Assessment of Parents’ Preferences for Incentives to Promote Engagement in Family-Based Childhood Obesity Treatment

Wright, Davene R.; Saelens, Brian E.; Fontes, Angela; Lavelle, Tara A.

doi:10.1001/jamanetworkopen.2019.1490

Cited by 9 publications

(4 citation statements)

References 52 publications

(130 reference statements)

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“…Thus, there remains a need to test different structures for a T1D FI program to determine the ideal value and structure of incentives to promote meaningful behavior change in a cost‐effective manner. Discrete choice experiments offer a methodology in which adolescents can compare the motivational value of dozens of possible incentive structures, thus strengthening the economic theory behind the design of future FI programs …”

Section: Discussionmentioning

confidence: 99%

Adolescent and parent perspectives on the acceptability of financial incentives to promote self‐care in adolescents with type 1 diabetes

et al. 2020

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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. K E Y W O R D Sadolescents, behavioral economics, financial incentives, qualitative, type 1 diabetes

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Section: Discussionmentioning

confidence: 99%

Adolescent and parent perspectives on the acceptability of financial incentives to promote self‐care in adolescents with type 1 diabetes

et al. 2020

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“…This information can be used to decide on the optimal configuration of the financial incentive scheme. Purnell et al (2014) first suggested the usefulness of DCEs to design financial incentives, and this approach has since been adopted by others (Wright et al 2019, Becker et al 2018, Marti et al 2017, Farooqui et al 2014, Giles et al 2016, Hashemi et al 2015.…”

Section: Eliciting Preferences Of the Target Populationmentioning

confidence: 99%

Designing financial incentives for health behaviour change: a mixed-methods case study of weight loss in men with obesity

Pol

McDonald²,

Collacott³

et al. 2022

J Public Health (Berl.)

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Aim Designing financial incentives for health behaviour change requires choices across several domains, including value (the size of the incentive), frequency of incentives, and direction (gain or loss). However, the rationale underlying complex incentive design is infrequently reported. Transparent reporting is important if we want to understand and improve the incentive development process. This paper describes a mixed methods approach for designing financial incentives for health behaviour change which involves stakeholders throughout the design process. Subject and methods The mixed methods approach focuses on incentives for weight loss for men with obesity living in areas with high levels of disadvantage. The approach involves: (a) using an existing framework to identify all domains of a financial incentive scheme for which choices need to be made, deciding what criteria are relevant (such as effectiveness, acceptability and uptake) and making choices on each domain on the basis of the criteria; (b) conducting a survey of target population preferences to inform choices for domains and to design the incentive scheme; and (c) making final decisions at a stakeholder consensus workshop. Results The approach was implemented and an incentive scheme for weight loss for men living with obesity was developed. Qualitative interview data from men receiving the incentives in a feasibility trial endorses our approach. Conclusion This paper demonstrates that a mixed methods approach with stakeholder involvement can be used to design financial incentives for health behaviour change such as weight loss. Trial registration number NCT03040518. Date: 2 February 2017.

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“…One example could be to incentivize family-based childhood obesity treatment that rewards physical activity as well as promotes and sustain healthy weight-related behaviors. 18 Developing wellness strategies can improve the quality of asthma care provided to this patient population. Several areas can potentially be targeted.…”

Section: Bmi Percentile Outcomesmentioning

confidence: 99%

Frequency of persistent obesity 5 years after first time diagnosis of status asthmaticus

Krawiec

Fang

Zhou

et al. 2021

Clinical Respiratory J

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Background/Objectives: When a severe asthma exacerbation occurs in an obese pediatric patient, it is unknown if this body type persists in future encounters. Persistent obesity can lead to future asthma exacerbations. The main study objective is to evaluate the persistence of a BMI percentile ≥85th in children 5 years after the first reported diagnosis of status asthmaticus. We hypothesized that a hospital admission for status asthmaticus was associated with persistence of a BMI percentile ≥85th.Methods: This was a long-term retrospective observational cohort study utilizing TriNetX ® electronic health record (EHR) data. We included subjects aged 2 to 18 years of age with a diagnosis of status asthmaticus. Study population was divided into two groups based on their admission body mass index percentile: (underweight/healthy weight [<85th percentile] and overweight/obese [≥85th percentile]) and evaluated for the following outcomes: age, race, ethnicity, diagnostic codes, and BMI percentiles (initially and 5 years after diagnosis of status asthmaticus). Results: A total of 129 subjects (n%) (76 [58.9%] underweight/healthy weight and 53 [41.1%] overweight/obese) were included. Children that were initially overweight/obese with status asthmaticus had significantly increased odds of continuing to be overweight/obese 5 years after diagnosis compared to children who were underweight/healthy weight at baseline (OR = 7.50 [95% confidence interval, 3.20-17.60; p < 0.001]).Conclusions: Overweight/obese asthmatic children are at risk of continuing to be obese several years after being diagnosed with status asthmaticus. This study reinforces the notion that when an asthmatic obese child presents with status asthmaticus, a thorough evaluation of nutrition, physical activity, and asthma control should be considered to reduce the risk of persistent obesity and possibly future asthma exacerbations.

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Assessment of Parents’ Preferences for Incentives to Promote Engagement in Family-Based Childhood Obesity Treatment

Cited by 9 publications

References 52 publications

Adolescent and parent perspectives on the acceptability of financial incentives to promote self‐care in adolescents with type 1 diabetes

Adolescent and parent perspectives on the acceptability of financial incentives to promote self‐care in adolescents with type 1 diabetes

Designing financial incentives for health behaviour change: a mixed-methods case study of weight loss in men with obesity

Frequency of persistent obesity 5 years after first time diagnosis of status asthmaticus

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