A Pilot Voucher Incentive for Improving Retention in Postpartum HIV Care in South Africa

NCT02351362 | Completed

• 1 other identifier: H-33546
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Given there is substantial loss to follow-up soon after delivery among HIV-positive pregnant women in South Africa, we will conduct a pilot study of an innovative approach to improve retention in care targeted to this specific population at high risk of drop-out. The problem of poor retention in care is well documented, but interventions to address the issue are lacking. In order to design an effective intervention that will be tested in a future randomized controlled trial, we will first complete preliminary research via a pilot study in order to determine the feasibility and acceptability of an incentive program (i.e., a supermarket voucher) to reduce loss to follow-up among HIV-positive women after delivery. The primary objective of this study is to determine the feasibility of a voucher incentive intervention aimed at improving retention in postpartum HIV care Secondary objectives include: a) to determine the efficacy of the intervention at increasing postpartum retention; b) to determine the acceptability of the intervention in terms of women's preferences for the intervention compared to other possible interventions; c) to assess differences in patient retention among women newly diagnosed with HIV vs. those who knew their HIV-positive status before pregnancy; and d) to assess differences in patient retention among women who initiated ART during pregnancy vs. those who were on ART before becoming pregnant. We will enroll up to 200 adult (≥18 years), pregnant, HIV-positive women attending antenatal care who have not previously enrolled in the study at Hikhensile Clinic, Johannesburg, South Africa. The study will be a prospective intervention cohort study with historical controls. Intervention subjects will receive a one-time supermarket voucher of R50 (about $5.00) for participants who return for at least one postpartum visit at the study clinic within 10 weeks of delivery.

Conditions

HIV

Keywords

Retention; Attrition; Incentive; Pregnant women

Outcome Measures

Primary Outcomes (1)

• Number of participants who receive a voucher.

  Defined as each participant who qualifies for a voucher successfully receiving the voucher via electronic transfer.

  10 weeks

Study Arms (2)

Incentive Group

EXPERIMENTAL

A one-time supermarket voucher of R50 (about $5.00) for participants who return for at least one postpartum visit at the study clinic within 10 weeks of delivery

Behavioral: Incentive Group

Control Group

NO INTERVENTION

Standard of care

Interventions

Incentive Group BEHAVIORAL

A one-time supermarket voucher of R50 (about $5.00) for participants who return for at least one postpartum visit at the study clinic within 10 weeks of delivery

Incentive Group

Eligibility Criteria

• Age: 19 Years+
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult (≥18 years of age)
• HIV-positive at the time of enrollment
• Pregnant
• Initiating ART on day of enrollment, or already initiated on ART
• Willing and able to provide written informed consent for study participation and data collection
• Able to speak and understand spoken English
• Must possess a working cell phone during the enrollment visit
• Not previously enrolled in the study

You may not qualify if:

• \- Patient requests to be transfered to non-study site for HIV care and treatment on day of recruitment/enrollment

Sponsors & Collaborators

• Boston University: lead
• Vanderbilt University: collaborator
• University of Witwatersrand, South Africa: collaborator

Study Sites (1)

HIV Clinic

Johannesburg, Gauteng, 02476, South Africa

Location

MeSH Terms

Conditions

Tooth Wear

Condition Hierarchy (Ancestors)

Tooth Diseases; Stomatognathic Diseases

Study Officials

• Matthew Fox, DSc

  Boston University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: January 22, 2015
• First Posted: January 30, 2015
• Study Start: February 1, 2015
• Primary Completion: July 1, 2017
• Study Completion: July 1, 2017
• Last Updated: January 5, 2018

Record last verified: 2018-01

Locations

ZA (1)