Type 1 diabetes

Adolescent-Preferred financial incentives to promote type 1 diabetes Self-Care: A discrete choice experiment

Diabetes Res Clin PractPublished Discrete choice experiment

Authors' conclusion

Stated preferences can inform intervention design. Future research will evaluate the external validity of the discrete choice experiment-informed intervention design by assessing adolescent health and behavioral outcomes in a randomized controlled trial.

Study context

Population
Adolescents aged 12–18 years with T1D from two pediatric hospital endocrinology clinics
Participants
317 adolescents
Outcome
Preferences for characteristics of a financial incentives program (monthly reward value, payment structure, difficulty of incentivized behaviors) to motivate T1D self-care
Methodological detailstwo pediatric hospital endocrinology clinics, conditional logit model, 12 choice questions, each a pair of incentive profiles, tailored to T1D technology use and perceived behavior difficulty
  • Two pediatric hospital endocrinology clinics
  • Conditional logit model
  • 12 choice questions, each a pair of incentive profiles, tailored to T1D technology use and perceived behavior difficulty

Main finding

As reported in the abstract

Preferences for financial incentive attributes

Share of preferences accounted for by value of the reward

60.8%

Willingness to accept lower value rewards with positive vs negative reinforcement payments

-$10.88

95% CI -$12.60, −9.24

Preferred higher incentives for hard vs easier behaviors

+$14.92

95% CI +$12.66, +$17.28

Original publication

Adolescent-Preferred financial incentives to promote type 1 diabetes Self-Care: A discrete choice experiment. Diabetes Res Clin Pract. Published 7 August 2024. doi:10.1016/j.diabres.2024.111798

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