Matches in SemOpenAlex for { <https://semopenalex.org/work/W4295806852> ?p ?o ?g. }
- W4295806852 endingPage "100997" @default.
- W4295806852 startingPage "100997" @default.
- W4295806852 abstract "Adolescents living with HIV (ALHIV) have had worse outcomes compared to adults. They face enormous difficulty in accessing HIV care services. We hypothesize that conditional economic incentives (CEI) and motivational interviewing could increase retention in care, medication adherence and ultimately viral load suppression. Therefore, we evaluated the one-year impact of conditional economic incentives and motivational interviewing on the health outcomes of ALHIV in Anambra State, Nigeria. Using a cluster-randomised design, we examined the one-year (from December 1, 2018, to November 30, 2019), individual-level impact of an Incentive Scheme comprising conditional economic incentives and motivational interviewing on achieving undetectable viral load (primary outcome), CD4+ count, adherence to antiretroviral therapy and retention in care (secondary outcomes) by ALHIV in Anambra State, Nigeria. Twelve HIV treatment hospitals were stratified according to the type of clinic (secondary or tertiary) and randomly assigned to the intervention arm or control arm to receive the Incentive Scheme or routine care, respectively. ALHIV aged 10–19 years, initiated into HIV care for a minimum of 6 months, and who adhered poorly to medications (<100% adherence rate) were eligible for the study. Participants in the intervention arm received motivational interviewing at the study baseline and every visit. They also received US$5.6 when HIV viral load (VL) was <20 copies/mL at month 3, US$2.8 if the VL remained suppressed at months 6 and 9, and US$5.6 if the VL remained <20 copies/mL at month 12. Of the 246 trial participants, 119 were in the intervention while 127 were in the control arm. There was no difference in the baseline characteristics of the participants between the intervention and control arm except for the number of participants with undetectable viral load and the number of participants with ≥95% adherence. Although participants in the intervention arm had a 10.1% increase while those in the control arm had a 1.6% decrease in proportion with undetectable viral load (≤20 copies/ml) after 12 months, the change in the primary outcome was not statistically significant. Similarly, the differences in the secondary outcomes were not statistically significant. The Incentive Scheme did not improve the virologic outcome of ALHIV after 12 months. Differences in the secondary outcomes after 12 months were also not significantly different from the baseline. We registered the trial retrospectively with The Pan African Clinical Trials Registry: https://pactr.samrc.ac.za/(PACTR201806003040425) on 2/2/2018." @default.
- W4295806852 created "2022-09-15" @default.
- W4295806852 creator A5021971370 @default.
- W4295806852 creator A5023565426 @default.
- W4295806852 creator A5072797973 @default.
- W4295806852 creator A5075633544 @default.
- W4295806852 creator A5076659686 @default.
- W4295806852 creator A5083668009 @default.
- W4295806852 date "2022-12-01" @default.
- W4295806852 modified "2023-09-27" @default.
- W4295806852 title "Impact of conditional economic incentives and motivational interviewing on health outcomes of adolescents living with HIV in Anambra State, Nigeria: A cluster-randomised trial" @default.
- W4295806852 cites W1692190376 @default.
- W4295806852 cites W1748070681 @default.
- W4295806852 cites W1976594536 @default.
- W4295806852 cites W1985386799 @default.
- W4295806852 cites W2002677862 @default.
- W4295806852 cites W2002945998 @default.
- W4295806852 cites W2069258149 @default.
- W4295806852 cites W2079682099 @default.
- W4295806852 cites W2082540690 @default.
- W4295806852 cites W2088171639 @default.
- W4295806852 cites W2135435009 @default.
- W4295806852 cites W2137354881 @default.
- W4295806852 cites W2140092196 @default.
- W4295806852 cites W2156258495 @default.
- W4295806852 cites W2159482187 @default.
- W4295806852 cites W2259318738 @default.
- W4295806852 cites W2599098641 @default.
- W4295806852 cites W2759384476 @default.
- W4295806852 cites W2782224226 @default.
- W4295806852 cites W2907329945 @default.
