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Objective: To improve our understanding of the potential of incentives to enhance diabetes self-management (type 1 and type 2) and to integrate incentives into a conceptual model of diabetes self-management over time.

Design: A qualitative analysis of in-depth individual interviews with 12 patients and 9 providers.

Main outcome measures: Influence of time on patients’ needs for diabetes self-management technologies and on the use of incentives to drive behavioural changes.

Results: Ten of the 12 participants with diabetes (83%) were interested in using financial incentives to improve their diabetes self-management. We found that incentives can play two key roles in diabetes self-management: guide the learning phase during the creation of habits; and serve as an acknowledgement of efforts made in the stable phase, when providers typically only focus on the patients’ failures at self-management.

Conclusion …