Optimizing the Efficiency and Implementation of Cash Transfers to Improve Adherence to Antiretroviral Therapy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 530
- 试验地点
- 4
- 主要终点
- HIV viral suppression at 6 months
研究概览
简要总结
- Determine the "dose-response" relationship between a cash transfer amount and HIV viral suppression at 6 months
- Identify the most effective cash transfer size to increase the proportion of people living with HIV infection (PLHIV) retained in care and with suppressed viral load (<1000 copies/ml) after 6 months. (This amount will be further evaluated in a cluster randomized trial in Phase 2).
详细描述
Participants in the control group will receive the standard HIV primary care services according to Tanzania's National Guidelines for the Management of HIV and AIDS.
The study has two active intervention arms:
- The opportunity to earn 10,000 TZS/month (~$4.50) for up to 6 months conditional on visit attendance, and
- The opportunity to earn 22,500 TZS/month (~$10.00) for up to 6 months conditional on visit attendance
In both intervention arms, cash transfers will be delivered a maximum of once monthly, spaced ≥28 days apart, for up to six months and delivered via an automatic mobile money system linked to a biometric identification system.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
盲法说明
Participants in the cash transfer arms will be masked to the knowledge that there are two cash value arms.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •≥18 years
- •Living with HIV infection
- •Initiated antiretroviral therapy ≤1 month prior to enrollment in the study
排除标准
- •Participants who do no provide informed consent
研究组 & 干预措施
Comparison Arm
Participants in the comparison group will receive the standard HIV primary care services according to Tanzania's National Guidelines for the Management of HIV and AIDS.
Active Intervention 1
Participants will receive the standard HIV primary care services according to Tanzania's National Guidelines for the Management of HIV and AIDS plus the opportunity to earn 10,000 TZS/month (~$4.50) for up to 6 months conditional on visit attendance.
干预措施: Active Arm 1 (Behavioral)
Active Intervention 2
Participants will receive the standard HIV primary care services according to Tanzania's National Guidelines for the Management of HIV and AIDS plus the opportunity to earn 22,500 TZS/month (~$10.00) for up to 6 months conditional on visit attendance.
干预措施: Active Arm 2 (Behavioral)
结局指标
主要结局
HIV viral suppression at 6 months
时间窗: 6 months
\<1000 copies/ml
次要结局
未报告次要终点
研究者
Sandra McCoy
PI
University of California, Berkeley