Incentives for Internet-based Adherence to SMBG for Teens With T1D
NCT ID: NCT02638246
Last Updated: 2015-12-23
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
52 participants
INTERVENTIONAL
2011-04-30
2012-12-31
Brief Summary
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Detailed Description
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The current study will use a powerful, scientifically-based behavioral intervention - contingency management (CM) to increase self-monitoring of blood glucose and improve glycemic control among adolescents with Type 1 diabetes. CM involves giving incentives for objective evidence of a target behavior and has been shown to have a robust and reliable impact in promoting behavior change. Our previous research used the Internet to objectively monitor smoking and reinforce smoking cessation (via video recorded carbon monoxide submissions), which resulted in robust increases in smoking abstinence. The current proposal extends this effective Internet-based CM intervention to address the significant health issue of non-adherence to blood glucose testing and glycemic control among youth. Two groups of non-adherent adolescents will be recruited. One group will earn incentives over the Internet for submitting webcam recorded videos that show them testing their blood glucose. A different group will be given standard care recommendations for blood glucose testing and management and will be encouraged to submit glucose monitoring videos, but incentives will not be delivered contingent on submissions (instead, they will earn monetary incentives independent of video submissions, but in an overall amount that matches the earnings of a participant in the other group). The purpose of the study is to evaluate the feasibility, convenience, and efficacy of using Internet-based CM to increase blood glucose monitoring in adolescent Type 1 diabetics.
Combining the accessibility of the Internet with a powerful, evidence-based behavioral intervention can have profound effects on adherence to diabetes self-management in this important population. Improving adherence to diabetes management in adolescents is a significant public health issue - serious medical complications, such as heart disease and nerve damage, that would develop with poor glycemic control can be avoided. Importantly, the current study offers a scientifically-based behavioral intervention that could be applied to a range of populations and behavior relevant to adherence with diabetes regimens (e.g., adults, medication adherence, carbohydrate counting, insulin dose adjustment, etc.).
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Contingent
Participants in this group received incentives contingent on meeting pre-specified daily blood-glucose testing adherence goals.
Internet-delivered, Incentive-based intervention + Motivational Interviewing
Blood glucose monitoring was verified by videos uploaded to a secure server. Participants in the experimental group received incentives for adherence whereas participants in the control group received adherence independent of adherence.
Noncontingent
Participants in this group received incentives independent of meeting pre-specified daily blood glucose testing adherence goals.
Internet-delivered, non-contingent incentives + Motivational Interviewing
Interventions
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Internet-delivered, Incentive-based intervention + Motivational Interviewing
Blood glucose monitoring was verified by videos uploaded to a secure server. Participants in the experimental group received incentives for adherence whereas participants in the control group received adherence independent of adherence.
Internet-delivered, non-contingent incentives + Motivational Interviewing
Eligibility Criteria
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Inclusion Criteria
* Self-reported self-monitoring blood glucose less than four times per day
* Lived in a home with Internet access
* No travel plans within 2 months of enrolling in the study
* Read and spoke English
Exclusion Criteria
* Not attending regular clinic appointment within 3 months of screening
13 Years
18 Years
ALL
Yes
Sponsors
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National Development and Research Institutes, Inc.
OTHER
Rowan University
OTHER
Responsible Party
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Principal Investigators
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Bethany Raiff, PhD
Role: PRINCIPAL_INVESTIGATOR
Rowan University
Other Identifiers
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