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Testing for rewards: a pilot study to improve type 1 diabetes management in adolescents.


ABSTRACT:

Objective

To evaluate the effectiveness of monetary reinforcement to increase the frequency of self-monitoring blood glucose (SMBG).

Research design and methods

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).

Results

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.

Conclusions

Reinforcing adolescents for SMBG may increase testing and improve A1C.

SUBMITTER: Petry NM 

PROVIDER: S-EPMC4580608 | biostudies-literature | 2015 Oct

REPOSITORIES: biostudies-literature

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Publications

Testing for rewards: a pilot study to improve type 1 diabetes management in adolescents.

Petry Nancy M NM   Cengiz Eda E   Wagner Julie A JA   Weyman Kate K   Tichy Eileen E   Tamborlane William V WV  

Diabetes care 20150722 10


<h4>Objective</h4>To evaluate the effectiveness of monetary reinforcement to increase the frequency of self-monitoring blood glucose (SMBG).<h4>Research design and methods</h4>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).<h4>Results</h4>SMBG increased from 1.8 ± 1.0 to 4.9 ± 1.0 tests per day (P < 0.001) with 90% completing fo  ...[more]

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