Cash-Only INcentives to promote insulin DOSE engagement: A protocol paper for the pilot randomized controlled trial of COIN2DOSE.
Document Type
Article
Publication Date
12-2022
Identifier
DOI: 10.1016/j.cct.2022.107008
Abstract
BACKGROUND: Most adolescents with type 1 diabetes (T1D) do not achieve a glycated hemoglobin (HbA1c)
METHODS: We aim to conduct a pilot randomized clinical trial of a novel mHealth intervention called Coin2Dose (Cash-Only INcentives To promote insulin DOSE engagement), in a sample of youth with T1D: 1) to obtain measures of feasibility and acceptability and 2) to examine preliminary efficacy versus a standard care control group based on differences in youth's daily BOLUS scores, HbA1c levels, and Time in Range (TIR) at post-intervention and 3-month post-intervention follow-up. This pilot RCT is already registered in http://ClinicalTrials.gov (NCT#05280184).
RESULTS: Our pilot will recruit youth with T1D 11-17 years-old who use an insulin pump or Bluetooth connected insulin pen and have an average daily BOLUS score ≤2.5. Youth randomized to Coin2Dose will receive the intervention for 12 weeks followed by a 12-week maintenance period. The pilot is scheduled to start July 2022 and to conclude in 2025.
DISCUSSION: At the conclusion of the pilot, we will have information about the feasibility and acceptability of two different behavioral economic incentive structures for improving BOLUS scores. The work is anticipated to progress to final efficacy trial. We will disseminate study results through presentations at local, national, and international conferences and through peer-reviewed diabetes and psychology journals.
Journal Title
Contemp Clin Trials
Volume
123
First Page
107008
Last Page
107008
MeSH Keywords
Adolescent; Humans; Child; Insulin; Motivation; Pilot Projects; Diabetes Mellitus, Type 1; Glycated Hemoglobin; Randomized Controlled Trials as Topic
Keywords
Adherence; Insulin use; Intervention; Pediatrics; Type 1 diabetes
Recommended Citation
Patton SR, Fox L, Cushing CC, McDonough R, Clements MA. Cash-Only INcentives to promote insulin DOSE engagement: A protocol paper for the pilot randomized controlled trial of COIN2DOSE. Contemp Clin Trials. 2022;123:107008. doi:10.1016/j.cct.2022.107008
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