{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T04:15:09Z","timestamp":1751516109297,"version":"3.41.0"},"reference-count":48,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001381","name":"National Research Foundation Singapore","doi-asserted-by":"publisher","award":["AISG-GC-2019-001-2B"],"award-info":[{"award-number":["AISG-GC-2019-001-2B"]}],"id":[{"id":"10.13039\/501100001381","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec021\">\n<jats:title>Background<\/jats:title>\n<jats:p>The inertia to adopt protective health behaviours by patients with diabetes is contributed by underestimation of their risks of diabetes complications. Risk communication, using social comparison of glycaemic control and disease trajectory to other patients of similar clinicodemographic profiles, has potential to increase patients\u2019 risk perceptions and motivate protective health behaviours. A digital tool named PERDICT.AI was designed to support primary care physicians (PCPs) in patient similarity-based risk communication to patients with type 2 diabetes mellitus (T2DM).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec022\">\n<jats:title>Aim<\/jats:title>\n<jats:p>This study explored the perspectives of patients with uncontrolled T2DM on how their diabetes-related risks were communicated to them by a PCP using PERDICT.AI.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec023\" sec-type=\"materials|methods\">\n<jats:title>Methodology<\/jats:title>\n<jats:p>A qualitative design was used. Eighteen participants aged 40\u201379 with T2DM with \u22651 HBA1c reading \u22658.0% within the last 6 months were recruited from a primary care clinic in Singapore. Each participant went through the risk communication session followed by an in-depth interview. The transcripts were coded and analysed to identify emerging themes.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec024\">\n<jats:title>Results<\/jats:title>\n<jats:p>Five themes emerged representing participants\u2019 risk perceptions post-session and social comparison tendencies. These are: 1) \u2018I am myself\u2019, 2) motivation to be like the majority, 3) avoiding similar negative outcomes, 4) low risk does not equate to zero risk, and 5) motivation to replicate how others achieve positive outcomes. Themes 1 and 4 were concurrently represented among some participants; zero risk tolerance for diabetes complications was expressed despite not being motivated by their HBA1c cohort ranking.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec025\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>This study provided insights into the acceptability of using a social comparison approach in communicating risk to patients with uncontrolled T2DM. It highlights the importance of identifying and selecting patients who are receptive to social comparison, clarifying patients\u2019 perceptions of risks, including zero risk, and providing tailored and socially comparable strategies to mitigate these risks.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0327623","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T17:46:26Z","timestamp":1751478386000},"page":"e0327623","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient perspectives on patient similarity-based risk communication for uncontrolled type 2 diabetes in primary care: A qualitative study"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6513-0071","authenticated-orcid":true,"given":"Ruiheng","family":"Ong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chirk Jenn","family":"Ng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalaipriya","family":"Gunasekaran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wynne","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mong Li","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ngiap Chuan","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"pone.0327623.ref001","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1186\/s12889-016-2827-1","article-title":"Current and future economic burden of diabetes among working-age adults in Asia: conservative estimates for Singapore from 2010-2050","volume":"16","author":"ME Png","year":"2016","journal-title":"BMC Public Health"},{"key":"pone.0327623.ref002","author":"Ministry of Health, Singapore. 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