IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0248762.html
   My bibliography  Save this article

Cost-effectiveness of financial incentives to improve glycemic control in adults with diabetes: A pilot randomized controlled trial

Author

Listed:
  • Leonard E Egede
  • Rebekah J Walker
  • Clara E Dismuke-Greer
  • Sarah Pyzyk
  • Aprill Z Dawson
  • Joni S Williams
  • Jennifer A Campbell

Abstract

Purpose: Determine the cost-effectiveness of three financial incentive structures in obtaining a 1% within group drop in HbA1c among adults with diabetes. Methods: 60 African Americans with type 2 diabetes were randomized to one of three financial incentive structures and followed for 3-months. Group 1 (low frequency) received a single incentive for absolute HbA1c reduction, Group 2 (moderate frequency) received a two-part incentive for home testing of glucose and absolute HbA1c reduction and Group 3 (high frequency) received a multiple component incentive for home testing, attendance of weekly telephone education classes and absolute HbA1c reduction. The primary clinical outcome was HbA1c reduction within each arm at 3-months. Cost for each arm was calculated based on the cost of the intervention, cost of health care visits during the 3-month time frame, and cost of workdays missed from illness. Incremental cost effectiveness ratios (ICER) were calculated based on achieving a 1% within group drop in HbA1c and were bootstrapped with 1,000 replications. Results: The ICER to decrease HbA1c by 1% was $1,100 for all three arms, however, bootstrapped standard errors differed with Group 1 having twice the variation around the ICER coefficient as Groups 2 and 3. ICERs were statistically significant for Groups 2 and 3 (p

