Table 3.
Estimated effects of the intervention by incentive arms and the incremental effect of outcome-based incentivea (N = 240)
Source: Author calculations using the data collected from the study
| Incentive arms | Incremental effect of outcome-based vs. process-based incentives | |||
|---|---|---|---|---|
| Process | Outcome | Estimate | [95% CI] | |
| Primary outcome | ||||
| Mean change in HbA1c at month 6 | − 1.04 | − 1.10 | − 0.05 | [− 0.42 to 0.31] |
| Secondary outcomes | ||||
| Mean no. of glucose readings within acceptable range (out of 3 tests) during the last week of intervention | 0.44 | 0.51 | 0.07 | [− 0.21 to 0.34] |
| Mean no. of glucose readings (out of 3 tests) during the last week of intervention | 1.20 | 1.14 | − 0.06 | [− 0.45 to 0.32] |
| Mean no. of medication adherent days during the last week of intervention | 2.02 | 1.38 | − 0.64 | [− 1.32 to 0.04] |
| Mean no. of physically active days during the last week of intervention | 3.12 | 1.76 | − 1.37 | [− 2.13 to −0.60] |
| Mean incentive payout during the last week of intervention | 5.43 | 6.21 | 0.79 | [− 1.62 to 3.19] |
| Mean time (in minutes) taken by the intervention during the last week of intervention | 15.74 | 12.91 | − 2.84 | [− 4.84 to −0.83] |
| Exploratory outcomes | ||||
| Proportion of participants who titrated up their oral medication during the intervention | 0.43 | 0.36 | − 0.08 | [− 0.22 to 0.07] |
| Proportion of participants who switched to insulin treatment during the intervention | 0.05 | 0.05 | 0.00 | [− 0.07 to 0.07] |
| Mean change in EQ-5D-5L at month 6 | 0.03 | − 0.01 | − 0.04 | [− 0.07 to −0.004] |
| Mean change in BIPQ at month 6 | − 0.78 | − 3.09 | − 2.31 | [− 4.92 to 0.31] |
| Mean change in BIPQ Treatment Control score at month 6 | 0.35 | 0.51 | 0.16 | [− 0.42 to 0.73] |
| Mean change in SMBG score at month 6 | 0.49 | 0.51 | 0.02 | [0.10 to 0.14] |
| Mean change in BMQ Specific score at month 6 | 0.06 | 0.43 | 0.37 | [− 0.90 to 1.64] |
| Additional outcomes | ||||
| Proportion of participants who had improvement in HbA1c at month 6 | 0.82 | 0.80 | − 0.02 | [− 0.14 to 0.11] |
BIPQ Brief Illness Perception Questionnaire, BMQ Beliefs about Medication Questionnaire, CI confidence interval, EQ-5D-5L European Quality of Life–5 Dimensions–5 Levels, HbA1c glycated hemoglobin, SMBQ Self-Monitoring of Blood Glucose
aCalculated as the difference in change from baseline at month 6 between that adherence outcome and process groups