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- W3159652887 abstract "BACKGROUND Financial incentives have been shown to improve antiretroviral (ARV) adherence for people living with HIV, but scholars have argued that this commodifies treatment and have debated the ethics of doing so. This article summarizes research on ethical processes and factors involved in an intervention that successfully improved ARV adherence among socially vulnerable people living with HIV. METHODS Thirty qualitative interviews were conducted with intervention participants and field notes documenting organizational processes were analyzed. The protocol utilized a preexisting framework to assess the ethics of using financial incentives to motivate adherence. RESULTS Financial incentives supported an ethical service provision framework by (1) establishing and strengthening client agency, (2) revising organizational protocols to prioritize adherence, and (3) promoting resource redistribution. CONCLUSIONS Financial incentives, when embedded in wrap-around services, innovative client-centered organizational processes, and a justice orientation, constitute an ethical intervention requiring ethical investigation." @default.
- W3159652887 created "2021-05-10" @default.
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- W3159652887 date "2021-05-01" @default.
- W3159652887 modified "2023-09-27" @default.
- W3159652887 title "Are Financial Incentives Appropriate Means of Encouraging Medication Adherence Among People Living With HIV?" @default.
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- W3159652887 doi "https://doi.org/10.1001/amajethics.2021.394" @default.
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