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

Not Applicable

Completed

• Conditions: HIV

• Registration Number: NCT02931422
• Lead Sponsor: University of Washington

Brief Summary

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.

Detailed Description

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 Timeline

• Study Start: 2016-09
• Study First Submitted: 2016-10-07
• Study First Submitted QC: 2016-10-10
• Study First Posted: 2016-10-13
• Primary Completion: 2017-01-31
• Study Completion: 2017-01-31
• Status Verified: 2017-02
• Last Update Submitted: 2017-02-02
• Last Update Posted: 2017-02-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 60

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
HIV testing	Testing within 2 months of recruitment	% of parents completing pediatric HIV testing within 2 months will be compared between arms.

Secondary Outcome Measures

Name	Time	Method
Motivational mechanism	2 months	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
Care seeking	2 months	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
Parental satisfaction with incentives	2 months of recruitment	A post-test questionnaire will assess parental satisfaction with the incentive, including the value provided, other preferred formats (vouchers, agricultural items, etc)
Emotional impact	2 months	A post-test questionnaire will assess impact of testing on caregiver, child, and family emotional well-being

Trial Locations

Locations (1)

Kisumu County Hospital; 🇰🇪 Kisumu, Kenya