Pain reduction and financial incentives to improve glucose monitoring adherence in a community health center
Self-monitoring of blood glucose is a critical component of diabetes management. However, patients often do not maintain the testing schedule recommended by their healthcare provider. Many barriers to testing have been cited, including cost and pain. We present a small pilot study to explore whether...
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| Veröffentlicht in: | PloS one 2014-12, Vol.9 (12), p.e114875 |
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| creator | Huntsman, Mary Ann H Olivares, Faith J Tran, Christina P Billimek, John Hui, Elliot E |
| description | Self-monitoring of blood glucose is a critical component of diabetes management. However, patients often do not maintain the testing schedule recommended by their healthcare provider. Many barriers to testing have been cited, including cost and pain. We present a small pilot study to explore whether the use of financial incentives and pain-free lancets could improve adherence to glucose testing in a community health center patient population consisting largely of non-English speaking ethnic minorities with low health literacy. The proportion of patients lost to follow-up was 17%, suggesting that a larger scale study is feasible in this type of setting, but we found no preliminary evidence suggesting a positive effect on adherence by either financial incentives or pain-free lancets. Results from this pilot study will guide the design of larger-scale studies to evaluate approaches to overcome the variety of barriers to glucose testing that are present in disadvantaged patient populations. |
| doi_str_mv | 10.1371/journal.pone.0114875 |
| format | Article |
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However, patients often do not maintain the testing schedule recommended by their healthcare provider. Many barriers to testing have been cited, including cost and pain. We present a small pilot study to explore whether the use of financial incentives and pain-free lancets could improve adherence to glucose testing in a community health center patient population consisting largely of non-English speaking ethnic minorities with low health literacy. The proportion of patients lost to follow-up was 17%, suggesting that a larger scale study is feasible in this type of setting, but we found no preliminary evidence suggesting a positive effect on adherence by either financial incentives or pain-free lancets. Results from this pilot study will guide the design of larger-scale studies to evaluate approaches to overcome the variety of barriers to glucose testing that are present in disadvantaged patient populations.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0114875</identifier><identifier>PMID: 25486531</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adhesion ; Adolescent ; Biology and Life Sciences ; Blood glucose ; Blood Glucose Self-Monitoring - methods ; Blood Glucose Self-Monitoring - standards ; Blood glucose test ; Case-Control Studies ; Communities ; Community Health Centers ; Critical components ; Diabetes mellitus ; Diabetes Mellitus - economics ; Diabetes Mellitus - physiopathology ; Economic incentives ; Ethnic factors ; Ethnicity ; Feasibility studies ; Female ; Glucose ; Glucose - analysis ; Glucose monitoring ; Health ; Health care ; Health care industry ; Health Literacy ; Humans ; Incentives ; Low income groups ; Male ; Medicine and Health Sciences ; Minority & ethnic groups ; Pain ; Pain - prevention & control ; Pain management ; Patient Compliance ; Patients ; Pilot Projects ; Studies</subject><ispartof>PloS one, 2014-12, Vol.9 (12), p.e114875</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Huntsman et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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However, patients often do not maintain the testing schedule recommended by their healthcare provider. Many barriers to testing have been cited, including cost and pain. We present a small pilot study to explore whether the use of financial incentives and pain-free lancets could improve adherence to glucose testing in a community health center patient population consisting largely of non-English speaking ethnic minorities with low health literacy. The proportion of patients lost to follow-up was 17%, suggesting that a larger scale study is feasible in this type of setting, but we found no preliminary evidence suggesting a positive effect on adherence by either financial incentives or pain-free lancets. 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However, patients often do not maintain the testing schedule recommended by their healthcare provider. Many barriers to testing have been cited, including cost and pain. We present a small pilot study to explore whether the use of financial incentives and pain-free lancets could improve adherence to glucose testing in a community health center patient population consisting largely of non-English speaking ethnic minorities with low health literacy. The proportion of patients lost to follow-up was 17%, suggesting that a larger scale study is feasible in this type of setting, but we found no preliminary evidence suggesting a positive effect on adherence by either financial incentives or pain-free lancets. Results from this pilot study will guide the design of larger-scale studies to evaluate approaches to overcome the variety of barriers to glucose testing that are present in disadvantaged patient populations.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25486531</pmid><doi>10.1371/journal.pone.0114875</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adhesion Adolescent Biology and Life Sciences Blood glucose Blood Glucose Self-Monitoring - methods Blood Glucose Self-Monitoring - standards Blood glucose test Case-Control Studies Communities Community Health Centers Critical components Diabetes mellitus Diabetes Mellitus - economics Diabetes Mellitus - physiopathology Economic incentives Ethnic factors Ethnicity Feasibility studies Female Glucose Glucose - analysis Glucose monitoring Health Health care Health care industry Health Literacy Humans Incentives Low income groups Male Medicine and Health Sciences Minority & ethnic groups Pain Pain - prevention & control Pain management Patient Compliance Patients Pilot Projects Studies |
| title | Pain reduction and financial incentives to improve glucose monitoring adherence in a community health center |
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