Adolescent and parent perspectives on the acceptability of financial incentives to promote self-care in adolescents with type 1 diabetes.
Adolescent and parent perspectives on the acceptability of financial incentives to promote self-care in adolescents with type 1 diabetes.
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DOI：
10.1111/pedi.12970
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发表时间：
2020-05
影响因子：
3.4
通讯作者：
Wright DR
中科院分区：
文献类型：
--
作者：
Malik FS;Senturia KD;Lind CD;Chalmers KD;Yi-Frazier JP;Shah SK;Pihoker C;Wright DR
了解潜在干预参与者的可接受性对于设计成功的现实世界金融激励（FI）计划至关重要。本定性研究的目的是探讨青少年和家长对使用FI促进1型糖尿病青少年（T1D）糖尿病自我护理的可接受性的看法。在西雅图市区对46名T1D青少年（12-17岁）和39名T1D青少年家长进行了焦点小组研究。半结构化问题涉及参与者目前使用的激励措施，以促进糖尿病自我保健的改变，并接受由第三方管理的理论激励计划。对定性数据进行了分析，并确定了紧急主题。三个主题类别告知了参与者对FI计划可接受性的看法：1)在糖尿病管理背景下使用FI是否符合家庭价值体系，2)由于糖尿病相关健康并发症的威胁而迫切需要改善自我保健，以及3)FI促进改善糖尿病自我保健的感知有效性。这些因素共同导致大多数家长和青少年对FI项目的参与持开放态度。这项定性研究的结果表明，精心设计的FI方案支持糖尿病管理是可接受的家庭有青少年糖尿病。此外，fi的使用可能有潜力支持T1D青少年养成强烈的自我照顾习惯，并缓解经常动荡的过渡到独立的自我照顾。
An understanding of acceptability among potential intervention participants is critical to the design successful real-world financial incentive (FI) programs. The purpose of this qualitative study was to explore adolescent and parent perspectives on the acceptability of using FI to promote engagement in diabetes self-care in adolescents with type 1 diabetes (T1D). Focus groups with 46 adolescents with T1D (12–17 years old) and 39 parents of adolescents with T1D were conducted in the Seattle metropolitan area. Semi-structured questions addressed participants’ current use of incentives to promote change in diabetes self-care and receptivity to a theoretical incentive program administered by a third-party. Qualitative data were analyzed and emergent themes identified. Three thematic categories informed participant views about the acceptability of FI programs: 1) the extent to which using FIs in the context of diabetes management fit comfortably into a family’s value system, 2) the urgent need for improved self-care due to the threat of diabetes-related health complications, and 3) the perceived effectiveness for FIs to promote improved diabetes self-care. These factors together led most parents and adolescents to be open to FI program participation. The results from this qualitative study suggest that well-designed FI programs to support diabetes management are acceptable to families with adolescents with T1D. Additionally, the use of FIs may have the potential to support adolescents with T1D in developing strong self-care habits and ease the often-turbulent transition to independent self-care.
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影响因子：
16.2
作者：
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通讯作者：
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影响因子：
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影响因子：
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作者：
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通讯作者：
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