Incentives for Viral Suppression in People Living with HIV: A Randomized Clinical Trial

被引：0
|
作者：
Kenneth Silverman
August F. Holtyn
Andrew M. Rodewald
Robert F. Siliciano
Brantley P. Jarvis
Shrinidhi Subramaniam
Jeannie-Marie Leoutsakos
Carol-Ann Getty
Sebastian Ruhs
Mark A. Marzinke
Michael Fingerhood
机构：
[1] Johns Hopkins University School of Medicine,Department of Psychiatry and Behavioral Sciences, Center for Learning and Health
[2] Johns Hopkins University School of Medicine,Department of Medicine
[3] Johns Hopkins University School of Medicine,Department of Pathology
[4] Chase Brexton Health Care,Department of Psychology and Child Development
[5] Knowesis,undefined
[6] LLC,undefined
[7] California State University Stanislaus,undefined
[8] Addictions Department,undefined
[9] Kings College,undefined
来源：
AIDS and Behavior | 2019年 / 23卷
关键词：
Incentives; Viral suppression; Antiretroviral medication adherence; HIV; ART;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The HIV/AIDS epidemic can be eliminated if 73% of people living with HIV take antiretroviral medications and achieve undetectable viral loads. This study assessed the effects of financial incentives in suppressing viral load. People living with HIV with detectable viral loads (N = 102) were randomly assigned to Usual Care or Incentive groups. Incentive participants earned up to $10 per day for 2 years for providing blood samples that showed either reduced or undetectable viral loads. This report presents data on the 1st year after random assignment. Incentive participants provided more (adjusted OR = 15.6, CI 4.2–58.8, p < 0.001) blood samples at 3-month assessments with undetectable viral load (72.1%) than usual care control participants (39.0%). We collected most blood samples. The study showed that incentives can substantially increase undetectable viral loads in people living with HIV. Financial incentives for suppressed viral loads could contribute to the eradication of the HIV/AIDS epidemic.
引用
收藏
页码：2337 / 2346
页数：9
相关论文
共 50 条
  • [1] Incentives for Viral Suppression in People Living with HIV: A Randomized Clinical Trial
    Silverman, Kenneth
    Holtyn, August F.
    Rodewald, Andrew M.
    Siliciano, Robert F.
    Jarvis, Brantley P.
    Subramaniam, Shrinidhi
    Leoutsakos, Jeannie-Marie
    Getty, Carol-Ann
    Ruhs, Sebastian
    Marzinke, Mark A.
    Fingerhood, Michael
    [J]. AIDS AND BEHAVIOR, 2019, 23 (09) : 2337 - 2346
  • [2] Long-Term Effects of Incentives for HIV Viral Suppression: A Randomized Clinical Trial
    Novak, Matthew D.
    Holtyn, August F.
    Toegel, Forrest
    Rodewald, Andrew M.
    Leoutsakos, Jeannie-Marie
    Fingerhood, Michael
    Silverman, Kenneth
    [J]. AIDS AND BEHAVIOR, 2024, 28 (02) : 625 - 635
  • [3] Long-Term Effects of Incentives for HIV Viral Suppression: A Randomized Clinical Trial
    Matthew D. Novak
    August F. Holtyn
    Forrest Toegel
    Andrew M. Rodewald
    Jeannie-Marie Leoutsakos
    Michael Fingerhood
    Kenneth Silverman
    [J]. AIDS and Behavior, 2024, 28 : 625 - 635
  • [4] Cost and Cost-Effectiveness of Incentives for Viral Suppression in People Living with HIV
    Laura J. Dunlap
    Stephen Orme
    Gary A. Zarkin
    David R. Holtgrave
    Catherine Maulsby
    Andrew M. Rodewald
    August F. Holtyn
    Kenneth Silverman
    [J]. AIDS and Behavior, 2022, 26 : 795 - 804
  • [5] Cost and Cost-Effectiveness of Incentives for Viral Suppression in People Living with HIV
    Dunlap, Laura J.
    Orme, Stephen
    Zarkin, Gary A.
    Holtgrave, David R.
    Maulsby, Catherine
    Rodewald, Andrew M.
    Holtyn, August F.
    Silverman, Kenneth
    [J]. AIDS AND BEHAVIOR, 2022, 26 (03) : 795 - 804
  • [6] Effects of incentives on viral suppression in people living with HIV who use cocaine or opiates
    Pollock, Sarah
    Toegel, Forrest
    Holtyn, August F.
    Rodewald, Andrew M.
    Leoutsakos, Jeannie-Marie
    Fingerhood, Michael
    Silverman, Kenneth
    [J]. DRUG AND ALCOHOL DEPENDENCE, 2020, 212
  • [7] Financial Incentives for Linkage to Care and Viral Suppression Among HIV-Positive Patients A Randomized Clinical Trial (HPTN 065)
    El-Sadr, Wafaa M.
    Donnell, Deborah
    Beauchamp, Geetha
    Hall, Irene
    Torian, Lucia V.
    Zingman, Barry
    Lum, Garret
    Kharfen, Michael
    Elion, Richard
    Leider, Jason
    Gordin, Fred M.
    Elharrar, Vanessa
    Burns, David
    Zerbe, Allison
    Gamble, Theresa
    Branson, Bernard
    [J]. JAMA INTERNAL MEDICINE, 2017, 177 (08) : 1083 - 1092
  • [8] Effects Of Concurrent Training In People Living With HIV/aids: A Randomized Clinical Trial
    Peres, Sidney B.
    Guariglia, Debora A.
    Pedro, Rafael E.
    Candido, Nadia
    Melo, Bruno P.
    Franzoi de Moraes, Solange M.
    [J]. MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2016, 48 (05): : 713 - 713
  • [9] Cost and Cost-Effectiveness of Incentives for Viral Suppression in People Living with HIV (vol 26, pg 795, 2022)
    Dunlap, Laura J.
    Orme, Stephen
    Zarkin, Gary A.
    Holtgrave, David R.
    Maulsby, Catherine
    Rodewald, Andrew M.
    Holtyn, August F.
    Silverman, Kenneth
    [J]. AIDS AND BEHAVIOR, 2024,
  • [10] Effect of Patient Navigation With or Without Financial Incentives on Viral Suppression Among Hospitalized Patients With HIV Infection and Substance Use A Randomized Clinical Trial
    Metsch, Lisa R.
    Feaster, Daniel J.
    Gooden, Lauren
    Matheson, Tim
    Stitzer, Maxine
    Das, Moupali
    Jain, Mamta K.
    Rodriguez, Allan E.
    Armstrong, Wendy S.
    Lucas, Gregory M.
    Nijhawan, Ank E.
    Drainoni, Mari-Lynn
    Herrera, Patricia
    Vergara-Rodriguez, Pamela
    Jacobson, Jeffrey M.
    Mugavero, Michael J.
    Sullivan, Meg
    Daar, Eric S.
    McMahon, Deborah K.
    Ferris, David C.
    Lindblad, Robert
    VanVeldhuisen, Paul
    Oden, Neal
    Castellon, Pedro C.
    Tross, Susan
    Haynes, Louise F.
    Douaihy, Antoine
    Sorensen, James L.
    Metzger, David S.
    Mandler, Raul N.
    Colfax, Grant N.
    del Rio, Carlos
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 316 (02): : 156 - 170
12345