The effects of financial incentives on diabetes prevention program attendance and weight loss among low-income patients: the We Can Prevent Diabetes cluster-randomized controlled trial
| Autor: | Patrick J. O'Connor, Houa Vue-Her, Todd Gilmer, Joyce E. Garrett, Gabriela Vazquez-Benitez, Katelyn Engel, Jeff Schiff, Sarah Rinn, Gretchen Taylor, Julie D. Anderson, Jay Desai, Sara Johnson |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Lifestyle intervention
Weight loss Diabetes type 2 prevention Type 2 diabetes law.invention Prediabetic State 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Diabetes mellitus Medicine Humans 030212 general & internal medicine Prediabetes Life Style Motivation 030505 public health business.industry Medicaid lcsh:Public aspects of medicine Weight change Public Health Environmental and Occupational Health Attendance lcsh:RA1-1270 medicine.disease United States Diabetes Mellitus Type 2 Low income individuals Financial incentives medicine.symptom 0305 other medical science business Demography Research Article |
| Zdroj: | BMC Public Health, Vol 20, Iss 1, Pp 1-11 (2020) BMC Public Health |
| ISSN: | 1471-2458 |
| Popis: | Background Penetration and participation of real life implementation of lifestyle change programs to prevent type 2 diabetes has been challenging. This is particularly so among low income individuals in the United States. The purpose of this study is to examine the effectiveness of financial incentives on attendance and weight loss among Medicaid beneficiaries participating in the 12-month Diabetes Prevention Program (DPP). Methods This is a cluster-randomized controlled trial with two financial incentive study arms and an attention control study arm. Medicaid beneficiaries with prediabetes from 13 primary care clinics were randomly assigned to individually earned incentives (IND; 33 groups; n = 309), a hybrid of individual- and group-earned incentives (GRP; 30 groups; n = 259), and an attention control (AC; 30 groups; n = 279). Up to $520 in incentives could be earned for attaining attendance and weight loss goals over 12 months. Outcomes are percent weight loss from baseline, achieving 5% weight loss from baseline, and attending 75% of core and 75% of maintenance DPP sessions. Linear mixed models were used to examine weight change and attendance rates over the 16 weeks and 12 months. Results The percent weight change at 16 weeks for the IND, GRP, and AC participants were similar, at − 2.6, − 3.1%, and − 3.4%, respectively. However, participants achieving 5% weight loss in the IND, GRP, and AC groups was 21.5, 24.0% (GRP vs AC, P P P P P Conclusions Financial incentives can improve the proportion of Medicaid beneficiaries attending the 12-month DPP and achieving at least 5% weight loss. Trial registration ClinicalTrials.govNCT02422420; retrospectively registered April 21, 2015. |
| Databáze: | OpenAIRE |
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