Journal Article

A Pilot Randomised Controlled Trial Involving Financial Incentives to Facilitate Hepatitis C Treatment Uptake Among People Who Inject Drugs: ETHOS Engage Study

Conway, Anna, Henderson, Charles, Dore, Gregory J., Lam, Thao, Tillakeratne, Shane, Wade, Alexandra, Valerio, Heather, Dunlop, Adrian, Cock, Victoria, Grebely, Jason, Silk, David, Alavi, Maryam, Zohrab, Krista, Cunningham, Evan B., Connelly, Craig, Christmass, Michael, Marshall, Alison D., Burns, Carina

2024

Overview

The primary aim of this study was to establish the feasibility of implementing a larger RCT designed to evaluate the effect of financial incentives on HCV treatment initiation among persons receiving opioid agonist therapy and/or who have injected drugs in the prior six months. ETHOS Engage is an observational cohort of participants recruited from drug treatment and needle and syringe programs in Australia. Among 11 drug and alcohol clinics, participants who were HCV RNA-positive were randomized (1:1) to receive standard of care or a AUD$60 gift card at treatment initiation. Regarding feasibility, 100% (57/57) of eligible participants enrolled to take part. Twenty-eight participants were randomised to the financial incentive arm (AUD $ 60 gift card) plus standard of care and 29 participants to the standard of care arm. In this pilot RCT (n = 57), median age was 42 years (IQR 37–49), 63% were male (n = 36), 35% Indigenous (n = 20) and 36% (n = 21) reported injecting drugs daily in the past month. Twelve weeks post-study enrolment, 11 (39%) participants in the financial incentive arm and 17 (59%) participants in the standard of care arm initiated HCV treatment. Findings indicate high feasibility among people who inject drugs to be randomised to receive financial incentives to initiate HCV treatment.

• Publisher: MDPI AG,MDPI
• Subject: Adult / Alcohol / Antiviral Agents - therapeutic use / Australia / Behavior / Brief Report / Care and treatment / Clinics / Comparative analysis / contingency management / Drug addicts / Drug development / Drug use / Effectiveness / Feasibility / Feasibility studies / Female / financial incentive / Gift cards / Gift cards & certificates / Health aspects / Hepacivirus - drug effects / Hepatitis C / Hepatitis C - drug therapy / hepatitis C virus / Humans / Incentives / Infections / Male / Middle Aged / Monetary incentives / Motivation / Narcotics / Physiological aspects / Pilot Projects / Questionnaires / randomised controlled trial / Social aspects / Standard of care / Substance Abuse, Intravenous - complications / Substance Abuse, Intravenous - drug therapy / treatment