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The effect of individual and mixed rewards on diabetes management: A feasibility randomized controlled trial

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dc.contributor.author Miranda, J. Jaime
dc.contributor.author Lazo Porras, María de los Ángeles
dc.contributor.author Bernabé Ortiz, Antonio
dc.contributor.author Pesantes Villa, María Amalia
dc.contributor.author Diez-Canseco Montero, Francisco
dc.contributor.author Cornejo, S.P.
dc.contributor.author Trujillo, A.J.
dc.date.accessioned 2019-04-24T18:23:59Z
dc.date.available 2019-04-24T18:23:59Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/20.500.12866/6506
dc.description.abstract 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. en_US
dc.language.iso eng
dc.publisher F1000 Research
dc.relation.ispartofseries Wellcome Open Research
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject behavioral economics en_US
dc.subject Diabetes en_US
dc.subject Diabetes management en_US
dc.subject Diabetes control en_US
dc.subject complex interventions en_US
dc.subject feasibility trial en_US
dc.subject Peru en_US
dc.title The effect of individual and mixed rewards on diabetes management: A feasibility randomized controlled trial en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.12688/wellcomeopenres.14824.2
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.03
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.00.00
dc.relation.issn 2398-502X


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