title: An exploration of attitudes toward the use of patient incentives to support diabetes self-management.
abstract: OBJECTIVE
  To improve our understanding of the potential of incentives to enhance diabetes self-management (type 1 and type 2) and to integrate incentives into a conceptual model of diabetes self-management over time.
  
  
  METHODS
  A qualitative analysis of in-depth individual interviews with 12 patients and 9 providers.
  
  
  METHODS
  Influence of time on patients' needs for diabetes self-management technologies and on the use of incentives to drive behavioural changes.
  
  
  RESULTS
  Ten of the 12 participants with diabetes (83%) were interested in using financial incentives to improve their diabetes self-management. We found that incentives can play two key roles in diabetes self-management: guide the learning phase during the creation of habits; and serve as an acknowledgement of efforts made in the stable phase, when providers typically only focus on the patients' failures at self-management.
  
  
  CONCLUSIONS
  Patients seem receptive to the idea of financial incentives, which have the potential to support diabetes self-management through either small monetary amounts or tangible rewards. Incentives hold promise for supporting behaviour changes, especially in early stages of diabetes, but they require careful planning to avoid the undesired consequence of decreased intrinsic motivation.
authors.affiliation: a Department of Health Services, School of Public Health , University of Washington , Seattle , WA , USA.
authors.forename: Katherine
authors.initials: K
authors.lastname: Blondon
authors.forename: Predrag
authors.initials: P
authors.lastname: Klasnja
authors.forename: Katie
authors.initials: K
authors.lastname: Coleman
authors.forename: Wanda
authors.initials: W
authors.lastname: Pratt
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D003922:Diabetes Mellitus, Type 1 / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008960:Models, Psychological; D009042:Motivation; D036301:Qualitative Research; D012201:Reward; D012648:Self Care / Q000191:economics* / Q000523:psychology*; D055815:Young Adult