Manicaland VMMC Uptake Through Behavioural Incentives Trial

Simon Gregson

Status: Completed

Conditions: HIV/AIDS

Treatments: Behavioral: Education session with lottery incentive; Behavioral: Education session with fixed incentive

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03565588

1R01MH114562-01 (U.S. NIH Grant/Contract)

P67251_VMMC

Details and patient eligibility

About

Primary Objective The purpose of this study is to evaluate the impact of an interactive VMMC education session offered by a circumcised health worker and contribution to transport costs for accessing VMMC along with either (1) conditional economic compensation for wages or (2) lottery-based economic incentives on the uptake of VMMC.

Hypothesis VMMC education session offered by a role model - a young male health worker who has been previously benefited from VMMC services in this community - addressing risks of HIV infection, benefits of VMMC, and the fear of pain associated with VMMC, with/without a conditional fixed or lottery-based financial incentives off-setting present-biased preferences, will improve risk perception and increase uptake of VMMC in HIV-negative young men.

Study outcomes The primary outcomes for the study will be risk perception measured in a follow-up survey at 6 months and proportion of men taking up VMMC within 6 months measured through self-reports and matched to program records.

Enrollment: 1,028 patients

Sex: Male

Ages: 15 to 29 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Men
• Age 15-29 years

Exclusion criteria

• Participants testing HIV-positive at baseline
• Self-reporting have already undergone circumcision

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,028 participants in 3 patient groups

Education session with fixed incentive

Experimental group

Description:

Education sessions offered by a circumcised health worker and contribution towards transport costs to the health facility with payments conditional on being circumcised.

Treatment:

Behavioral: Education session with fixed incentive

Education session with lottery incentive

Experimental group

Description:

Education sessions offered by a circumcised health worker and contribution towards transport costs but with conditional lottery financial incentives.

Treatment:

Behavioral: Education session with lottery incentive

Control arm

No Intervention group

Description:

No intervention will be administered to the control arm