150 Participants Needed

Financial Incentives for Type 2 Diabetes

(LIFT-FINANCE Trial)

Recruiting at 1 trial location
RJ
Overseen ByRebekah J Walker, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Medical College of Wisconsin
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The overarching aim of this proposal is to test the efficacy of financial incentives in improving HbA1c, blood pressure, and quality of life in food insecure adults with poorly controlled type 2 diabetes. Using a clinical trial design, the investigators will randomize food insecure adults with type 2 diabetes to one of three financial incentive structures in combination with monthly mailings that will include diabetes education, healthy recipes, and meal planning resources.

How does the financial incentives treatment for type 2 diabetes differ from other treatments?

The financial incentives treatment for type 2 diabetes is unique because it uses monetary rewards to motivate patients to improve their blood sugar control, unlike traditional treatments that focus on medication or lifestyle changes alone. This approach is particularly novel as it explores different structures of financial incentives to see which is most effective, especially in African American populations.123

Who Is on the Research Team?

RJ

Rebekah J Walker, PhD

Principal Investigator

University at Buffalo

Are You a Good Fit for This Trial?

This trial is for adults over 21 with type 2 diabetes, an HbA1c of 9 or higher, and who struggle to afford food. They must speak English and not have dementia, drug/alcohol dependency, severe mental disorders, be in another diabetes study, or have less than a six-month life expectancy.

Inclusion Criteria

I have been diagnosed with type 2 diabetes.
Ability to communicate in English
You have been identified as at risk for not having enough food.
See 2 more

Exclusion Criteria

You currently have severe mental health issues or are experiencing a mental health crisis.
You are currently taking part in another diabetes study.
You have significant memory problems that are noticeable during an interview.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive financial incentives and diabetes education for 6 months

6 months
3 visits (in-person) at baseline, 3 months, and 6 months

Follow-up

Participants are monitored for changes in glycemic control, blood pressure, and quality of life

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Diabetes Education
  • Glycemic Control Financial Incentive
  • Monthly Unconditional Financial Incentive
  • Weekly Food Purchasing Financial Incentive
Trial Overview The study tests if financial rewards can help people with type 2 diabetes eat better and manage their blood sugar levels. Participants will receive one of three types of cash incentives plus monthly educational materials about managing diabetes through diet.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: Monthly Unconditional Plus Healthy Food Purchasing Plus Glycemic Control Financial IncentiveExperimental Treatment4 Interventions
Individuals assigned to this group will receive diabetes education, a monthly incentive to supplement income and enhance ability to purchase healthy food options, an additional weekly incentive if receipt for purchase of healthy food items from a grocery store is provided, and an incentive at the end of the study based on absolute drop in HbA1c.
Group II: Monthly Unconditional Plus Healthy Food Purchasing Financial IncentiveExperimental Treatment3 Interventions
Individuals assigned to this group will receive diabetes education, a monthly incentive to supplement income and enhance ability to purchase healthy food options, and an additional weekly incentive if receipt for purchase of healthy food items from a grocery store is provided.
Group III: Monthly Unconditional Financial IncentiveExperimental Treatment2 Interventions
Individuals assigned to this group will receive diabetes education and a monthly incentive to supplement income and enhance ability to purchase healthy food options.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Medical College of Wisconsin

Lead Sponsor

Trials
645
Recruited
1,180,000+

State University of New York at Buffalo

Lead Sponsor

Trials
279
Recruited
52,600+

Published Research Related to This Trial

In a study involving 78 type II diabetic outpatients, both nutrition education programs led to significant improvements in dietary goals compared to a control group, indicating their effectiveness in managing diabetes through dietary changes.
However, the addition of a social learning component did not provide any additional benefits over the standard nutrition education program, and there were minimal differences in long-term outcomes like weight or blood sugar levels.
Nutrition education and social learning interventions for type II diabetes.Glasgow, RE., Toobert, DJ., Mitchell, DL., et al.[2019]

Citations

Financial incentives to improve glycemic control in African American adults with type 2 diabetes: a pilot randomized controlled trial. [2022]
Nutrition education and social learning interventions for type II diabetes. [2019]
The effect of individual and mixed rewards on diabetes management: A feasibility randomized controlled trial. [2020]
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