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The effect of individual and mixed rewards on diabetes management: A feasibility randomized controlled trial
Background: Incentives play a role in introducing health-related benefits, but no interventions using mixed incentives, i.e. a combination of individual and group incentives, have been tested in individuals with type 2 diabetes mellitus (T2DM). We evaluated the feasibility of implementing individual...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
F1000 Research Limited
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325609/ https://www.ncbi.nlm.nih.gov/pubmed/30662958 http://dx.doi.org/10.12688/wellcomeopenres.14824.3 |
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author | Miranda, J. Jaime Lazo-Porras, María Bernabe-Ortiz, Antonio Pesantes, M. Amalia Diez-Canseco, Francisco Cornejo, Socorro del Pilar Trujillo, Antonio J. |
author_facet | Miranda, J. Jaime Lazo-Porras, María Bernabe-Ortiz, Antonio Pesantes, M. Amalia Diez-Canseco, Francisco Cornejo, Socorro del Pilar Trujillo, Antonio J. |
author_sort | Miranda, J. Jaime |
collection | PubMed |
description | Background: Incentives play a role in introducing health-related benefits, but no interventions using mixed incentives, i.e. a combination of individual and group incentives, have been tested in individuals with type 2 diabetes mellitus (T2DM). We evaluated the feasibility of implementing individual- and mixed-incentives, with and without a supportive partner, on glycated haemoglobin (HbA1c) control and weight loss among patients with T2DM. Methods: This is a feasibility, sex-stratified, single-blinded, randomized controlled study in individuals with T2DM. All participants received diabetes education and tailored goal setting for weight and glycated haemoglobin (HbA1c). Participants were randomly assigned into three arms: individual incentives (Arm 1), mixed incentives-altruism (Arm 2), and mixed incentives-cooperation (Arm 3). Participants were accompanied by a diabetes educator every other week to monitor targets, and the intervention period lasted 3 months. The primary outcome was the change in HbA1c at 3 months from baseline. Weight and change body mass index (BMI) were considered as secondary outcomes. Results: Out of 783 patients screened, a total of 54 participants, 18 per study arm, were enrolled and 44 (82%) completed the 3-month follow-up. Mean baseline HbA1c values were 8.5%, 7.9% and 8.2% in Arm 1, Arm 2, and Arm 3, respectively. At 3 months, participants in all three study arms showed reductions in HbA1c ranging from -0.9% in Arm 2 to -1.4% in Arm 1. Weight and BMI also showed reductions. Conclusions: Individual and mixed cash incentives show important reductions in HbA1c, weight and BMI in patients with type 2 diabetes mellitus after 3 months. Recruitment and uptake of the intervention were successfully accomplished demonstrating feasibility to conduct larger effectiveness studies to test individual and mixed economic incentives for diabetes management. Registration: ClinicalTrials.gov Identifier NCT02891382 |
format | Online Article Text |
id | pubmed-6325609 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | F1000 Research Limited |
record_format | MEDLINE/PubMed |
spelling | pubmed-63256092019-01-17 The effect of individual and mixed rewards on diabetes management: A feasibility randomized controlled trial Miranda, J. Jaime Lazo-Porras, María Bernabe-Ortiz, Antonio Pesantes, M. Amalia Diez-Canseco, Francisco Cornejo, Socorro del Pilar Trujillo, Antonio J. Wellcome Open Res Research Article Background: Incentives play a role in introducing health-related benefits, but no interventions using mixed incentives, i.e. a combination of individual and group incentives, have been tested in individuals with type 2 diabetes mellitus (T2DM). We evaluated the feasibility of implementing individual- and mixed-incentives, with and without a supportive partner, on glycated haemoglobin (HbA1c) control and weight loss among patients with T2DM. Methods: This is a feasibility, sex-stratified, single-blinded, randomized controlled study in individuals with T2DM. All participants received diabetes education and tailored goal setting for weight and glycated haemoglobin (HbA1c). Participants were randomly assigned into three arms: individual incentives (Arm 1), mixed incentives-altruism (Arm 2), and mixed incentives-cooperation (Arm 3). Participants were accompanied by a diabetes educator every other week to monitor targets, and the intervention period lasted 3 months. The primary outcome was the change in HbA1c at 3 months from baseline. Weight and change body mass index (BMI) were considered as secondary outcomes. Results: Out of 783 patients screened, a total of 54 participants, 18 per study arm, were enrolled and 44 (82%) completed the 3-month follow-up. Mean baseline HbA1c values were 8.5%, 7.9% and 8.2% in Arm 1, Arm 2, and Arm 3, respectively. At 3 months, participants in all three study arms showed reductions in HbA1c ranging from -0.9% in Arm 2 to -1.4% in Arm 1. Weight and BMI also showed reductions. Conclusions: Individual and mixed cash incentives show important reductions in HbA1c, weight and BMI in patients with type 2 diabetes mellitus after 3 months. Recruitment and uptake of the intervention were successfully accomplished demonstrating feasibility to conduct larger effectiveness studies to test individual and mixed economic incentives for diabetes management. Registration: ClinicalTrials.gov Identifier NCT02891382 F1000 Research Limited 2019-02-05 /pmc/articles/PMC6325609/ /pubmed/30662958 http://dx.doi.org/10.12688/wellcomeopenres.14824.3 Text en Copyright: © 2019 Miranda JJ et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Miranda, J. Jaime Lazo-Porras, María Bernabe-Ortiz, Antonio Pesantes, M. Amalia Diez-Canseco, Francisco Cornejo, Socorro del Pilar Trujillo, Antonio J. The effect of individual and mixed rewards on diabetes management: A feasibility randomized controlled trial |
title | The effect of individual and mixed rewards on diabetes management: A feasibility randomized controlled trial |
title_full | The effect of individual and mixed rewards on diabetes management: A feasibility randomized controlled trial |
title_fullStr | The effect of individual and mixed rewards on diabetes management: A feasibility randomized controlled trial |
title_full_unstemmed | The effect of individual and mixed rewards on diabetes management: A feasibility randomized controlled trial |
title_short | The effect of individual and mixed rewards on diabetes management: A feasibility randomized controlled trial |
title_sort | effect of individual and mixed rewards on diabetes management: a feasibility randomized controlled trial |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325609/ https://www.ncbi.nlm.nih.gov/pubmed/30662958 http://dx.doi.org/10.12688/wellcomeopenres.14824.3 |
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