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NCT Number: NCT02931422

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

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.

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Key information

Conditions

HIV

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Kisumu County Hospital

Kisumu, Kenya

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Financial incentive

Behavioral

Conditional cash transfer upon HIV testing

Primary outcomes

  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 outcomes

  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

Sponsors and collaborators

Lead sponsor

University of Washington

Other

Collaborators

  • Kenyatta National Hospital
  • University of Nairobi

Registry information

Official study title

Financial Incentives to Increase Pediatric HIV Testing Pilot Study

Acronym: FIT-Pilot

Important dates

Study start
2016
Primary completion
2017
Study completion
2017
First posted
Oct 13, 2016
Registry last updated
Feb 3, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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