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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Financial incentives to improve progression through the HIV treatment cascade</title>
<author><name sortKey="Bassett, Ingrid V" sort="Bassett, Ingrid V" uniqKey="Bassett I" first="Ingrid V." last="Bassett">Ingrid V. Bassett</name>
<affiliation><nlm:aff id="A1">Divisions of Infectious Diseases and General Internal Medicine, Massachusetts General Hospital, Boston MA, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A3">Harvard Center for AIDS Research, Harvard University, Boston, MA, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wilson, David" sort="Wilson, David" uniqKey="Wilson D" first="David" last="Wilson">David Wilson</name>
<affiliation><nlm:aff id="A5">Global AIDS Program, World Bank, Washington, DC, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Taaffe, Jessica" sort="Taaffe, Jessica" uniqKey="Taaffe J" first="Jessica" last="Taaffe">Jessica Taaffe</name>
<affiliation><nlm:aff id="A5">Global AIDS Program, World Bank, Washington, DC, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freedberg, Kenneth A" sort="Freedberg, Kenneth A" uniqKey="Freedberg K" first="Kenneth A." last="Freedberg">Kenneth A. Freedberg</name>
<affiliation><nlm:aff id="A1">Divisions of Infectious Diseases and General Internal Medicine, Massachusetts General Hospital, Boston MA, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A3">Harvard Center for AIDS Research, Harvard University, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4">Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26371461</idno>
<idno type="pmc">4699403</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699403</idno>
<idno type="RBID">PMC:4699403</idno>
<idno type="doi">10.1097/COH.0000000000000196</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">001A40</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Financial incentives to improve progression through the HIV treatment cascade</title>
<author><name sortKey="Bassett, Ingrid V" sort="Bassett, Ingrid V" uniqKey="Bassett I" first="Ingrid V." last="Bassett">Ingrid V. Bassett</name>
<affiliation><nlm:aff id="A1">Divisions of Infectious Diseases and General Internal Medicine, Massachusetts General Hospital, Boston MA, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A3">Harvard Center for AIDS Research, Harvard University, Boston, MA, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wilson, David" sort="Wilson, David" uniqKey="Wilson D" first="David" last="Wilson">David Wilson</name>
<affiliation><nlm:aff id="A5">Global AIDS Program, World Bank, Washington, DC, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Taaffe, Jessica" sort="Taaffe, Jessica" uniqKey="Taaffe J" first="Jessica" last="Taaffe">Jessica Taaffe</name>
<affiliation><nlm:aff id="A5">Global AIDS Program, World Bank, Washington, DC, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Freedberg, Kenneth A" sort="Freedberg, Kenneth A" uniqKey="Freedberg K" first="Kenneth A." last="Freedberg">Kenneth A. Freedberg</name>
<affiliation><nlm:aff id="A1">Divisions of Infectious Diseases and General Internal Medicine, Massachusetts General Hospital, Boston MA, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A3">Harvard Center for AIDS Research, Harvard University, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4">Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Current opinion in HIV and AIDS</title>
<idno type="ISSN">1746-630X</idno>
<idno type="eISSN">1746-6318</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose of review</title>
<p id="P1">We reviewed recent literature on conditional and unconditional financial incentives for their impact on improving movement through the HIV care cascade and HIV prevention.</p>
</sec>
<sec id="S2"><title>Recent findings</title>
<p id="P2">Concepts from behavioral economics may help improve engagement in HIV care by addressing upstream structural risk factors for HIV, such as poverty, or by providing conditional rewards for immediate, measurable outcomes related to HIV care. Incentives have been shown to increase uptake of HIV testing. Yet, few studies to date focus on linkage to care: one large US-based randomized trial failed to show an effect of incentives; a smaller trial showed improved linkage to care among drug users, but no difference in virologic suppression. Several small US-based studies have shown an impact of financial incentives on antiretroviral therapy adherence, but without durability beyond the incentive period. HIV prevention has the most robust evidence for decreasing HIV risk-taking behavior among adolescents and may serve as a model for research on the care cascade.</p>
