PMID: 9170485Jun 1, 1997Paper

Effect of a transportation incentive on compliance with the first prenatal appointment: a randomized trial

Obstetrics and Gynecology
J MelnikowG K Stewart

Abstract

To evaluate the effectiveness of incentives for improving compliance with the first prenatal appointment. One hundred four low-income women, intending to enroll for prenatal care in a system of Northern California family planning clinics, were recruited for a randomized trial. Study subjects were assigned randomly to one of three groups, receiving a taxicab voucher or a baby-blanket coupon or an appointment slip (controls). Intention-to-treat analysis was used to compare compliance with the first prenatal appointment between the three groups. Subjects receiving the taxi voucher had a compliance rate of 82% for the first prenatal appointment, 22% higher than mean appointment compliance in the other groups. The odds ratio for missing the first appointment was 0.32 (95% confidence interval 0.12, 0.88) in the taxi voucher group. This was not affected by controlling for possible confounders. Despite better appointment compliance, only one of 34 taxi vouchers distributed was actually used. A taxi voucher incentive was effective in improving compliance with the first prenatal appointment, despite the fact that only one subject actually used the voucher.

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Citations

Aug 15, 2001·Journal of the American Dietetic Association·E F Myers, S M Heffner
Nov 21, 2000·Obstetrics and Gynecology·L S MassadV Renta
Apr 13, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Emil KupekMichael Maresh
Nov 14, 2000·Journal of Women's Health & Gender-based Medicine·J D CampbellE Patron
Nov 5, 2011·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Jessica D Hanson
Feb 26, 2000·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·V PesataA A Webb
Dec 17, 2015·The Cochrane Database of Systematic Reviews·Sara R TillDavid M Haas
Dec 2, 2015·The Cochrane Database of Systematic Reviews·Lawrence MbuagbawPierre Ongolo-Zogo
Aug 8, 2018·BMC Health Services Research·Anand Kumthekar, Beverly Johnson
Jan 28, 2020·Medical Care·Eli M SolomonLaura M Gottlieb
Jan 31, 2021·Preventive Medicine·Yukiko WashioKrystyna Isaacs

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