Evidence map›Paper›PMID 35187992›Full record

Trial reportAIDS care2023

Financial incentives to improve re-engagement in HIV care: results from a randomized pilot study.

Rebecca Hémono, Nicole K Kelly, Carolyn A Fahey, Kassim Hassan, Janeth Msasa, Rashid S Mfaume, Prosper F Njau, William H Dow, Sandra I McCoy

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
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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

9 authors.

Rebecca HémonoDivision of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA.ORCID 0000-0003-3753-9344
Nicole K KellyDivision of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA.ORCID 0000-0003-1061-2767
Carolyn A FaheyDivision of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA.ORCID 0000-0001-9865-2397
Kassim HassanHealth for a Prosperous Nation, Dar es Salaam, Tanzania.
Janeth MsasaHealth for a Prosperous Nation, Dar es Salaam, Tanzania.
Rashid S MfaumeMinistry of Health, Community Development, Gender, Elderly and Children, Dodoma, Tanzania.
Prosper F NjauHealth for a Prosperous Nation, Dar es Salaam, Tanzania.
William H DowDivision of Health Policy and Management, University of California, Berkeley, CA, USA.ORCID 0000-0002-4080-1668
Sandra I McCoyDivision of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA.ORCID 0000-0002-4764-9195

Funding

Effectiveness of a short-term incentive program for HIV treatment adherence, retention, and re-engagement in careR21MH115802 · NIMH · UNIVERSITY OF CALIFORNIA BERKELEY · PI MCCOY, SANDRA I · 2018 to 2019
$340k
NIMH NIH HHS R21 MH115802
6 · The paper itself

Abstract

objectiveDetermine the feasibility, acceptability, and preliminary effectiveness of financial incentives to motivate re-engagement in HIV care in Shinyanga, Tanzania.

methodsOut-of-care people living with HIV (PLHIV) were identified from medical records in four clinics and home-based care providers (HBCs) from April 13, 2018 to March 3, 2020. Shinyanga Region residents, ≥18 years, who were disengaged from care were randomized 1:1 to a financial incentive (∼$10 USD) or the standard of care (SOC), stratified by site, and followed for 180 days. Primary outcomes were feasibility (located PLHIV who agreed to discuss the study), acceptability (enrollment among eligibles), and re-engagement in care (clinic visit within 90 days).

resultsHBCs located 469/1,309 (35.8%) out-of-care PLHIV. Of these, 215 (45.8%) were preliminarily determined to be disengaged from care, 201 (93.5%) agreed to discuss the study, and 157 eligible (100%) enrolled. Within 90 days, 71 (85.5%) PLHIV in the incentive arm re-engaged in care vs. 58 (78.4%) in the SOC (Adjusted Risk Difference [ARD] = 0.08, 95% CI: -0.03, 0.19,

conclusionsShort-term financial incentives are feasible, acceptable, and have the potential to encourage re-engagement in care, warranting further study of this approach.

Indexed as

HIV InfectionsMotivationHumansPilot ProjectsTanzaniaadherenceHIV care continuumretention

Identifiers

PMID35187992
PMCPMC9388698

What OpenQuestion holds

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Registered trials

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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.