Are Financial Incentives Appropriate Means of Encouraging Medication Adherence Among People Living With HIV?

Ghose, Toorjo; Shubert, Virginia; Chaudhuri, Sambuddha; Poitevien, Vaty; Updyke, Alison

doi:10.1001/amajethics.2021.394

Cited by 5 publications

(1 citation statement)

References 20 publications

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“…Ghose et al found a similar trend, and explain how patients repeatedly expressed being in favour of financial incentives as it helped them to pay for their food over and above maintaining them in HIV care. 37 Participants expressed an awareness of how financial incentives could assist them to fulfil their unmet needs. By contrast another South African study showed that both patients and providers generally did not link financial incentivisation with structural barriers to the HIV cascade like transport costs or food insecurity, but rather with individual factors like intrinsic motivation.…”

Section: Discussionmentioning

confidence: 99%

Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa

Schlehr

Singh²,

Nyatela³

et al. 2022

Southern African Journal of HIV Medicine

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Background: Financial incentivisation has been used to improve all steps of the HIV cascade with varying results. Most studies conducted on the matter are of a quantitative nature, not giving enough space for in-depth understanding as to why financial incentives work or do not work.Objectives: To describe experiences with, and opinions on, the use of financial incentives to promote linkage to and retention in care from the perspective of people living with HIV.Method: We performed a qualitative cross-sectional study. In-depth interviews were conducted with adult men and women with HIV accessing health services or research study visits. After codebook development, NVivo 12 software was used to code and analyse the data.Results: Through the provision of financial incentives, participants were able to cover basic needs. However, some deemed financial incentives as a form of income rather than a nudge to spark interest in changing their health behaviour. Participants communicated that a need for some type of incentive exists and recommended food vouchers as the best possible solution.Conclusion: Financial incentivisation can facilitate engagement in the HIV care continuum through providing support to people living with HIV.What this study adds: This study complements the body of research that explores the feasibility of using incentives and which of them may be most beneficial in encouraging patients with HIV to enter into and sustain HIV care.

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Section: Discussionmentioning

confidence: 99%

Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa

Schlehr

Singh²,

Nyatela³

et al. 2022

Southern African Journal of HIV Medicine

View full text Add to dashboard Cite

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Experiences of conditional and unconditional cash transfers intended for improving health outcomes and health service use: a qualitative evidence synthesis

Yoshino

Sidney-Annerstedt

Wingfield

et al. 2023

Cochrane Database of Systematic Reviews

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Applying Behavioural Insights to HIV Prevention and Management: a Scoping Review

et al. 2022

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Purpose of Review This scoping review summarises the literature on HIV prevention and management interventions utilizing behavioural economic principles encapsulated in the MINDSPACE framework. Recent Findings MINDSPACE is an acronym developed by the UK’s behavioural insights team to summarise nine key influences on human behaviour: Messenger, Incentives, Norms, Default, Salience, Priming, Affect, Commitment, and Ego. These effects have been used in various settings to design interventions that encourage positive behaviours. Currently, over 200 institutionalised behavioural insight teams exist internationally, which may draw upon the MINDSPACE framework to inform policy and improve public services. To date, it is not clear how behavioural insights have been applied to HIV prevention and management interventions. Summary After screening 899 studies for eligibility, 124 were included in the final review. We identified examples of interventions that utilised all the MINDSPACE effects in a variety of settings and among various populations. Studies from high-income countries were most common (n = 54) and incentives were the most frequently applied effect (n = 100). The MINDSPACE framework is a useful tool to consider how behavioural science principles can be applied in future HIV prevention and management interventions. Creating nudges to enhance the design of HIV prevention and management interventions can help people make better choices as we strive to end the HIV/AIDS pandemic by 2030.

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Are Financial Incentives Appropriate Means of Encouraging Medication Adherence Among People Living With HIV?

Cited by 5 publications

References 20 publications

Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa

Experiences in receiving financial incentives to access HIV care in Johannesburg, South Africa

Experiences of conditional and unconditional cash transfers intended for improving health outcomes and health service use: a qualitative evidence synthesis

Applying Behavioural Insights to HIV Prevention and Management: a Scoping Review

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