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Assessing the relationship between present bias and diabetes self-care behavior.

Mary Turner DePalma1, Kennedey Taylor Heichel1, Aidan O'Leary1

  • 1Ithaca College, USA.

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Summary

Present bias, the tendency to prioritize immediate rewards over long-term consequences, negatively impacts diabetes self-care. Domain-specific present bias (DSPB) measures are particularly useful for understanding this relationship in people with diabetes.

Keywords:
diabetesdietexercise behaviorhealth behaviorpresent bias

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Area of Science:

  • Psychology
  • Behavioral Economics
  • Diabetes Management

Background:

  • Biomedical and technological advances in diabetes treatment require understanding psychological factors.
  • Present bias, prioritizing immediate gratification over future outcomes, is a significant psychological factor.
  • Accessible self-report measures for present bias in diabetes self-care are limited.

Purpose of the Study:

  • To modify existing measures to assess present bias and domain-specific present bias (DSPB).
  • To examine the relationship between present bias, DSPB, and diabetes self-care.
  • To investigate the link between present bias and awareness of this bias.

Main Methods:

  • An online survey was administered to 268 individuals, including 171 people with diabetes (PwD) and 97 people without diabetes (PwoD).
  • Modified existing measures to assess present bias and DSPB.
  • Included a diabetes self-care measure for PwD.

Main Results:

  • Higher levels of present bias were consistently associated with poorer diabetes self-care.
  • Domain-specific present bias (DSPB) showed a particularly strong association with worse diabetes self-care.
  • Increased present bias correlated with greater awareness of one's bias, but not with the perceived ability to control impulses.

Conclusions:

  • Present bias is a significant psychological factor negatively impacting diabetes self-care.
  • Domain-specific measures of present bias are valuable for understanding and potentially intervening in diabetes self-care.
  • While awareness of present bias may increase with its severity, this awareness does not necessarily translate to improved impulse control for diabetes management.