Evidence map›Paper›PMID 38793681›Full record

ArticleViruses2024

Evaluation of a Project Integrating Financial Incentives into a Hepatitis C Testing and Treatment Model of Care at a Sexual Health Service in Cairns, Australia, 2020-2021.

Joshua Dawe, Carla Gorton, Rhondda Lewis, Jacqueline A Richmond, Anna L Wilkinson, Alisa Pedrana, Mark Stoové, Joseph S Doyle, Darren Russell

Abstract read
In one paragraph

Article in Viruses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Joshua DaweDisease Elimination, Burnet Institute, Melbourne 3004, Australia.
Carla GortonCairns Sexual Health Service, Cairns 4870, Australia.
Rhondda LewisCairns Sexual Health Service, Cairns 4870, Australia.
Jacqueline A RichmondDisease Elimination, Burnet Institute, Melbourne 3004, Australia.
Anna L WilkinsonDisease Elimination, Burnet Institute, Melbourne 3004, Australia.
Alisa PedranaDisease Elimination, Burnet Institute, Melbourne 3004, Australia.
Mark StoovéDisease Elimination, Burnet Institute, Melbourne 3004, Australia.
Joseph S DoyleDisease Elimination, Burnet Institute, Melbourne 3004, Australia.
Darren RussellCairns Sexual Health Service, Cairns 4870, Australia.

Funding

Paul Ramsay Foudnation NA
6 · The paper itself

Abstract

backgroundUnderstanding the effectiveness of novel models of care in community-based settings is critical to achieving hepatitis C elimination. We conducted an evaluation of a hepatitis C model of care with financial incentives that aimed to improve engagement across the hepatitis C cascade of care at a sexual health service in Cairns, Australia.

methodsBetween March 2020 and May 2021, financial incentives were embedded into an established person-centred hepatitis C model of care at Cairns Sexual Health Service. Clients of the Service who self-reported experiences of injecting drugs were offered an AUD 20 cash incentive for hepatitis C testing, treatment initiation, treatment completion, and test for cure. Descriptive statistics were used to describe retention in hepatitis C care in the incentivised model. They were compared to the standard of care offered in the 11 months prior to intervention.

resultsA total of 121 clients received financial incentives for hepatitis C testing (antibody or RNA). Twenty-eight clients were hepatitis C RNA positive, of whom 92% (24/28) commenced treatment, 75% (21/28) completed treatment, and 68% (19/28) achieved a sustained virological response (SVR). There were improvements in the proportion of clients diagnosed with hepatitis C who commenced treatment (86% vs. 75%), completed treatment (75% vs. 40%), and achieved SVR (68% vs. 17%) compared to the pre-intervention comparison period.

conclusionsIn this study, financial incentives improved engagement and retention in hepatitis C care for people who inject drugs in a model of care that incorporated a person-centred and flexible approach.

Indexed as

Hepatitis CMotivationAdultAntiviral AgentsAustraliaFemaleHepacivirusHumansMaleMiddle AgedSexual HealthAntiviral Agentsfinancial incentiveshepatitis Cpeople who inject drugsprimary care

Identifiers

PMID38793681
PMCPMC11125761

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.