Effectiveness and cost‐effectiveness of an app and rewards‐based intervention in type 2 diabetes: A randomised controlled trial
Authors' conclusion
A comprehensive app-based diabetes self-management programme with rewards for healthy behaviours and health outcomes (DMP+) cost-effectively improved glycaemic control in Type 2 diabetes patients. Organizations focusing on value-based healthcare should consider subsidising similar interventions.
Study context
- Population
- Adults with T2D, HbA1c 7.5%-11.0% (inclusive), taking at least one oral diabetes medication; Duke-NUS Medical School, Singaporerandomised
- Participants
- 269 adults
- Comparison
- App-based diabetes self-management programme with rewards vs usual care
- Usual care (UC)n = 117reference
- Diabetes management programme (DMP)n = 36
- DMP+n = 116
- Primary endpoint
- Change in HbA1c between DMP+ and UC
- Follow-up
- Month 12
Methodological detailsopen-label, parallel-group, three arms
- Open-label
- Parallel-group
- Three arms
Primary result
Mean HbA1c improvement · 12 months
Mean difference
0.4 %
95% CI −0.70 to −0.08
P = 0.015
Change by group
UC
0.1
mean · %
DMP+
0.5
mean · %
As reported in the abstract
Further findings
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| HbA1c improvement >0.5% · 12 monthsDMP+vs UC | 2.12 (1.17–3.85) | P = 0.013 | |
| 0.20.5125Odds ratio (log scale) |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Effectiveness and cost‐effectiveness of an app and rewards‐based intervention in type 2 diabetes: A randomised controlled trial. Diabetes Obes Metab. Published 5 December 2024. doi:10.
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