Plant clinics have been widely established in developing countries as a novel extension approach that provides demand driven plant health advice to smallholder farmers. This paper assesses farmer participation and motivation for repeat plant clinic use, and influence on pest management adoption decisions in Kenya. Cross-sectional farm-level data were collected from 259 farm households categorised as; none, one-time and repeat plant clinic users. Mixed multinomial logistic and multivariate logit regression models were used to jointly analyse farmer participation, and decisions to take-up pest management recommendations. Results showed that participation at plant clinics is motivated by farmers' perceived value or success of the recommendations given, the main reason given by farmers who repeatedly visited plant clinics. Non-clinic users (33%) lacked awareness, while ABOUT THE AUTHORS Monica K. Kansiime (PhD) is an Agricultural Economist at CABI, with over 14 years field and research experience in social sciences, market studies, impact studies, climate change adaptation, agricultural extension, and seed systems.Idah Mugambi (MSc) is an Agricultural Resource Management specialist, and currently works with CABI as a Project Officer, Knowledge and Data Management. Her research interests span the areas of digital agricultural extension, data and knowledge management.Lorna Migiro (PhD) is an agricultural entomologist, with 19 years' experience in research, university teaching, and project management. She is currently the Program support Manager for the CABI-led Plantwise Global Programme.Washington Otieno (PhD) is a plant pathologist with over 30 years' experience in scientific and development research, and programme management. Currently he leads CABI's Plantwise Global Programme.Justus Ochieng (PhD) is a Scientist-Impact Evaluation at Bayesian Consulting Group. His current research work is on agricultural value chain development and analysis, impact assessment, climate change and adaptation, technology adoption and scaling, and youth development.