iSAY (incentives for South African youth): Stated preferences of young people living with HIV

Galárraga, Omar; Kuo, Caroline; Mtukushe, Bulelwa; Maughan-Brown, Brendan; Harrison, Abigail; Hoare, Jacqueline

doi:10.1016/j.socscimed.2020.113333

Cited by 17 publications

(12 citation statements)

References 56 publications

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“…Despite growing evidence, very little is known in terms of the utility of financial incentives on improving ART adherence among ALHIV [ 44 ]. The conditional economic incentives and motivational interviewing intervention (Incentive Scheme) provided low evidence of effectiveness on viral suppression for unsuppressed adolescents.…”

Section: Discussionmentioning

confidence: 99%

“…The authors argued that monetary rewards would likely be attractive for adolescents and struggling young individuals and influence their behaviors, while the lure of the monetary rewards also provides an opportunity to engage with a healthcare provider and increase the chances of achieving better treatment outcomes [ 26 ]. An experiment conducted in Cape Town between 2017–2019 identified the incentive amount, incentive format, recipients, delivery mode, and program participants as key components [ 44 ]. A combined economic empowerment and peer support intervention in rural Rwanda achieved successes in high pharmacy attendance, attaining target savings, and in viral suppression [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

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Interventions to Improve Treatment Outcomes among Adolescents on Antiretroviral Therapy with Unsuppressed Viral Loads: A Systematic Review

Munyayi

Wyk

Mayman

2022

IJERPH

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Adolescents living with HIV (ALHIV) face unique developmental challenges that increase the risk of unsuppressed viral loads. Current reviews present a need for proven interventions to improve viral suppression among ALHIV on ART, who have a history of unsuppressed viral loads. This systematic review aims to synthesize and appraise evidence of the effectiveness of interventions to improve treatment outcomes among ALHIV with unsuppressed viral loads. Six bibliographic databases were searched for published studies and gray literature from 2010 to 2021. The risk of bias and certainty of evidence was assessed using the ROBINS-I tool, CASP checklists and GRADE. A total of 28 studies were eligible for full-text screening; and only three were included in the qualitative synthesis. In addition, two studies were included from website searches. Four types of interventions to improve viral suppression were identified, namely: intensive adherence counselling; community- and facility-based peer-led differentiated service delivery (DSD); family based economic empowerment; and conditional economic incentives and motivational interviewing. We strongly recommend peer-led community-based DSD interventions, intensive adherence counselling, and family-based economic empowerment as potential interventions to improve viral suppression among ALHIV.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Interventions to Improve Treatment Outcomes among Adolescents on Antiretroviral Therapy with Unsuppressed Viral Loads: A Systematic Review

Munyayi

Wyk

Mayman

2022

IJERPH

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“…Across all groups, shopping vouchers and cellular airtime were relatively undesirable. AYA living with HIV in South Africa similarly show preferences for cash incentives delivered in‐hand at clinic visits rather than electronically or through gift vouchers [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Adolescent and young adult preferences for financial incentives to support adherence to antiretroviral therapy in Kenya: a mixed methods study

et al. 2022

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Introduction To develop a patient‐centred financial incentive delivery strategy to improve antiretroviral treatment adherence in adolescents and young adults (AYA) living with HIV in Kisumu, Kenya, we conducted a mixed methods study exploring preferences. Methods A discrete choice experiment (DCE) and focus group discussion (FGD) were conducted simultaneously to identify preferences for five incentive delivery strategy features: value, eligibility, recipient, format and disbursement frequency. We used consecutive sampling to recruit AYA (14–24 years) living with HIV attending three health facilities in Kisumu, Kenya. We calculated mean preferences, willingness to trade, latent class membership and predictors of latent class membership. The FGD explored preferred incentive features, and, after deductive and inductive coding, qualitative findings were triangulated with DCE results. Results Two hundred and seven AYA living with HIV (46% 14–17 years, 54% 18–24 years; 33% male sex, 89% viral load <50 copies/ml) were recruited to the study (28 October–16 November 2020). Two distinct preference phenotypes emerged from the DCE analysis (N = 199), 44.8% of the population fell into an “immediate reward” group, who wanted higher value cash or mobile money distributed at each clinic visit, and 55.2% fell into a “moderate spender” group, who were willing to accept lower value incentives in the form of cash or shopping vouchers, and accrued payments. The immediate reward group were willing to trade up to 200 Kenyan Shillings (KSH)—approximately 2 US dollars (USD)—of their 500 KSH (∼5 USD) incentive to get monthly as opposed to accrued yearly payments. The strongest predictor of latent class membership was age (RR 1.45; 95% CI: 1.08–1.95; p = 0.006). Qualitative data highlighted the unique needs of those attending boarding school and confirmed an overwhelming preference for cash incentives which appeared to provide the greatest versatility for use. Conclusions Providing small financial incentives as cash was well‐aligned with AYA preferences in this setting. AYA should additionally be offered a choice of other incentive delivery features (such as mobile money, recipient and disbursement frequency) to optimally align with the specific needs of their age group and life stage.

