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Tytuł pozycji:

Role of temporal discounting in a conditional cash transfer (CCT) intervention to improve engagement in the prevention of mother-to-child transmission (PMTCT) cascade.

Tytuł:
Role of temporal discounting in a conditional cash transfer (CCT) intervention to improve engagement in the prevention of mother-to-child transmission (PMTCT) cascade.
Autorzy:
Saleska JL; Division of Epidemiology, Cunz Hall, The Ohio State University, College of Public Health, 1841 Neil Avenue, Columbus, OH, 43210, USA. .; The University of California Los Angeles, Global Center for Children and Families, Semel Institute for Neuroscience and Human Behavior, 10920 Wilshire Blvd, Los Angeles, CA, 90024, USA. .
Turner AN; Division of Infectious Disease, Doan Hall, The Ohio State University, College of Medicine, 410 W. 10th Avenue, Columbus, OH, 43210, USA.
Gallo MF; Division of Epidemiology, Cunz Hall, The Ohio State University, College of Public Health, 1841 Neil Avenue, Columbus, OH, 43210, USA.
Shoben A; Division of Epidemiology, Cunz Hall, The Ohio State University, College of Public Health, 1841 Neil Avenue, Columbus, OH, 43210, USA.
Kawende B; The University of Kinshasa, School of Public Health, Kinshasa, Democratic Republic of Congo.
Ravelomanana NLR; Division of Epidemiology, Cunz Hall, The Ohio State University, College of Public Health, 1841 Neil Avenue, Columbus, OH, 43210, USA.; The University of Kinshasa, School of Public Health, Kinshasa, Democratic Republic of Congo.
Thirumurthy H; Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.; Center for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, USA.
Yotebieng M; Department of Medicine, Division of General Internal Medicine, Albert Einstein College of Medicine, 3300 Kossuth Ave, Bronx, NY, 10467, USA.
Źródło:
BMC public health [BMC Public Health] 2021 Mar 10; Vol. 21 (1), pp. 477. Date of Electronic Publication: 2021 Mar 10.
Typ publikacji:
Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.
Język:
English
Imprint Name(s):
Original Publication: London : BioMed Central, [2001-
MeSH Terms:
Delay Discounting*
HIV Infections*/prevention & control
Pregnancy Complications, Infectious*
Child ; Congo ; Female ; Humans ; Infectious Disease Transmission, Vertical/prevention & control ; Pregnancy
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Grant Information:
R01 HD075171 United States HD NICHD NIH HHS; United States PEPFAR PEPFAR
Contributed Indexing:
Keywords: HIV; Intertemporal preferences; PMTCT Cascade; Prevention of mother-to-child transmission of HIV (PMTCT); Temporal discounting
Molecular Sequence:
ClinicalTrials.gov NCT01838005
Entry Date(s):
Date Created: 20210311 Date Completed: 20210521 Latest Revision: 20210521
Update Code:
20240105
PubMed Central ID:
PMC7944635
DOI:
10.1186/s12889-021-10499-0
PMID:
33691667
Czasopismo naukowe
Background: Temporal discounting, the tendency of individuals to discount future costs and benefits relative to the present, is often associated with greater engagement in risky behaviors. Incentives such as conditional cash transfers (CCTs) have the potential to counter the effects of high discount rates on health behaviors.
Methods: With data from a randomized trial of a CCT intervention among 434 HIV-positive pregnant women in the Democratic Republic of Congo, we used binomial models to assess interactions between discount rates (measured using a delay-discounting task) and the intervention. The analysis focused on two outcomes: 1) retention in HIV care, and 2) uptake of prevention of mother-to-child transmission (PMTCT) services.
Results: The effect of high discount rates on retention was small, and we did not observe evidence of interaction between high discount rates and CCT on retention. However, our findings suggest that CCT may mitigate the negative effect of high discount rates on uptake of PMTCT services (interaction contrast (IC): 0.18, 95% CI: - 0.09, 0.44).
Conclusions: Our findings provide evidence to support the continued use of small, frequent incentives, to motivate improved uptake of PMTCT services, especially among women exhibiting high rates of temporal discounting.
Trial Registration: Clinicaltrials.gov number NCT01838005 , April 23, 2013.

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