A commitment contract to achieve virologic suppression in poorly adherent patients with HIV/AIDS.

ABSTRACT:

Objective

Assess whether a commitment contract informed by behavioral economics leads to persistent virologic suppression among HIV-positive patients with poor antiretroviral therapy (ART) adherence.

Design

Single-center pilot randomized clinical trial and a nonrandomized control group.

Setting

Publicly funded HIV clinic in Atlanta, Georgia, USA.

Intervention

The study involved three arms. First, participants in the provider visit incentive (PVI) arm received $30 after attending each scheduled provider visit. Second, participants in the incentive choice arm were given a choice between the above arrangement and a commitment contract that made the $30 payment conditional on both attending the provider visit and meeting an ART adherence threshold. Third, the passi

SUBMITTER: Alsan M 

PROVIDER: S-EPMC5897050 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature