Financial Incentives to Increase Pediatric HIV Testing Pilot Study (FIT-Pilot)

Study Overview
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Brief Summary
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The aim of the pilot study is to evaluate the feasibility, acceptability and costs of a financial incentive intervention to motivate pediatric HIV testing in Western Kenya. The study will evaluate 3 cash incentive values and determine percent uptake of testing. A post-test questionnaire will explore parental satisfaction, mechanisms of incentive effectiveness and the impact of testing on emotional health and pediatric healthcare utilization.

Detailed Description
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The study will be a randomized trial with 3 arms (1:1:1 allocation) with small, medium, and large cash incentive. The investigators will randomize 60 parents with children of unknown status at Kisumu County Hospital in Western Kenya.

Official Title
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Financial Incentives to Increase Pediatric HIV Testing Pilot Study

Conditions
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HIV

Intervention / Treatment
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* Behavioral: Financial incentive


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parent/caregiver receiving HIV care Parent/caregiver is female Parent/caregiver has one or more children <13 years old Child is HIV exposed (parent/caregiver report or clinic confirmation) Caregiver reports child's HIV status is unknown Exclusion Criteria: -None *The investigators reserve the right to exclude any potential enrollee who is deemed to be a high personal risk, or whose children are at high personal risk, of interpersonal violence, by study participation.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Low Financial Incentive<br>Conditional cash transfer upon HIV testing | Behavioral: Financial incentive<br>* Conditional cash transfer upon HIV testing<br>|
| Experimental: Medium Financial Incentive<br>Conditional cash transfer upon HIV testing | Behavioral: Financial incentive<br>* Conditional cash transfer upon HIV testing<br>|
| Experimental: High Financial Incentive<br>Conditional cash transfer upon HIV testing | Behavioral: Financial incentive<br>* Conditional cash transfer upon HIV testing<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HIV testing | % of parents completing pediatric HIV testing within 2 months will be compared between arms. | Testing within 2 months of recruitment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parental satisfaction with incentives | A post-test questionnaire will assess parental satisfaction with the incentive, including the value provided, other preferred formats (vouchers, agricultural items, etc) | 2 months of recruitment | 
| Motivational mechanism | A post-test questionnaire will assess mechanisms by which incentives motivate behavioral change. Questions will assess potential for coercion, parental previous intention to test, and whether incentives overcame economic and/or emotional barriers to testing | 2 months | 
| Care seeking | A post-test questionnaire will assess whether learning the child's HIV status will affect the likelihood of seeking future medical services for the child | 2 months | 
| Emotional impact | A post-test questionnaire will assess impact of testing on caregiver, child, and family emotional well-being | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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HIV, financial incentive, pediatric HIV testing