Suggested Citation

  • Leonard E Egede & Rebekah J Walker & Clara E Dismuke-Greer & Sarah Pyzyk & Aprill Z Dawson & Joni S Williams & Jennifer A Campbell, 2021. "Cost-effectiveness of financial incentives to improve glycemic control in adults with diabetes: A pilot randomized controlled trial," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-11, March.
  • Handle: RePEc:plo:pone00:0248762
    DOI: 10.1371/journal.pone.0248762
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0248762
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0248762&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0248762?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Emma L Giles & Shannon Robalino & Elaine McColl & Falko F Sniehotta & Jean Adams, 2014. "The Effectiveness of Financial Incentives for Health Behaviour Change: Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-16, March.
    2. Promberger, Marianne & Dolan, Paul & Marteau, Theresa M., 2012. "“Pay them if it works”: Discrete choice experiments on the acceptability of financial incentives to change health related behaviour," Social Science & Medicine, Elsevier, vol. 75(12), pages 2509-2514.
    3. Yujin Lee & Dariush Mozaffarian & Stephen Sy & Yue Huang & Junxiu Liu & Parke E Wilde & Shafika Abrahams-Gessel & Thiago de Souza Veiga Jardim & Thomas A Gaziano & Renata Micha, 2019. "Cost-effectiveness of financial incentives for improving diet and health through Medicare and Medicaid: A microsimulation study," PLOS Medicine, Public Library of Science, vol. 16(3), pages 1-20, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Inghels, Maxime & Kim, Hae-Young & Mathenjwa, Thulile & Shahmanesh, Maryam & Seeley, Janet & Wyke, Sally & McGrath, Nuala & Sartorius, Benn & Yapa, H. Manisha & Dobra, Adrian & Bärnighausen, Till & Ta, 2022. "Can a conditional financial incentive (CFI) reduce socio-demographic inequalities in home-based HIV testing uptake? A secondary analysis of the HITS clinical trial intervention in rural South Africa," Social Science & Medicine, Elsevier, vol. 311(C).
    2. Frauke Becker & Nana Anokye & Esther W de Bekker-Grob & Ailish Higgins & Clare Relton & Mark Strong & Julia Fox-Rushby, 2018. "Women’s preferences for alternative financial incentive schemes for breastfeeding: A discrete choice experiment," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-19, April.
    3. Gill Thomson & Heather Morgan & Nicola Crossland & Linda Bauld & Fiona Dykes & Pat Hoddinott & on behalf of the BIBS team, 2014. "Unintended Consequences of Incentive Provision for Behaviour Change and Maintenance around Childbirth," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-21, October.
    4. Reynolds, J.P. & Archer, S. & Pilling, M. & Kenny, M. & Hollands, G.J. & Marteau, T.M., 2019. "Public acceptability of nudging and taxing to reduce consumption of alcohol, tobacco, and food: A population-based survey experiment," Social Science & Medicine, Elsevier, vol. 236(C), pages 1-1.
    5. Reynolds, J.P. & Pilling, M. & Marteau, T.M., 2018. "Communicating quantitative evidence of policy effectiveness and support for the policy: Three experimental studies," Social Science & Medicine, Elsevier, vol. 218(C), pages 1-12.
    6. Coast, Joanna, 2018. "A history that goes hand in hand: Reflections on the development of health economics and the role played by Social Science & Medicine, 1967–2017," Social Science & Medicine, Elsevier, vol. 196(C), pages 227-232.
    7. Emma L Giles & Frauke Becker & Laura Ternent & Falko F Sniehotta & Elaine McColl & Jean Adams, 2016. "Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-19, June.
    8. Kraak, Vivica I. & Swinburn, Boyd & Lawrence, Mark & Harrison, Paul, 2014. "A Q methodology study of stakeholders’ views about accountability for promoting healthy food environments in England through the Responsibility Deal Food Network," Food Policy, Elsevier, vol. 49(P1), pages 207-218.
    9. Finkelstein, Eric A. & Bilger, Marcel & Baid, Drishti, 2019. "Effectiveness and cost-effectiveness of incentives as a tool for prevention of non-communicable diseases: A systematic review," Social Science & Medicine, Elsevier, vol. 232(C), pages 340-350.
    10. Edberg, Dana & Mukhopadhyay, Sankar & Wendel, Jeanne, 2019. "Incentive design to boost health for juveniles with Medicaid coverage: Evidence from a field experiment," Economics & Human Biology, Elsevier, vol. 33(C), pages 101-115.
    11. Gregg, Rebecca & Patel, Ajay & Patel, Sumaiya & O’Connor, Laura, 2017. "Public reaction to the UK government strategy on childhood obesity in England: A qualitative and quantitative summary of online reaction to media reports," Health Policy, Elsevier, vol. 121(4), pages 450-457.
    12. Eiji Yamamura & Yoshiro Tsutsui & Fumio Ohtake, 2023. "Would Monetary Incentives to COVID-19 vaccination reduce motivation?," Papers 2311.11828, arXiv.org.
    13. Elizabeth Greene & Allison Pack & Jill Stanton & Victoria Shelus & Elizabeth E Tolley & Jamilah Taylor & Wafaa M El Sadr & Bernard M Branson & Jason Leider & Natella Rakhmanina & Theresa Gamble, 2017. "“It Makes You Feel Like Someone Cares” acceptability of a financial incentive intervention for HIV viral suppression in the HPTN 065 (TLC-Plus) study," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-18, February.
    14. Victoria Shelus & Jamilah Taylor & Elizabeth Greene & Jill Stanton & Allison Pack & Elizabeth E Tolley & Bernard M Branson & Wafaa M El-Sadr & June Pollydore & Theresa Gamble, 2018. "It’s all in the timing: Acceptability of a financial incentive intervention for linkage to HIV care in the HPTN 065 (TLC-Plus) study," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-16, February.
    15. Yongseop Kim & Junhyoung Kim & Jung-Min Lee & Dong-Chul Seo & Hyun Chul Jung, 2022. "Intergenerational Taekwondo Program: A Narrative Review and Practical Intervention Proposal," IJERPH, MDPI, vol. 19(9), pages 1-17, April.
    16. Crossland, Nicola & Thomson, Gill & Morgan, Heather & Dombrowski, Stephan U. & Hoddinott, Pat, 2015. "Incentives for breastfeeding and for smoking cessation in pregnancy: An exploration of types and meanings," Social Science & Medicine, Elsevier, vol. 128(C), pages 10-17.
    17. Pechey, Rachel & Burge, Peter & Mentzakis, Emmanouil & Suhrcke, Marc & Marteau, Theresa M., 2014. "Public acceptability of population-level interventions to reduce alcohol consumption: A discrete choice experiment," Social Science & Medicine, Elsevier, vol. 113(C), pages 104-109.
    18. Emmanuel Aboagye & Jan Hagberg & Iben Axén & Lydia Kwak & Malin Lohela-Karlsson & Eva Skillgate & Gunilla Dahlgren & Irene Jensen, 2017. "Individual preferences for physical exercise as secondary prevention for non-specific low back pain: A discrete choice experiment," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-15, December.
    19. Talia Goren & Itai Beeri & Dana R. Vashdi, 2023. "Framing policies to mobilize citizens' behavior during a crisis: Examining the effects of positive and negative vaccination incentivizing policies," Regulation & Governance, John Wiley & Sons, vol. 17(2), pages 570-591, April.
    20. Noémi Berlin & Léontine Goldzahl & Linda Bauld & Pat Hoddinott & Ivan Berlin, 2018. "Public acceptability of financial incentives to reward pregnant smokers who quit smoking: a United Kingdom–France comparison," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(5), pages 697-708, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0248762. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.