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

Not Applicable

Completed

• Conditions: HIV
• Interventions: Behavioral: Financial incentive

• 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

Arm && Interventions

Group	Intervention	Description
Low Financial Incentive	Financial incentive	Conditional cash transfer upon HIV testing
Medium Financial Incentive	Financial incentive	Conditional cash transfer upon HIV testing
High Financial Incentive	Financial incentive	Conditional cash transfer upon HIV testing

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