Trial Summary
What is the purpose of this trial?The overarching aim of this proposal is to test the efficacy of financial incentives in improving HbA1c, blood pressure, and quality of life in food insecure adults with poorly controlled type 2 diabetes. Using a clinical trial design, the investigators will randomize food insecure adults with type 2 diabetes to one of three financial incentive structures in combination with monthly mailings that will include diabetes education, healthy recipes, and meal planning resources.
Eligibility Criteria
This trial is for adults over 21 with type 2 diabetes, an HbA1c of 9 or higher, and who struggle to afford food. They must speak English and not have dementia, drug/alcohol dependency, severe mental disorders, be in another diabetes study, or have less than a six-month life expectancy.Inclusion Criteria
I have been diagnosed with type 2 diabetes.
Ability to communicate in English
You have been identified as at risk for not having enough food.
+2 more
Exclusion Criteria
You currently have severe mental health issues or are experiencing a mental health crisis.
You are currently taking part in another diabetes study.
You have significant memory problems that are noticeable during an interview.
+2 more
Participant Groups
The study tests if financial rewards can help people with type 2 diabetes eat better and manage their blood sugar levels. Participants will receive one of three types of cash incentives plus monthly educational materials about managing diabetes through diet.
3Treatment groups
Experimental Treatment
Group I: Monthly Unconditional Plus Healthy Food Purchasing Plus Glycemic Control Financial IncentiveExperimental Treatment4 Interventions
Individuals assigned to this group will receive diabetes education, a monthly incentive to supplement income and enhance ability to purchase healthy food options, an additional weekly incentive if receipt for purchase of healthy food items from a grocery store is provided, and an incentive at the end of the study based on absolute drop in HbA1c.
Group II: Monthly Unconditional Plus Healthy Food Purchasing Financial IncentiveExperimental Treatment3 Interventions
Individuals assigned to this group will receive diabetes education, a monthly incentive to supplement income and enhance ability to purchase healthy food options, and an additional weekly incentive if receipt for purchase of healthy food items from a grocery store is provided.
Group III: Monthly Unconditional Financial IncentiveExperimental Treatment2 Interventions
Individuals assigned to this group will receive diabetes education and a monthly incentive to supplement income and enhance ability to purchase healthy food options.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Medical College of WisconsinMilwaukee, WI
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Who Is Running the Clinical Trial?
Medical College of WisconsinLead Sponsor
State University of New York at BuffaloLead Sponsor