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

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ClinicalTrials.gov Identifier: NCT02931422
Recruitment Status : Completed
First Posted : October 13, 2016
Last Update Posted : February 3, 2017
Sponsor:
Collaborators:
Kenyatta National Hospital
University of Nairobi
Information provided by (Responsible Party):
Jennifer Slyker, 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.

Condition or disease Intervention/treatment Phase
HIV Behavioral: Financial incentive Not Applicable

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.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: Financial Incentives to Increase Pediatric HIV Testing Pilot Study
Study Start Date : September 2016
Actual Primary Completion Date : January 31, 2017
Actual Study Completion Date : January 31, 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS

Arm Intervention/treatment
Experimental: Low Financial Incentive
Conditional cash transfer upon HIV testing
Behavioral: Financial incentive
Conditional cash transfer upon HIV testing

Experimental: Medium Financial Incentive
Conditional cash transfer upon HIV testing
Behavioral: Financial incentive
Conditional cash transfer upon HIV testing

Experimental: High Financial Incentive
Conditional cash transfer upon HIV testing
Behavioral: Financial incentive
Conditional cash transfer upon HIV testing




Primary Outcome Measures :
  1. HIV testing [ Time Frame: Testing within 2 months of recruitment ]
    % of parents completing pediatric HIV testing within 2 months will be compared between arms.


Secondary Outcome Measures :
  1. Parental satisfaction with incentives [ Time Frame: 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)

  2. Motivational mechanism [ Time Frame: 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

  3. Care seeking [ Time Frame: 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

  4. Emotional impact [ Time Frame: 2 months ]
    A post-test questionnaire will assess impact of testing on caregiver, child, and family emotional well-being



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

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:

*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.


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02931422


Locations
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Kenya
Kisumu County Hospital
Kisumu, Kenya
Sponsors and Collaborators
University of Washington
Kenyatta National Hospital
University of Nairobi
Investigators
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Principal Investigator: Jennifer A Slyker, PhD, MSc University of Washington
Principal Investigator: Irene N Njuguna, MBChB, Msc University of Washington/Kenyatta National Hospital

Study Data/Documents: Study Protocol  This link exits the ClinicalTrials.gov site
Identifier: FIT-Pilot
Anyone with a gmail account should be able to access this PDF. Please contact the study investigators to request a copy of the protocol if you are unable to access this link.

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Responsible Party: Jennifer Slyker, Assistant Professor, Global Health, University of Washington
ClinicalTrials.gov Identifier: NCT02931422     History of Changes
Other Study ID Numbers: 50526-J
First Posted: October 13, 2016    Key Record Dates
Last Update Posted: February 3, 2017
Last Verified: February 2017

Keywords provided by Jennifer Slyker, University of Washington:
HIV
financial incentive
pediatric HIV testing