Internet-based contingency management to improve adherence with blood glucose testing recommendations for teens with type 1 diabetes

The current study used Internet-based contingency management (CM) to increase adherence with blood glucose testing to at least 4 times daily. Four teens diagnosed with Type 1 diabetes earned vouchers for submitting blood glucose testing videos over a Web site. Participants submitted a mean of 1.7 and 3.1 blood glucose tests per day during the 2 baseline conditions, respectively, compared to 5.7 tests per day during the intervention. Participants and their guardians rated the program favorably on a number of dimensions. The results suggest that Internet-based CM is feasible, acceptable, and effective to increase self-monitoring of blood glucose in teens.