the monetary scenario, had optimal foresight, and gave importance neither to chance nor to other people, had all HbA1c below 7%. Conclusion An impatient relationship to temporality was found associated with non-adherence to medication and uncontrolled HbA1c in type 2 diabetic patients. Treatment strategies for chronic diseases should be tailored according to this novel dimension of psychology.</abstract><cop>Paris</cop><pub>Elsevier Masson SAS</pub><pmid>21550831</pmid><doi>10.1016/j.diabet.2011.03.004</doi><tpages>8</tpages></addata></record>
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subjects Adherence
Biological and medical sciences
Choice Behavior
Choix monétaire
Clinical myopia
Cross-Sectional Studies
Decision Trees
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - drug therapy
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - psychology
Diabetes. Impaired glucose tolerance
Diabète de type 2
Endocrine pancreas. Apud cells (diseases)
Endocrinology & Metabolism
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Foresight
France - epidemiology
Glycated Hemoglobin A - metabolism
Horizon temporel
Humans
Hypoglycemic Agents - administration & dosage
Impatience
Internal Medicine
Life Sciences
Locus de contrôle
Locus of control
Logistic Models
Male
Medical sciences
Medication Adherence - psychology
Medication Adherence - statistics & numerical data
Middle Aged
Monetary choice
Multivariate Analysis
Myopie clinique
Observance
Odds Ratio
Ophthalmology
Précarité
Prévoyance
Self Care - psychology
Self Care - statistics & numerical data
Social deprivation
Socioeconomic Factors
Surveys and Questionnaires
Temporal horizon
Type 2 diabetes
Vision disorders
title Patients’ impatience is an independent determinant of poor diabetes control
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