There was an entire ‘thread’ on what people thought. Some gave really creative and solid answers. I reached out to two people who I deeply respect.
Jill Weissberg-Benchell, Ph.D., C.D.E., who is Pediatric Psychologist, Associate professor of Psychiatry, Northwestern’s Feinberg School of Medicine, Chicago, Illinois; and also Korey K. Hood, PhD, who is Associate Professor of Pediatrics at the University of California San Francisco (UCSF) and Staff Psychologist at UCSF’s Madison Center for Pediatric Diabetes.
These two professionals said the following:
Jill Weissberg-Benchell: I’m not a fan of bribing. I am, however, a big fan of the concept of “when/then” rules. What entails is saying something like: “When you check your blood sugars, Then you can watch TV”. Or “When you check your blood sugars, Then you can use the keys to my car”. It works for non-diabetes related things to, like: “When you finish your homework, Then you can go out to play”. This helps kids learn that the “must-do’s” of life have to be completed before the “wanna do’s” get done.
Korey K. Hood: The short answer is YES, it is okay. The longer answer is that when parents ask if it is okay if they bribe their kids, they are usually asking if it is okay to give them something – money, rewards, time on the computer – when a diabetes management behavior – checking a blood sugar, taking insulin, rotating sites – happens. It is important to first point out that bribery usually implies giving something to get something, but usually in a dishonest or illegal way. So, what parents are asking about is not bribery. This is actually positive reinforcement, which we know from decades of research is very effective. For example, when a parent gives the child 15 minutes of computer time for each blood sugar check, they are adding a consequence that will increase the likelihood of that behavior happening again. If parents choose to make that consequence a certain amount of money or something else, it serves the same purpose. Positive reinforcement is very powerful at changing behavior, so find a reward your child likes and give that each time he/she does the behavior you want him/her to do. Also keep in mind that diabetes management is not naturally reinforcing or particularly fun, so by adding something positive you are not only increasing the chances of it happening again, you are making it a little more tolerable.
So it would seem that although it may be called a bribe to you; it can also be called positive reinforcement and/or the ‘when/then’ rules. Both professionals offer great insight to this subject and I hope it helps in another day with diabetes.
What do you think PWDs AND parents—-feel free to share your thoughts.
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