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Diabetes Care. 2015 Oct;38(10):1952-4. doi: 10.2337/dc15-0765. Epub 2015 Jul 22.

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

Author information

1
University of Connecticut School of Medicine, Farmington, CT npetry@uchc.edu.
2
Yale University School of Medicine, New Haven, CT.
3
University of Connecticut School of Dental Medicine, Farmington, CT.

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.

PMID:
26203061
PMCID:
PMC4580608
DOI:
10.2337/dc15-0765
[Indexed for MEDLINE]
Free PMC Article
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