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 3-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.

中文翻译：

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利用经济激励促进青少年 1 型糖尿病自我管理：一项随机对照试验试点


目的 评估经济激励是否可以改善 1 型糖尿病 (T1D) 青少年的自我管理行为和血糖。研究设计和方法 患有 T1D 的青少年（12 至 18 岁）在 3 种治疗（增益框架、损失框架、无激励）交叉随机对照试验中选择激励自我管理行为和临床结果目标。参与者在每个 12 周的激励治疗组中最多可获得 180 美元的收入。结果 与非财务激励组内平均 41% 的行为目标实现率相比，收益和损失框架下的平均行为目标实现率分别为 50% (P < 0.01) 和 45% (P < 0.01)。与未接受经济激励时 (38%) 相比，增益帧和损失帧臂的平均射程时间 (TIR) 分别高出 43% (P < 0.01) 和 42% (P < 0.01)。三组之间的 A1C 没有差异。结论 经济激励可以在短期内改善 1D 青少年的糖尿病自我管理行为和 TIR。