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Adolescent and parent perspectives on the acceptability of financial incentives to promote self‐care in adolescents with type 1 diabetes
Author(s) -
Malik Faisal S.,
Senturia Kirsten D.,
Lind Cara D.,
Chalmers Kristen D.,
YiFrazier Joyce P.,
Shah Seema K.,
Pihoker Catherine,
Wright Davene R.
Publication year - 2020
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/pedi.12970
Subject(s) - thematic analysis , medicine , incentive , focus group , qualitative research , context (archaeology) , type 1 diabetes , nursing , metropolitan area , family medicine , developmental psychology , diabetes mellitus , psychology , marketing , paleontology , social science , business , pathology , sociology , economics , biology , microeconomics , endocrinology
Background An understanding of acceptability among potential intervention participants is critical to the design of successful real‐world financial incentive (FI) programs. The purpose of this qualitative study was to explore adolescent and parent perspectives on the acceptability of using FI to promote engagement in diabetes self‐care in adolescents with type 1 diabetes (T1D). Methods Focus groups with 46 adolescents with T1D (12‐17 years old) and 39 parents of adolescents with T1D were conducted in the Seattle metropolitan area. Semistructured questions addressed participants' current use of incentives to promote change in diabetes self‐care and receptivity to a theoretical incentive program administered by a third‐party. Qualitative data were analyzed and emergent themes identified. Results Three thematic categories informed participant views about the acceptability of FI programs: (a) the extent to which using FIs in the context of diabetes management fit comfortably into a family's value system, (b) the perceived effectiveness for FIs to promote improved diabetes self‐care, and (c) the urgent need for improved self‐care due to the threat of diabetes‐related health complications. These factors together led most parents and adolescents to be open to FI program participation. Conclusions The results from this qualitative study suggest that well‐designed FI programs to support diabetes management are acceptable to families with adolescents with T1D. Additionally, the use of FIs may have the potential to support adolescents with T1D in developing strong self‐care habits and ease the often‐turbulent transition to independent self‐care.