Type 2 & other diabetes

Effectiveness of behavioural economics‐based financial incentives and social feedback on glycaemic control and physical activity in adults with newly diagnosed type 2 diabetes: A randomised control trial

Diabetes Obes MetabPublished Randomised controlled trial

Authors' conclusion

Financial incentive and social comparison feedback improved physical activity in people newly diagnosed with type 2 diabetes but were insufficient to achieve a significant improvement in glycaemic control.

Study context

Population
Adults with newly diagnosed T2D
Participants
99 adults
Comparison
Loss-framed financial incentive (FI) or financial incentive plus social comparison feedback (FS) vs control
Methodological detailspragmatic, three-arm, 6-month intervention and 3-month post-intervention follow-up
  • Pragmatic
  • Three-arm
  • 6-month intervention and 3-month post-intervention follow-up

Primary result

As reported in the abstract

HbA1c, weight, cholesterol, TG · 6 and 9 months
  • No significant decreases in HbA1c, weight, cholesterol or TG in incentive groups vs control at 6 or 9 months
  • ITT analysis with multiple imputation and generalised estimating equations (GEE)

Further findings

Baseline HbA1c

OutcomeEstimateP value
Step count · 6 monthsFI vs Controldifference +1283 steps/dayP < 0.001
Step count · 6 monthsFS vs Controldifference +1545 steps/dayP < 0.001
Physical activity · 6 monthsFS vs Controldifference +774 MET-minutes/weekP < 0.001

Original publication

Effectiveness of behavioural economics‐based financial incentives and social feedback on glycaemic control and physical activity in adults with newly diagnosed type 2 diabetes: A randomised control trial. Diabetes Obes Metab. Published 9 February 2026. doi:10.1111/dom.70541

Composed by AI from the published abstract and checked against it. How Briefs are made →

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