Evidence map›Paper›PMID 24522623›Full record

Trial reportJournal of general internal medicine2014

Financial incentives for home-based health monitoring: a randomized controlled trial.

Aditi P Sen, Taylor B Sewell, E Brooks Riley, Beth Stearman, Scarlett L Bellamy, Michelle F Hu, Yuanyuan Tao, Jingsan Zhu, James D Park, George Loewenstein and 2 more

5 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 53 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 7 pooled it
42.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01282957 nacompletednot on this map

Financial Incentives for Home-based Health Management: A Pilot Randomized Trial

TypeinterventionalSponsorUniversity of PennsylvaniaRan2011 to 2012Enrolled75ConditionsDiabetes, HypertensionArmsFinancial Incentive Group I, Financial Incentive Group II
NCT02880176 nacompletednot on this mapstarted 2016, after this paper: background citation

Steps to Eliminate Postoperative Problems

TypeinterventionalSponsorUniversity of PennsylvaniaRan2016 to 2019Enrolled34ConditionsBladder CancerArmsFinancial Incentive to Increase Ambulation
NCT03338829 nacompletednot on this mapstarted 2016, after this paper: background citation

Incentive Models on Testing Adherence for Women With Diabetes During Pregnancy

TypeinterventionalSponsorUniversity of IowaRan2016 to 2022Enrolled130ConditionsDiabetes in PregnancyArmsPositive incentive, Loss aversion
NCT04458766 nacompletednot on this mapstarted 2021, after this paper: background citation

The Use of Mobile Health Technology and Behavioral Economics to Encourage Adherence to Statins in Adolescents With Familial Hypercholesterolemia

TypeinterventionalSponsorBoston Children's HospitalRan2021 to 2024Enrolled11ConditionsFamilial Hypercholesterolemia, Adherence, MedicationArmsMonetary incentives
NCT06642246 narecruitingnot on this mapstarted 2026, after this paper: background citation

Sleep Promotion Among Children Newly Diagnosed With Essential Hypertension

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2026 to 2026Enrolled10ConditionsInsufficient Sleep, HypertensionArmsIntervention
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 7 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Electronic blood glucose monitoring impacts on provider and patient behavior.Journal of the American Medical Informatics Association : JAMIA · 2022
    Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Aditi P SenPenn CMU Roybal P30 Center in Behavioral Economics and Health and Leonard Davis Institute Center for Health Incentives and Behavioral Economics, Philadelphia, PA, USA, Aditisen@wharton.upenn.edu.
Taylor B Sewell
E Brooks Riley
Beth Stearman
Scarlett L Bellamy
Michelle F Hu
Yuanyuan Tao
Jingsan Zhu
James D Park
George Loewenstein
David A Asch
Kevin G Volpp
University of Pennsylvania · USApplied Behavioral Research (United States) · USCarnegie Mellon University · USJohnson University · US

Funding

The Penn Roybal Center on Behavioral Economics and Health: Solving for Scale and Impact with Design Thinking, Digital Platforms, and Dynamic AdaptationP30AG034546 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Alison Meredith Buttenheim · 2009 to 2026
$10.6M
Developing Interactive Technologies to Improve Research and Health BehaviorRC2AG036592 · NIA · UNIVERSITY OF PENNSYLVANIA · PI ASCH, DAVID A, VOLPP, KEVIN G · 2009 to 2010
$5.4M
NIA NIH HHS P30 AG034546NIA NIH HHS P30AG034546NIA NIH HHS RC2 AG036592NIA NIH HHS RC2AG036592
6 · The paper itself

Abstract

backgroundHome wireless device monitoring could play an important role in improving the health of patients with poorly controlled chronic diseases, but daily engagement rates among these patients may be low.

objectiveTo test the effectiveness of two different magnitudes of financial incentives for improving adherence to remote-monitoring regimens among patients with poorly controlled diabetes.

designRandomized, controlled trial. (Clinicaltrials.gov Identifier: NCT01282957).

participantsSeventy-five patients with a hemoglobin A1c greater than or equal to 7.5% recruited from a Primary Care Medical Home practice at the University of Pennsylvania Health System.

interventionsTwelve weeks of daily home-monitoring of blood glucose, blood pressure, and weight (control group; n = 28); a lottery incentive with expected daily value of $2.80 (n = 26) for daily monitoring; and a lottery incentive with expected daily value of $1.40 (n = 21) for daily monitoring. MAIN MEASURES: Daily use of three home-monitoring devices during the three-month intervention (primary outcome) and during the three-month follow-up period and change in A1c over the intervention period (secondary outcomes). KEY

resultsIncentive arm participants used devices on a higher proportion of days relative to control (81% low incentive vs. 58%, P = 0.007; 77% high incentive vs. 58%, P = 0.02) during the three-month intervention period. There was no difference in adherence between the two incentive arms (P = 0.58). When incentives were removed, adherence in the high incentive arm declined while remaining relatively high in the low incentive arm. In month 6, the low incentive arm had an adherence rate of 62% compared to 35% in the high incentive arm (P = 0.015) and 27% in the control group (P = 0.002).

conclusionsA daily lottery incentive worth $1.40 per day improved monitoring rates relative to control and had significantly better efficacy once incentives were removed than a higher incentive.

Indexed as

MotivationPatient ComplianceAdultBlood GlucoseBlood Glucose Self-MonitoringBlood PressureBody WeightDiabetes MellitusFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient-Centered CareBlood Glucose

Identifiers

PMID24522623
PMCPMC4000326
OpenAlexW2063623072

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.