Evidence map›Paper›PMID 29401049›Full record

Trial reportThe Permanente journal2018

A Randomized Controlled Trial of Financial Incentives for Medicaid Beneficiaries with Diabetes.

Ritabelle Fernandes, Chuan C Chinn, Dongmei Li, Timothy B Frankland, Christina Mb Wang, Myra D Smith, Rebecca Rude Ozaki

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Permanente journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Impact of Financial Incentives on Health Outcomes and Costs of Care among Medicaid Beneficiaries with Diabetes in Hawai'i.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2019
    Observational
  10. Article
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

7 authors at 4 institutions in 1 country.

Ritabelle FernandesAssociate Professor in the Department of Geriatric Medicine at the University of Hawaii in Honolulu. E mail: fernandes.ritabelle@gmail.com.
Chuan C ChinnAssociate Specialist at the Center on Disability Studies at the University of Hawaii in Honolulu. chuanc@hawaii.edu.
Dongmei LiAssociate Professor in the School of Medicine and Dentistry at the University of Rochester Medical Center in New York. dongmei_li@urmc.rochester.edu.
Timothy B FranklandData Specialist at the Center for Health Research in Honolulu, HI. timothy.b.frankland@kp.org.
Christina Mb WangData Analyst at the Center on Disability Studies at the University of Hawaii in Honolulu. cbeyers@hawaii.edu.
Myra D SmithData Analyst at the Center on Disability Studies at the University of Hawaii in Honolulu. smithmd@hawaii.edu.
Rebecca Rude OzakiAssociate Professor at the Center on Disability Studies at the University of Hawaii in Honolulu. rozaki@hawaii.edu.
University of Hawaiʻi at Mānoa · USHawaii Department of Health · USUniversity of Hawaii System · USUniversity of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Medicaid Incentives for Prevention of Chronic Diseases program was authorized by the Affordable Care Act to determine the effectiveness of providing financial incentives.

objectiveTo examine the impact of incentives on adult Medicaid beneficiaries' diabetes self-management using the Hawaii Patient Reward And Incentives to Support Empowerment project.

methodsA randomized controlled trial study was conducted at Kaiser Permanente Hawaii with 320 participants (159 intervention group/161 control group). Participants could earn up to $320/y of financial incentives, distributed in the form of a debit card. Evaluation measures included 1) clinical outcomes of change in hemoglobin A

resultsNo significant differences in clinical outcomes were found between groups. There were no differences in observance of American Diabetes Association standards of medical care between the intervention and control group. The project also did not show reduction in health cost. However, participants in the intervention group reported significantly higher adherence with the recommended general diet than those in the control group during the course of the study. They also reported statistically better physical health than their control counterparts at the midpoint of the study; however, the perception of increased physical health didn't sustain to the end of the study. Participants' satisfaction with incentives was high.

conclusionOverall, this study found no conclusive evidence that financial incentives alone had beneficial effects on improving standards of medical care in diabetes.

Indexed as

MotivationAdultAgedBlood PressureCholesterolCost-Benefit AnalysisDelivery of Health CareDiabetes MellitusGlycated HemoglobinHawaiiHumansMedicaidMiddle AgedPatient Acceptance of Health CarePatient SatisfactionQuality of LifeCholesterolGlycated Hemoglobin

Identifiers

PMID29401049
PMCPMC5798937
OpenAlexW2791472245

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.