使用经济激励促进青少年 1 型糖尿病自我管理：一项试点随机对照试验。

Use of Financial Incentives to Promote Adolescent Type 1 Diabetes Self-management: A Pilot Randomized Controlled Trial.

机构信息

Department of Pediatrics, University of Washington School of Medicine, Seattle, WA.

Seattle Children's Research Institute, Seattle, WA.

出版信息

Diabetes Care. 2024 Oct 1;47(10):1803-1807. doi: 10.2337/dc24-0699.

DOI:10.2337/dc24-0699

PMID:39110546

Abstract

OBJECTIVE

To evaluate whether financial incentives lead to improvement in self-management behaviors and glycemia in adolescents with type 1 diabetes (T1D).

RESEARCH DESIGN AND METHODS

Adolescents (12- to 18-year-olds) with T1D selected incentivized self-management behavior and clinical outcome goals in a three-treatment (gain frame, loss frame, no incentives) crossover randomized controlled trial. Participants could earn up to $180 in each 12-week incentive treatment arm.

RESULTS

Compared with a mean 41% behavioral goal attainment within the nonfinancial incentives arm, mean behavioral goal attainment under gain and loss frames was 50% (P < 0.01) and 45% (P < 0.01), respectively. Mean time in range (TIR) in gain frame and loss frame arms was higher 43% (P < 0.01) and 42% (P < 0.01), respectively, compared with when not receiving financial incentives (38%). There was no difference in A1C among the three arms.

CONCLUSIONS

Financial incentives can improve diabetes self-management behaviors and TIR in adolescents with T1D in the short-term.

摘要

目的

评估经济激励是否能改善 1 型糖尿病（T1D）青少年的自我管理行为和血糖水平。

研究设计和方法

在一项三处理（收益框架、损失框架、无激励）交叉随机对照试验中，青少年（12-18 岁）选择激励性自我管理行为和临床结局目标。参与者在每个 12 周的激励治疗手臂中最多可赚取 180 美元。

结果

与非经济激励手臂中平均 41%的行为目标达成率相比，收益框架和损失框架下的行为目标达成率分别为 50%（P<0.01）和 45%（P<0.01）。收益框架和损失框架手臂中的时间在目标范围内（TIR）分别比未接受经济激励时高 43%（P<0.01）和 42%（P<0.01）。三个手臂之间的 A1C 没有差异。