title: Testing for rewards: a pilot study to improve type 1 diabetes management in adolescents.
abstract: OBJECTIVE
  To evaluate the effectiveness of monetary reinforcement to increase the frequency of self-monitoring blood glucose (SMBG).
  
  
  METHODS
  Ten adolescents with poorly controlled diabetes enrolled in a 12-week program in which they earned monetary reinforcers based on SMBG frequency ($0.10 per test, with bonuses for ≥4 tests per day, and $251.40 maximum).
  
  
  RESULTS
  SMBG increased from 1.8 ± 1.0 to 4.9 ± 1.0 tests per day (P < 0.001) with 90% completing four or more tests per day. Mean A1C fell from 9.3 ± 0.9% to 8.4 ± 1.5% (P = 0.05). Adolescents and parents reported high satisfaction with procedures.
  
  
  CONCLUSIONS
  Reinforcing adolescents for SMBG may increase testing and improve A1C.
authors.affiliation: University of Connecticut School of Medicine, Farmington, CT npetry@uchc.edu.
authors.forename: Nancy M
authors.initials: NM
authors.lastname: Petry
authors.affiliation: Yale University School of Medicine, New Haven, CT.
authors.forename: Eda
authors.initials: E
authors.lastname: Cengiz
authors.affiliation: University of Connecticut School of Dental Medicine, Farmington, CT.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Wagner
authors.affiliation: Yale University School of Medicine, New Haven, CT.
authors.forename: Kate
authors.initials: K
authors.lastname: Weyman
authors.affiliation: Yale University School of Medicine, New Haven, CT.
authors.forename: Eileen
authors.initials: E
authors.lastname: Tichy
authors.affiliation: Yale University School of Medicine, New Haven, CT.
authors.forename: William V
authors.initials: WV
authors.lastname: Tamborlane
mesh_terms: D000293:Adolescent; D015190:Blood Glucose Self-Monitoring / Q000379:methods; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy* / Q000191:economics; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D008297:Male; D010865:Pilot Projects; D012201:Reward; D055815:Young Adult
chemical_list: D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents