Financial incentives and health coaching to improve glycemic outcomes among young adults with type 1 diabetes: A factorial randomized trial (SweetGoals).

In 30 seconds

This randomized controlled trial evaluated the impact of financial incentives and web health coaching on glycemic control in 300 young adults with type 1 diabetes over 12 months. Both interventions significantly reduced HbA1c levels from baseline, with improvements mediated by mealtime goal achievement. No synergistic effect was observed between the two strategies.

Key findings

• HbA1c levels significantly decreased from baseline to +12 months across all participants.
• Both financial incentives and coaching improved mealtime behavior but through different strategies.
• Mealtime goal achievement partially mediated the reduction in HbA1c levels.
• No synergistic effect was found between incentives and coaching.

Why it matters

Improving glycemic control in young adults with type 1 diabetes is crucial, as this population is often at risk for poor health outcomes. Understanding effective interventions can guide future clinical practices and resource allocation.