Evidence map›Paper›PMID 28225450›Full record

Trial reportAIDS (London, England)2017

Behavioral economic incentives to improve adherence to antiretroviral medication.

Sebastian Linnemayr, Chad Stecher, Barbara Mukasa

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05131165 nacompletednot on this mapstarted 2021, after this paper: background citation

INcentives and ReMINDers to Improve Long-term Medication Adherence

TypeinterventionalSponsorRANDRan2021 to 2023Enrolled166ConditionsHIV/AIDSArmsDaily Text Messages, Incentivization based on timely ART adherence
NCT06949774 narecruitingnot on this mapstarted 2025, after this paper: background citation

INcentives and ReMINDers to Improve Long-term Medication Adherence

TypeinterventionalSponsorRANDRan2025 to 2029Enrolled550ConditionsHIV/AIDS, Medication Adherence, HabitsArmsDaily Text Messages, Incentivization based on timely ART adherence
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Incentivizing adherence to pre-exposure prophylaxis for HIV prevention: a randomized pilot trial among male sex workers in Mexico.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
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  14. Integrating HIV and Stimulant-Use Disorder Treatment: A Pilot Implementation Effectiveness Trial of Contingency Management in HIV Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sebastian LinnemayraRAND Corporation, Santa Monica bUCLA, Los Angeles, California, USA cMildmay Uganda, Kampala, Uganda.
Chad Stecher
Barbara Mukasa

Funding

Statistics and Methods CoreR24HD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CAMPBELL, CAMERON DOUGALL · 2001 to 2016
$10.1M
Economics and Demography of Aging TrainingT32AG033533 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BIANCHI, SUZANNE M., COSTA, DORA L · 2011 to 2015
$1.3M
Variable Rewards Incentives for ART Adherence in UgandaR34MH096609 · NIMH · RAND CORPORATION · PI LINNEMAYR, SEBASTIAN · 2012 to 2014
$654k
NIA NIH HHS T32 AG033533NICHD NIH HHS R24 HD041022NIMH NIH HHS R34 MH096609
6 · The paper itself

Abstract

objectiveFixed incentives have been largely unsuccessful in improving adherence to antiretroviral medication. Therefore, we evaluate whether small incentives based on behavioral economic theory can increase adherence to antiretroviral medication among treatment-mature adults in Kampala, Uganda.

designA randomized control trial design tests whether providing small incentives based on either attending timely clinic visits (intervention group 1) or achieving high medication adherence (intervention group 2) can increase antiretroviral adherence. Antiretroviral adherence is measured by medical event monitoring system (MEMS) caps.

methodsOverall, 155 HIV-infected men and women age 19-78 were randomized into one of two intervention groups and received small prizes of US $1.50 awarded through a drawing conditional on either attending scheduled clinic appointments or achieving at least 90% antiretroviral adherence. The control group received the usual standard of care.

resultsPreliminary results based on pooling the intervention groups showed individuals receiving incentives were 23.7 percentage points more likely to achieve 90% antiretroviral adherence compared with the control group [95% confidence interval (CI), 6.7-40.7%]. Specifically, 63.3% (95% CI, 52.9-72.8%) of participants in the pooled intervention groups maintained at least 90% mean adherence during the first 9 months of the intervention, compared with 39.6% (95% CI, 25.8-54.7%) in the control group.

conclusionSmall prize incentives resulted in a statistically significant increase in antiretroviral adherence. Although more traditional fixed incentives have not produced the desired results, these findings suggest that small incentives based on behavioral economic theory may be more effective in motivating long-term adherence among treatment-mature adults.

Indexed as

Medication AdherenceMotivationAdultAgedAnti-Retroviral AgentsBehavior TherapyFemaleHIV InfectionsHumansMaleMiddle AgedUgandaYoung AdultAnti-Retroviral Agents

Identifiers

PMID28225450
PMCPMC5502075

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.