Fernandes 2018.
| Study characteristics | ||
| Methods |
A randomized controlled trial of financial incentives for medicaid beneficiaries with diabetes RCT (NA clusters and NA providers), conducted in 1) Kaiser Permanente Hawaii (KPHI) 2) Study co‐ordinator. In United States of America. 2 arms: 1. Control (usual care) (control arm) and 2. Intervention (Hawaii Patient Reward And Incentives to Support Empowerment (HI‐PRAISE) project) (intervention arm) |
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| Participants | Control arm N: 161 Intervention arm N: 159, NA, NA Diabetes type: 3 Mean age: 48.15 ± 9.8 % Male: 45.66 Longest follow‐up: 12 months |
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| Interventions |
Control arm: (usual care) Intervention arm: (Hawaii Patient Reward And Incentives to Support Empowerment (HI‐PRAISE) project) 1) Financial Incentives |
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| Outcomes | Glycated haemoglobin Systolic blood pressure Diastolic blood pressure Low‐density lipoprotein |
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| Funding source | The project described was supported by Grant Number 1B1CMS330884 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS). | |
| Notes | — | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | Random number table generated by the randomisation function in statistics computing and graphics software R. |
| Allocation concealment (selection bias) | Low risk | Random number table generated by the randomisation function in statistics computing and graphics software R. |
| Patient's baseline characteristics (selection bias) | Low risk | Table 1. Relatively balanced. |
| Patient's baseline outcomes (selection bias) | Unclear risk | Table 2. P values provided but are not related to baseline values. |
| Incomplete outcome data (attrition bias) | High risk | 19% (131/161) lost in control group, 21% (125/159) lost in intervention group. |
| Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | Low risk | HbA1c, BP, LDL, measured objectively. |
| Selective reporting (reporting bias) | Unclear risk | No registered protocol. Methods match outcomes. |
| Risk of contamination (other bias) | Low risk | Patient‐randomised. Unclear whether groups were followed by the same clinicians. Unlikely that control participants received incentives. |
| Other bias | Low risk | None identified. |