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• W3135765448 abstract "Abstract Background Temporal discounting, the tendency of individuals to discount future costs and benefits relative to the present, is often associated with greater engagement in risky behaviors. Incentives such as conditional cash transfers (CCTs) have the potential to counter the effects of high discount rates on health behaviors. Methods With data from a randomized trial of a CCT intervention among 434 HIV-positive pregnant women in the Democratic Republic of Congo, we used binomial models to assess interactions between discount rates (measured using a delay-discounting task) and the intervention. The analysis focused on two outcomes: 1) retention in HIV care, and 2) uptake of prevention of mother-to-child transmission (PMTCT) services. Results The effect of high discount rates on retention was small, and we did not observe evidence of interaction between high discount rates and CCT on retention. However, our findings suggest that CCT may mitigate the negative effect of high discount rates on uptake of PMTCT services (interaction contrast (IC): 0.18, 95% CI: − 0.09, 0.44). Conclusions Our findings provide evidence to support the continued use of small, frequent incentives, to motivate improved uptake of PMTCT services, especially among women exhibiting high rates of temporal discounting. Trial registration Clinicaltrials.gov number NCT01838005 , April 23, 2013." @default.
• W3135765448 created "2021-03-15" @default.
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• W3135765448 date "2021-03-10" @default.
• W3135765448 modified "2023-09-25" @default.
• W3135765448 title "Role of temporal discounting in a conditional cash transfer (CCT) intervention to improve engagement in the prevention of mother-to-child transmission (PMTCT) cascade" @default.
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• W3135765448 doi "https://doi.org/10.1186/s12889-021-10499-0" @default.
• W3135765448 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7944635" @default.
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• W3135765448 hasPublicationYear "2021" @default.
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