Evidence map›Paper›PMID 28397527›Full record

Trial reportAIDS care2017

It helps me live, sends my children to school, and feeds me: a qualitative study of how food and cash incentives may improve adherence to treatment and care among adults living with HIV in Tanzania.

Nancy L Czaicki, Agatha Mnyippembe, Madeline Blodgett, Prosper Njau, Sandra I McCoy

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

5 authors.

Nancy L Czaickia School of Public Health, Division of Epidemiology , University of California , Berkeley , USA.
Agatha Mnyippembeb Regional Medical Office, Ministry of Health, Community Development, Gender, Elderly, and Children , Shinyanga , Tanzania.
Madeline Blodgetta School of Public Health, Division of Epidemiology , University of California , Berkeley , USA.
Prosper Njaud Prevention of Mother-to-Child HIV Transmission Programme, Ministry of Health, Community Development, Gender, Elderly, and Children , Dar es Salaam , Tanzania.
Sandra I McCoya School of Public Health, Division of Epidemiology , University of California , Berkeley , USA.

Funding

Berkeley Population CenterR24HD073964 · NICHD · UNIVERSITY OF CALIFORNIA BERKELEY · PI HOUT, MICHAEL · 2014 to 2017
$466k
Understanding the Mechanism of Action of Cash and In-Kind Transfers to Improve the Health of People Living with HIV Infection in TanzaniaR03MH105327 · NIMH · UNIVERSITY OF CALIFORNIA BERKELEY · PI MCCOY, SANDRA I · 2015 to 2016
$116k
NICHD NIH HHS R24 HD073964NIMH NIH HHS R03 MH105327
6 · The paper itself

Abstract

Financial and in-kind incentives have been shown to improve outcomes along the HIV care cascade, however the potential mechanismsthrough which they work remain unclear. To identify the pathways through which incentives improve retention in care and adherence to antiretroviral therapy (ART), we conducted a qualitative study with participants in a trial evaluating conditional food and cash incentives for HIV-positive food insecure adults in Shinyanga, Tanzania. We found that the incentives acted through three pathways to potentially increase retention in care and adherence to ART: (1) addressing competing needs and offsetting opportunity costs associated with clinic attendance, (2) alleviating stress associated with attending clinic and meeting basic needs, and (3) by potentially increasing motivation. Participants did not report any harmful events associated with the incentives, but reported myriad beneficial effects on household welfare. Understanding how incentives are used and how they impact outcomes can improve the design of future interventions.

Indexed as

Drug MonitoringFood SupplyMedication AdherenceMotivationAdultChildFamily CharacteristicsFemaleHIV InfectionsHumansInterviews as TopicMaleQualitative ResearchSchoolsTanzaniaART adherencecash transfersfood assistanceHIV infectionincentivesqualitativeretentionTanzania

Identifiers

PMID28397527
PMCPMC5572189

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.