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“…A mixed rank-ordered logit model with normally distributed random parameters was used to estimate preferences for COVID-19 nonpharmaceutical mitigation strategies (Lancsar et al 2017 ). The mixed rank-ordered logit is an extension of the conditional logit that takes into account ranked choices, and is expressed as the product of the logit formulas (Galárraga et al 2020 ; Ghijben et al 2014 ; Lancsar et al 2017 ). Normally distributed random parameters were included to allow for comparison of unobserved preference heterogeneity for a chosen social distancing scenario versus no social distancing (Galárraga et al 2020 ; Lancsar and Louviere 2008 ).…”

Section: Methodsmentioning

confidence: 99%

“…The mixed rank-ordered logit is an extension of the conditional logit that takes into account ranked choices, and is expressed as the product of the logit formulas (Galárraga et al 2020 ; Ghijben et al 2014 ; Lancsar et al 2017 ). Normally distributed random parameters were included to allow for comparison of unobserved preference heterogeneity for a chosen social distancing scenario versus no social distancing (Galárraga et al 2020 ; Lancsar and Louviere 2008 ). Since this was a best-best analysis, the first choice set contained data representing the three alternatives (i.e., Shelter in Place Situation A , or Shelter in Place Situation B , or None ), with the dependent variable (choice) = 1 for the first-best and = 0 for the remaining alternatives.…”

Section: Methodsmentioning

confidence: 99%

Incorporating respondent-driven sampling into web-based discrete choice experiments: preferences for COVID-19 mitigation measures

Johnson

Tran

Mwangi

et al. 2022

Health Serv Outcomes Res Method

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To slow the spread of COVID-19, most countries implemented stay-at-home orders, social distancing, and other nonpharmaceutical mitigation strategies. To understand individual preferences for mitigation strategies, we piloted a web-based Respondent Driven Sampling (RDS) approach to recruit participants from four universities in three countries to complete a computer-based Discrete Choice Experiment (DCE). Use of these methods, in combination, can serve to increase the external validity of a study by enabling recruitment of populations underrepresented in sampling frames, thus allowing preference results to be more generalizable to targeted subpopulations. A total of 99 students or staff members were invited to complete the survey, of which 72% started the survey (n = 71). Sixty-three participants (89% of starters) completed all tasks in the DCE. A rank-ordered mixed logit model was used to estimate preferences for COVID-19 nonpharmaceutical mitigation strategies. The model estimates indicated that participants preferred mitigation strategies that resulted in lower COVID-19 risk (i.e. sheltering-in-place more days a week), financial compensation from the government, fewer health (mental and physical) problems, and fewer financial problems. The high response rate and survey engagement provide proof of concept that RDS and DCE can be implemented as web-based applications, with the potential for scale up to produce nationally-representative preference estimates.

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iSAY (incentives for South African youth): Stated preferences of young people living with HIV

Cited by 17 publications

References 56 publications

Interventions to Improve Treatment Outcomes among Adolescents on Antiretroviral Therapy with Unsuppressed Viral Loads: A Systematic Review

Interventions to Improve Treatment Outcomes among Adolescents on Antiretroviral Therapy with Unsuppressed Viral Loads: A Systematic Review

Adolescent and young adult preferences for financial incentives to support adherence to antiretroviral therapy in Kenya: a mixed methods study

Incorporating respondent-driven sampling into web-based discrete choice experiments: preferences for COVID-19 mitigation measures

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