Participant perspectives on incentives for TB preventative therapy adherence and reduced alcohol use: A qualitative study

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dc.contributor.authorAppa, Ayesha
dc.contributor.authorMiller, Amanda P
dc.contributor.authorFatch, Robin
dc.contributor.authorKekibiina, Allen
dc.contributor.authorBeesiga, Brian
dc.contributor.authorAdong, Julian
dc.contributor.authorEmenyonu, Nneka
dc.contributor.authorMarson, Kara
dc.contributor.authorGetahun, Monica
dc.contributor.authorKamya, Moses
dc.contributor.authorMuyindike, Winnie
dc.contributor.authorMcDonell, Michael
dc.contributor.authorThirumurthy, Harsha
dc.contributor.authorHahn, Judith A
dc.contributor.authorChamie, Gabriel
dc.contributor.authorCamlin, Carol S
dc.date.accessioned2024-05-03T14:44:14Z
dc.date.available2024-05-03T14:44:14Z
dc.date.issued2024-04
dc.description.abstractEconomic incentives to promote health behavior change are highly efficacious for substance use disorders as well as increased medication adherence. Knowledge about participants’ experiences with and perceptions of incentives is needed to understand their mechanisms of action and optimize future incentive-based interventions. The Drinkers’ Intervention to Prevent Tuberculosis (DIPT) trial enrolled people with HIV (PWH) in Uganda with latent tuberculosis and unhealthy alcohol use in a 2x2 factorial trial that incentivized recent alcohol abstinence and isoniazid (INH) adherence on monthly urine testing while on INH preventive therapy. We interviewed 32 DIPT study participants across trial arms to explore their perspectives on this intervention. Participants described 1) satisfaction with incentives of sufficient size that allowed them to purchase items that improved their quality of life, 2) multiple ways in which incentives were motivating, from gamification of “winning” through support of pre-existing desire to improve health to suggesting variable effects of extrinsic and intrinsic motivation, and 3) finding value in learning results of increased clinical monitoring. To build effective incentive programs to support both reduced substance use and increased antimicrobial adherence, we recommend carefully selecting incentive magnitude as well as harnessing both intrinsic motivation to improve health and extrinsic reward of target behavior. In addition to these participant-described strengths, incorporating results of clinical monitoring related to the incentive program that provide participants more information about their health may also contribute to health-related empowerment.en_US
dc.identifier.citationAppa, Ayesha, Amanda P. Miller, Robin Fatch, et al. 'Participant Perspectives on Incentives for TB Preventative Therapy Adherence and Reduced Alcohol use: A Qualitative Study', PLOS Global Public Health, vol. 4/no. 4, (2024), pp. e0002472.en_US
dc.identifier.issnEISSN 2767-3375
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/9508
dc.language.isoenen_US
dc.publisherPublic Library of Scienceen_US
dc.subjectincentives; TB preventative therapy adherence; alcohol use:en_US
dc.titleParticipant perspectives on incentives for TB preventative therapy adherence and reduced alcohol use: A qualitative studyen_US
dc.typeArticleen_US
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