Remote Contingency Management

Each confirmed directly observed PrEP dose earned US$5 up to four doses per week. Participants could earn up to US$360 during the three-month contingency management period. The mobile health platform allowed PrEP dosing videos to be verifi…

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Each confirmed directly observed PrEP dose earned US$5 up to four doses per week. Participants could earn up to US$360 during the three-month contingency management period. The mobile health platform allowed PrEP dosing videos to be verified remotely. The trial used remote contingency management to provide financial incentives for health-promoting behaviors. The escalating monthly bonus was intended to reduce habituation to the reward schedule. All randomized participants received remote contingency management through the Spotlight mobile health application.