</sec>
<sec id="S3"><title>Summary</title>
<p id="P3">Financial incentives show promise for improving engagement in HIV testing, care, and prevention. Understanding the durability, scalability, ease of implementation, and cost-effectiveness of these different approaches will be critical for maximizing the impact of incentives in curtailing the HIV epidemic.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101264945</journal-id>
<journal-id journal-id-type="pubmed-jr-id">34537</journal-id>
<journal-id journal-id-type="nlm-ta">Curr Opin HIV AIDS</journal-id>
<journal-id journal-id-type="iso-abbrev">Curr Opin HIV AIDS</journal-id>
<journal-title-group><journal-title>Current opinion in HIV and AIDS</journal-title>
</journal-title-group>
<issn pub-type="ppub">1746-630X</issn>
<issn pub-type="epub">1746-6318</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26371461</article-id>
<article-id pub-id-type="pmc">4699403</article-id>
<article-id pub-id-type="doi">10.1097/COH.0000000000000196</article-id>
<article-id pub-id-type="manuscript">NIHMS747538</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Financial incentives to improve progression through the HIV treatment cascade</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Bassett</surname>
<given-names>Ingrid V.</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wilson</surname>
<given-names>David</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Taaffe</surname>
<given-names>Jessica</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Freedberg</surname>
<given-names>Kenneth A.</given-names>
</name>
<degrees>MD, MSc</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Divisions of Infectious Diseases and General Internal Medicine, Massachusetts General Hospital, Boston MA, USA</aff>
<aff id="A2"><label>2</label>
Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, MA, USA</aff>
<aff id="A3"><label>3</label>
Harvard Center for AIDS Research, Harvard University, Boston, MA, USA</aff>
<aff id="A4"><label>4</label>
Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA</aff>
<aff id="A5"><label>5</label>
Global AIDS Program, World Bank, Washington, DC, USA</aff>
<author-notes><corresp id="FN1">Corresponding author: Ingrid V. Bassett, MD, MPH, 50 Staniford Street, Boston, MA 02140, Tel: 617 726 6063, Fax: 617 726 2691, <email>ibassett@partners.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>29</day>
<month>12</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><month>11</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>11</month>
<year>2016</year>
</pub-date>
<volume>10</volume>
<issue>6</issue>
<fpage>451</fpage>
<lpage>463</lpage>
<pmc-comment>elocation-id from pubmed: 10.1097/COH.0000000000000196</pmc-comment>
<abstract><sec id="S1"><title>Purpose of review</title>
<p id="P1">We reviewed recent literature on conditional and unconditional financial incentives for their impact on improving movement through the HIV care cascade and HIV prevention.</p>
</sec>
<sec id="S2"><title>Recent findings</title>
<p id="P2">Concepts from behavioral economics may help improve engagement in HIV care by addressing upstream structural risk factors for HIV, such as poverty, or by providing conditional rewards for immediate, measurable outcomes related to HIV care. Incentives have been shown to increase uptake of HIV testing. Yet, few studies to date focus on linkage to care: one large US-based randomized trial failed to show an effect of incentives; a smaller trial showed improved linkage to care among drug users, but no difference in virologic suppression. Several small US-based studies have shown an impact of financial incentives on antiretroviral therapy adherence, but without durability beyond the incentive period. HIV prevention has the most robust evidence for decreasing HIV risk-taking behavior among adolescents and may serve as a model for research on the care cascade.</p>
</sec>
<sec id="S3"><title>Summary</title>
<p id="P3">Financial incentives show promise for improving engagement in HIV testing, care, and prevention. Understanding the durability, scalability, ease of implementation, and cost-effectiveness of these different approaches will be critical for maximizing the impact of incentives in curtailing the HIV epidemic.</p>
</sec>
</abstract>
<kwd-group><kwd>financial incentives</kwd>
<kwd>HIV care cascade</kwd>
<kwd>HIV prevention</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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