Financial Incentives to Increase Pediatric HIV Testing Pilot Study (FIT-Pilot)

University of Washington60 enrolled

Overview

The aim of the pilot study is to evaluate the feasibility, acceptability and costs of a financial incentive intervention to motivate pediatric HIV testing in Western Kenya. The study will evaluate 3 cash incentive values and determine percent uptake of testing. A post-test questionnaire will explore parental satisfaction, mechanisms of incentive effectiveness and the impact of testing on emotional health and pediatric healthcare utilization.

The study will be a randomized trial with 3 arms (1:1:1 allocation) with small, medium, and large cash incentive. The investigators will randomize 60 parents with children of unknown status at Kisumu County Hospital in Western Kenya.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

Conditions

HIV

Interventions

Financial incentiveBEHAVIORAL

Conditional cash transfer upon HIV testing

Eligibility

Sex: FEMALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Parent/caregiver receiving HIV care * Parent/caregiver is female * Parent/caregiver has one or more children \<13 years old * Child is HIV exposed (parent/caregiver report or clinic confirmation) * Caregiver reports child's HIV status is unknown Exclusion Criteria: -None \*The investigators reserve the right to exclude any potential enrollee who is deemed to be a high personal risk, or whose children are at high personal risk, of interpersonal violence, by study participation.

Locations (1)

Kisumu County Hospital

Kisumu, Kenya

Outcomes

Primary Outcomes

HIV testing

% of parents completing pediatric HIV testing within 2 months will be compared between arms.

Time frame: Testing within 2 months of recruitment

Secondary Outcomes

Parental satisfaction with incentives

A post-test questionnaire will assess parental satisfaction with the incentive, including the value provided, other preferred formats (vouchers, agricultural items, etc)

Time frame: 2 months of recruitment

Motivational mechanism

A post-test questionnaire will assess mechanisms by which incentives motivate behavioral change. Questions will assess potential for coercion, parental previous intention to test, and whether incentives overcame economic and/or emotional barriers to testing

Time frame: 2 months

Care seeking

A post-test questionnaire will assess whether learning the child's HIV status will affect the likelihood of seeking future medical services for the child

Time frame: 2 months

Emotional impact

A post-test questionnaire will assess impact of testing on caregiver, child, and family emotional well-being

Time frame: 2 months

Data from ClinicalTrials.gov

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