TY - JOUR
T1 - Conditional economic incentives to improve HIV treatment adherence
T2 - Literature review and theoretical considerations
AU - Galárraga, Omar
AU - Genberg, Becky L.
AU - Martin, Rosemarie A.
AU - Barton Laws, M.
AU - Wilson, Ira B.
N1 - Funding Information:
Acknowledgments We thank Don Operario and Caroline Kuo for helpful discussions; and Gary Rose for comments on an earlier draft. This work was supported in part by the National Institutes of Health/ Fogarty International Center (K01-TW008016-04) that provided support for Dr. Galárraga; and also by a training grant from the Agency for Healthcare Research and Quality (1T32HS019657-01) that provided support for Dr. Genberg.
PY - 2013/9
Y1 - 2013/9
N2 - We present selected theoretical issues regarding conditional economic incentives (CEI) for HIV treatment adherence. High HIV treatment adherence is essential not only to improve individual health for persons living with HIV, but also to reduce transmission. The incentives literature spans several decades and various disciplines, thus we selectively point out useful concepts from economics, psychology and HIV clinical practice to elucidate the complex interaction between socio-economic issues, psychological perspectives and optimal treatment adherence. Appropriately-implemented CEI can help patients improve their adherence to HIV treatment in the short-term, while the incentives are in place. However, more research is needed to uncover mechanisms that can increase habit formation or maintenance effects in the longer-term. We suggest some potentially fruitful avenues for future research in this area, including the use of concepts from self-determination theory. This general framework may have implications for related research among disadvantaged communities with high rates of HIV/AIDS infection.
AB - We present selected theoretical issues regarding conditional economic incentives (CEI) for HIV treatment adherence. High HIV treatment adherence is essential not only to improve individual health for persons living with HIV, but also to reduce transmission. The incentives literature spans several decades and various disciplines, thus we selectively point out useful concepts from economics, psychology and HIV clinical practice to elucidate the complex interaction between socio-economic issues, psychological perspectives and optimal treatment adherence. Appropriately-implemented CEI can help patients improve their adherence to HIV treatment in the short-term, while the incentives are in place. However, more research is needed to uncover mechanisms that can increase habit formation or maintenance effects in the longer-term. We suggest some potentially fruitful avenues for future research in this area, including the use of concepts from self-determination theory. This general framework may have implications for related research among disadvantaged communities with high rates of HIV/AIDS infection.
KW - Adherence to medication
KW - Antiretroviral HIV treatment
KW - Conditional cash transfers
KW - Contingency management
KW - Economic incentives
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U2 - 10.1007/s10461-013-0415-2
DO - 10.1007/s10461-013-0415-2
M3 - Article
C2 - 23370833
AN - SCOPUS:84882639804
SN - 1090-7165
VL - 17
SP - 2283
EP - 2292
JO - AIDS and behavior
JF - AIDS and behavior
IS - 7
ER -