wow-inequalities/02-data/intermediate/wos_sample/853be4cd62bc3d24d38ddb534c98994f-camlin-carol-s.-and/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background
Viral suppression among people living with HIV (PLHIV) is essential for
protecting health and preventing HIV transmission, yet globally, rates
of viral suppression are sub-optimal. Interventions to improve HIV
prevention and care cascade outcomes remain vital. Financial incentives
hold promise for improving these outcomes, yet to date, clinical trial
results have been mixed.
Methods
This qualitative sub-study, embedded in a trial (NCT02890459) in Uganda
to test whether incentives are effective for achieving viral suppression
in PLHIV, sought to enhance our understanding of the factors that
influence this outcome. Forty-nine (n = 49) PLHIV, purposely sampled to
balance across gender, study arm, and viral suppression status, were
interviewed to explore barriers and motivations for care engagement,
adherence, and viral suppression, and attributions for decision-making,
including perceived influence of incentives on behaviors.
Results
While many participants with undetectable viral load (VL) who received
incentives said the incentives motivated their ART adherence, others
expressed intrinsic motivation for adherence. All felt that incentives
reduced burdens of transport costs, lost income due to time spent away
from work, and food insecurity. Incentives may have activated attention
and memory for some, as excitement about anticipating incentives helped
them adhere to medication schedules. In comparison, participants who
were randomized to receive incentives but had detectable VL faced a
wider range, complexity and severity of challenges to care engagement.
Notably, their narratives included more accounts of poor treatment in
clinics, food insecurity, and severe forms of stigma. With or without
incentives, adherence was reinforced through experiencing restored
health due to ART, social support (especially from partners), and good
quality counseling and clinical care.
Conclusions
In considering why incentives sometimes fail to achieve behavior change,
it may be helpful to attend to the full set of factors- psychological,
interpersonal, social and structural- that militate against the behavior
change required to achieve behavioral outcomes. To be effective,
incentives may need to be combined with other interventions to address
the spectrum of barriers to care engagement.'
affiliation: 'Camlin, CS (Corresponding Author), Univ Calif San Francisco, Dept Obstet
Gynecol \& Reprod Sci, San Francisco, CA 94115 USA.
Camlin, Carol S.; Getahun, Monica, Univ Calif San Francisco, Dept Obstet Gynecol
\& Reprod Sci, San Francisco, CA 94115 USA.
Marson, Kara; Emperador, Devy; Chamie, Gabriel, Univ Calif San Francisco, Dept Med,
San Francisco, CA 94143 USA.
Ndyabakira, Alex; Byamukama, Ambrose; Kwarisiima, Dalsone, Infect Dis Res Collaborat,
Kampala, Uganda.
Thirumurthy, Harsha, Univ Penn, Perelman Sch Med, Philadelphia, PA USA.'
article-number: e0270180
author: Camlin, Carol S. and Marson, Kara and Ndyabakira, Alex and Getahun, Monica
and Emperador, Devy and Byamukama, Ambrose and Kwarisiima, Dalsone and Thirumurthy,
Harsha and Chamie, Gabriel
author-email: carol.camlin@ucsf.edu
author_list:
- family: Camlin
given: Carol S.
- family: Marson
given: Kara
- family: Ndyabakira
given: Alex
- family: Getahun
given: Monica
- family: Emperador
given: Devy
- family: Byamukama
given: Ambrose
- family: Kwarisiima
given: Dalsone
- family: Thirumurthy
given: Harsha
- family: Chamie
given: Gabriel
da: '2023-09-28'
doi: 10.1371/journal.pone.0270180
files: []
issn: 1932-6203
journal: PLOS ONE
keywords-plus: 'CONDITIONAL CASH TRANSFERS; ANTIRETROVIRAL THERAPY; CARE; ADULTS;
RETENTION; ADHERENCE; LINKAGE'
language: English
month: JUN 30
number: '6'
number-of-cited-references: '23'
orcid-numbers: Camlin, Carol/0000-0001-5615-1164
papis_id: 47227869c615888cef8d3e0f5393d551
ref: Camlin2022understandingrole
times-cited: '0'
title: 'Understanding the role of incentives for achieving and sustaining viral suppression:
A qualitative sub-study of a financial incentives trial in Uganda'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000892027900066
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '17'
web-of-science-categories: Multidisciplinary Sciences
year: '2022'