Rewards for Tuberculosis Contact Screening

Summary

This pilot project is an evaluation of the feasibility, acceptability, and cost of offering an economic reward, in the form of a shopping voucher, to the household contacts of index patients (outpatient drug-susceptible and drug-resistant TB patients) who present at the study clinic for TB screening and optional HIV testing, providing a reward to the index patients for participating, and entering index patients whose contacts do present into a lottery to win a prize.The effectiveness of the intervention in screening a high proportion of contacts will be compared to existing published data from studies of active case-finding through home visits and of the status quo passive case finding. If successful, this pilot project will create a demand for screening among high risk patients, who will be rewarded for identifying themselves to the healthcare system, and could prove to be an affordable alternative to resource-intensive home visits. It will also shift responsibility for contact tracing from overburdened clinic staff to those who have the most to gain from early case detection-the patients and their families.

Conditions

• Tuberculosis
• Drug-resistant Tuberculosis

Interventions

BEHAVIORAL

Contacts

Household contacts who come to the study clinic, present a referral card, and complete TB symptom screening will receive a shopping voucher of $5-10 value.

BEHAVIORAL

Index

Index subjects will be entered in a prize lottery if any of their contacts complete TB symptom screening at the study clinic.

Sponsors & Collaborators

• University of Witwatersrand, South Africa

  collaborator OTHER

• City of Johannesburg

  collaborator UNKNOWN

• Helen Joseph Hospital

  collaborator OTHER

• National Institute of Allergy and Infectious Diseases (NIAID)

  collaborator NIH

• Boston University

  lead OTHER

Principal Investigators

• Sydney Rosen · Boston University

Study Design

Allocation

NON_RANDOMIZED

Purpose

DIAGNOSTIC

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2014-10-31

Primary Completion

2016-01-31

Completion

2016-12-31

Countries

• South Africa

Study Locations