Behavioral Economic Incentives to Improve Glycemic Control Among Adolescents and Young Adults
1 other identifier
interventional
90
1 country
1
Brief Summary
In this study the investigators will compare a novel approach using daily financial incentives and a tiered sponsor network to motivate adolescents and young adults with type 1 diabetes to improve glycemic control.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3 diabetes
Started Jan 2016
Shorter than P25 for phase_3 diabetes
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 2, 2015
CompletedFirst Posted
Study publicly available on registry
October 6, 2015
CompletedStudy Start
First participant enrolled
January 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2016
CompletedNovember 11, 2016
November 1, 2016
7 months
October 2, 2015
November 10, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in HbA1c by 3 months
Change in HbA1c from baseline to 3 months
3 months
Secondary Outcomes (3)
Change in HbA1c by 6 months
6 months
Glucose Monitoring Adherence by 3 months
3 months
Glucose Monitoring Adherence by 6 months
6 months
Study Arms (2)
Daily feedback
EXPERIMENTALParticipants receive daily feedback from wireless glucometers that transmit data on glucose monitoring adherence.
Daily Feedback, incentives
EXPERIMENTALParticipants receive daily feedback from wireless glucometers that transmit data on glucose monitoring adherence. Participants are eligible for a financial incentive if adherent.
Interventions
Daily feedback on glucose levels from wireless glucometers
Participant receive a $2 daily financial incentive framed as a loss with money allocated upfront and taken away each day of non-adherence to goal
Eligibility Criteria
You may qualify if:
- Diagnosis of type 1 diabetes
- HbA1c of 8 or greater
- Receiving care from the Childrens Hospital of Philadelphia Diabetes Center
- English-speaking
- Owns a smartphone
You may not qualify if:
- New diagnosis of type 1 diabetes within past year
- Unable to provide informed consent
- Already participating in another study to improve glycemic control
- Any medical conditions that would prevent completion of the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Pennsylvanialead
- Children's Hospital of Philadelphiacollaborator
Study Sites (1)
University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
Related Publications (1)
Wong CA, Miller VA, Murphy K, Small D, Ford CA, Willi SM, Feingold J, Morris A, Ha YP, Zhu J, Wang W, Patel MS. Effect of Financial Incentives on Glucose Monitoring Adherence and Glycemic Control Among Adolescents and Young Adults With Type 1 Diabetes: A Randomized Clinical Trial. JAMA Pediatr. 2017 Dec 1;171(12):1176-1183. doi: 10.1001/jamapediatrics.2017.3233.
PMID: 29059263DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mitesh Patel, MD, MBA, MS
University of Pennsylvania
- PRINCIPAL INVESTIGATOR
Charlene Wong, MD, MS
University of Pennsylvania
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 2, 2015
First Posted
October 6, 2015
Study Start
January 1, 2016
Primary Completion
August 1, 2016
Study Completion
November 1, 2016
Last Updated
November 11, 2016
Record last verified: 2016-11