Diabetes, Hypertension
Conditions
Keywords
Diabetes, Enrollment methods, Behavioral Economic Intervention, Opt-in Enrollment, Opt-out Enrollment, lottery, financial incentives
Brief summary
The investigator plans to assess enrollment rates among two different enrollment methods, while providing a behavioral economic intervention to enhance the uptake of home-health monitoring devices to lower hemoglobin A1C among patients with uncontrolled diabetes. The study is focusing on enrollment methods since the standard randomized control trial only reaches 15% of the population. The study is seeking to understand the effectiveness of a behavioral intervention, when rolled out in a larger population.
Interventions
BEHAVIORALFinancial Incentive: Fixed Lottery
Every day of the 91 day intervention period participants will be asked to use each of their biometric devices. A daily lottery will be conducted automatically by the study website. Participants must use each of their two devices daily to be eligible for the lottery the following day. Winning lottery numbers will be identified by a fixed-position match between the automatically generated winning number and a participant ID number, which each participant will pick at enrollment.
Sponsors
National Institute on Aging (NIA)
University of Pennsylvania
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. Adults between 18 and 80 years of age 2. Primary care patients at the Division of General Internal Medicine clinics at the University of Pennsylvania 3. Hemoglobin A1c measured within the last 8 weeks greater than 8.0% OR no measured Hemoglobin A1C measured in the last two years 4. A confirmed diabetes diagnosis 5. Planning to stay in area for study duration (6 months) 6. Can understand and communicate fluently in English
Exclusion criteria
1. Unable to read and give consent 2. Suffer from an uncontrolled psychiatric disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Enrollment and participation rates | End of study- 6 months after enrollment | The primary objective is to obtain preliminary evidence regarding whether or not patients opt-into a research study, as opposed to enrolling by default, will affect participation in the program and the effectiveness of the intervention, among high-risk patients. The primary outcome is to measure enrollment rates. The investigators will also measure participation in the program through device usage. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Uptake of Device Usage | End of study- 6 months after enrollment | Assess the effect of financial incentives on the use of home health monitoring devices among high-risk patients |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in Hemoglobin A1c | End of study- 6 months after enrollment | Assess how regular use of home-based health monitoring devices affects clinical outcomes, such as Hemoglobin A1C |
Countries
United States
Outcome results
None listed