Using video therapy and financial incentives to improve treatment for latent tuberculosis
Official title: Economic Incentives and Video Directly Observed Therapy to Promote Adherence to Latent Tuberculosis Infection
Run by Johns Hopkins University · NCT05022862 · Data updated 2026-11-12
This study is testing whether combining video therapy with financial rewards can help adults with latent tuberculosis stick to their treatment better than standard care.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 399 (estimated) |
| Sponsor | Johns Hopkins University Academic / other |
| Locations | 1 site (Baltimore, Maryland) |
| Status | Recruiting |
| Started | February 7, 2022 |
| Main results expected | June 1, 2027 |
| Study ends | December 1, 2027 |
| Registry record updated | May 4, 2026 |
| Trial ID | NCT05022862 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older diagnosed with latent tuberculosis who reside in the Baltimore metro area and can communicate in English or Spanish.
✕Probably not a fit
Patients with active tuberculosis, those under 18 years old, or individuals prescribed alternative treatment regimens for latent TB may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates a new approach that combines Video Directly Observed Therapy (vDOT) with financial incentives to enhance treatment completion rates for latent tuberculosis (LTBI). Adult participants diagnosed with LTBI will be recruited from the Baltimore City Health Department. The study aims to compare the effectiveness of vDOT alone and vDOT with financial incentives against usual care in promoting adherence to LTBI treatment. The intervention addresses barriers such as socioeconomic factors and competing health priorities that often hinder treatment completion.
Why it matters
Potential benefit: If successful, this approach could significantly increase the number of patients completing treatment for latent tuberculosis, thereby contributing to TB elimination efforts.
How similar studies have gone: Previous studies have shown that financial incentives can effectively promote adherence to treatment in various populations, suggesting potential success for this novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 18 years old or older, * diagnosed with latent TB and determined to be appropriate for latent TB treatment by participants clinicians * reside in Baltimore metro area * speaks English or Spanish, or a language for which there is a short form available via the Johns Hopkins Medicine Institutional Review Board * prescribed 3 months Isoniazid/Rifapentine, prescribed 3 months Isoniazid/Rifampin, or 4 months Rifampin Exclusion Criteria: * younger than 18 years old * diagnosed with active TB * prescribed an alternative treatment regimen for latent TB * pregnant women (as determined by non-study directed clinical evaluation; BCHD performs urine pregnancy testing on women of child bearing age when indicated) * participant's spoken language does not have a translated long or short consent form
Where it's running
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Baltimore City Health Department, and Baltimore metropolitan area clinics and health departments
Baltimore, Maryland, United States Recruiting
Study contacts
- Principal investigator: Maunank Shah, MD, PhD — Johns Hopkins University
- Study coordinator: Principal Investigator
- Email: mshah28@jhmi.edu
- Phone: 443-287-0401
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.