Testing for rewards: a pilot study to improve type 1 diabetes management in adolescents.
prospective_cohort · Level II
Where this comes from
- Record sourced from PubMed, PMID 26203061.
- Also identified by DOI 10.2337/dc15-0765 and PMC identifier 4580608.
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Abstract
To evaluate the effectiveness of monetary reinforcement to increase the frequency of self-monitoring blood glucose (SMBG). Ten adolescents with poorly controlled diabetes enrolled in a 12-week program in which they earned monetary reinforcers based on SMBG frequency ($0.10 per test, with bonuses for ≥4 tests per day, and $251.40 maximum). SMBG increased from 1.8 ± 1.0 to 4.9 ± 1.0 tests per day (P < 0.001) with 90% completing four or more tests per day. Mean A1C fell from 9.3 ± 0.9% to 8.4 ± 1.5% (P = 0.05). Adolescents and parents reported high satisfaction with procedures. Reinforcing adolescents for SMBG may increase testing and improve A1C.
Medical subject headings
- Diabetes Mellitus, Type 1
- Hypoglycemic Agents
- Reward