Testing for rewards: a pilot study to improve type 1 diabetes management in adolescents.
Testing for rewards: a pilot study to improve type 1 diabetes management in adolescents.
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DOI：
10.2337/dc15-0765
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发表时间：
2015-10
期刊：
影响因子：
16.2
通讯作者：
Tamborlane WV
中科院分区：
文献类型：
--
作者：
Petry NM;Cengiz E;Wagner JA;Weyman K;Tichy E;Tamborlane WV
评价货币强化对增加自我血糖监测（SMBG）频率的有效性。10名糖尿病控制不佳的青少年参加了一项为期12周的计划，他们根据SMBG频率获得货币奖励（每次测试0.10美元，每天≥4次测试的奖金，最高251.40美元）。SMBG从每天1.8 ± 1.0次增加到每天4.9 ± 1.0次（P < 0.001），90%的患者每天完成4次或以上的检查。平均A1C从9.3 ± 0.9%降至8.4 ± 1.5%（P = 0.05）。青少年和家长对手术的满意度很高。加强青少年SMBG可能会增加测试并改善A1C。
To evaluate the effectiveness of monetary reinforcement to increase the frequency of self-monitoring blood glucose (SMBG). Ten adolescents with poorly controlled diabetes enrolled in a 12-week program in which they earned monetary reinforcers based on SMBG frequency ($0.10 per test, with bonuses for ≥4 tests per day, and $251.40 maximum). SMBG increased from 1.8 ± 1.0 to 4.9 ± 1.0 tests per day (P < 0.001) with 90% completing four or more tests per day. Mean A1C fell from 9.3 ± 0.9% to 8.4 ± 1.5% (P = 0.05). Adolescents and parents reported high satisfaction with procedures. Reinforcing adolescents for SMBG may increase testing and improve A1C.