- W4295806852 cites W2948806404 @default.
- W4295806852 cites W2981284551 @default.
- W4295806852 cites W3046626666 @default.
- W4295806852 cites W4292528167 @default.
- W4295806852 cites W98498332 @default.
- W4295806852 doi "https://doi.org/10.1016/j.conctc.2022.100997" @default.
- W4295806852 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36147247" @default.
- W4295806852 hasPublicationYear "2022" @default.
- W4295806852 type Work @default.
- W4295806852 citedByCount "2" @default.
- W4295806852 countsByYear W42958068522023 @default.
- W4295806852 crossrefType "journal-article" @default.
- W4295806852 hasAuthorship W4295806852A5021971370 @default.
- W4295806852 hasAuthorship W4295806852A5023565426 @default.
- W4295806852 hasAuthorship W4295806852A5072797973 @default.
- W4295806852 hasAuthorship W4295806852A5075633544 @default.
- W4295806852 hasAuthorship W4295806852A5076659686 @default.
- W4295806852 hasAuthorship W4295806852A5083668009 @default.
- W4295806852 hasBestOaLocation W42958068521 @default.
- W4295806852 hasConcept C126322002 @default.
- W4295806852 hasConcept C142462285 @default.
- W4295806852 hasConcept C144024400 @default.
- W4295806852 hasConcept C149923435 @default.
- W4295806852 hasConcept C162324750 @default.
- W4295806852 hasConcept C164866538 @default.
- W4295806852 hasConcept C168563851 @default.
- W4295806852 hasConcept C175444787 @default.
- W4295806852 hasConcept C176400912 @default.
- W4295806852 hasConcept C199360897 @default.
- W4295806852 hasConcept C2777016617 @default.
- W4295806852 hasConcept C29122968 @default.
- W4295806852 hasConcept C3013748606 @default.
- W4295806852 hasConcept C41008148 @default.
- W4295806852 hasConcept C512399662 @default.
- W4295806852 hasConcept C71924100 @default.
- W4295806852 hasConceptScore W4295806852C126322002 @default.
- W4295806852 hasConceptScore W4295806852C142462285 @default.
- W4295806852 hasConceptScore W4295806852C144024400 @default.
- W4295806852 hasConceptScore W4295806852C149923435 @default.
- W4295806852 hasConceptScore W4295806852C162324750 @default.
- W4295806852 hasConceptScore W4295806852C164866538 @default.
- W4295806852 hasConceptScore W4295806852C168563851 @default.
- W4295806852 hasConceptScore W4295806852C175444787 @default.
- W4295806852 hasConceptScore W4295806852C176400912 @default.
- W4295806852 hasConceptScore W4295806852C199360897 @default.
- W4295806852 hasConceptScore W4295806852C2777016617 @default.
- W4295806852 hasConceptScore W4295806852C29122968 @default.
- W4295806852 hasConceptScore W4295806852C3013748606 @default.
- W4295806852 hasConceptScore W4295806852C41008148 @default.
- W4295806852 hasConceptScore W4295806852C512399662 @default.
- W4295806852 hasConceptScore W4295806852C71924100 @default.
- W4295806852 hasFunder F4320320300 @default.
- W4295806852 hasFunder F4320338462 @default.
- W4295806852 hasLocation W42958068521 @default.
- W4295806852 hasLocation W42958068522 @default.
- W4295806852 hasLocation W42958068523 @default.
- W4295806852 hasOpenAccess W4295806852 @default.
- W4295806852 hasPrimaryLocation W42958068521 @default.
- W4295806852 hasRelatedWork W2003317327 @default.
- W4295806852 hasRelatedWork W2498017468 @default.
- W4295806852 hasRelatedWork W2498917149 @default.
- W4295806852 hasRelatedWork W3159250744 @default.
- W4295806852 hasRelatedWork W4235389661 @default.
- W4295806852 hasRelatedWork W4256514411 @default.
- W4295806852 hasRelatedWork W4283314905 @default.
- W4295806852 hasRelatedWork W4292236216 @default.
- W4295806852 hasRelatedWork W4295806852 @default.