TY  - JOUR
AU  - Gibson, Dustin Garrett
AU  - Kibria, Gulam Muhammed Al
AU  - Pariyo, George William
AU  - Ahmed, Saifuddin
AU  - Ali, Joseph
AU  - Labrique, Alain Bernard
AU  - Khan, Iqbal Ansary
AU  - Rutebemberwa, Elizeus
AU  - Flora, Meerjady Sabrina
AU  - Hyder, Adnan Ali
PY  - 2022
DA  - 2022/5/9
TI  - Promised and Lottery Airtime Incentives to Improve Interactive Voice Response Survey Participation Among Adults in Bangladesh and Uganda: Randomized Controlled Trial
JO  - J Med Internet Res
SP  - e36943
VL  - 24
IS  - 5
KW  - mobile phone survey
KW  - interactive voice response survey
KW  - survey
KW  - interactive voice response
KW  - non-communicable disease
KW  - surveillance
KW  - airtime incentive
KW  - response rate
KW  - cooperation rate
KW  - communicable disease
KW  - Uganda
KW  - Bangladesh
KW  - low income
KW  - middle income
KW  - LMIC
KW  - Africa
KW  - incentive
KW  - RCT
KW  - randomized controlled trial
KW  - lottery
KW  - cooperation
KW  - participation
AB  - Background: Increased mobile phone penetration allows the interviewing of respondents using interactive voice response surveys in low- and middle-income countries. However, there has been little investigation of the best type of incentive to obtain data from a representative sample in these countries. Objective: We assessed the effect of different airtime incentives options on cooperation and response rates of an interactive voice response survey in Bangladesh and Uganda. Methods: The open-label randomized controlled trial had three arms: (1) no incentive (control), (2) promised airtime incentive of 50 Bangladeshi Taka (US $0.60; 1 BDT is approximately equivalent to US $0.012) or 5000 Ugandan Shilling (US $1.35; 1 UGX is approximately equivalent to US $0.00028), and (3) lottery incentive (500 BDT and 100,000 UGX), in which the odds of winning were 1:20. Fully automated random-digit dialing was used to sample eligible participants aged ≥18 years. The risk ratios (RRs) with 95% confidence intervals for primary outcomes of response and cooperation rates were obtained using log-binomial regression. Results: Between June 14 and July 14, 2017, a total of 546,746 phone calls were made in Bangladesh, with 1165 complete interviews being conducted. Between March 26 and April 22, 2017, a total of 178,572 phone calls were made in Uganda, with 1248 complete interviews being conducted. Cooperation rates were significantly higher for the promised incentive (Bangladesh: 39.3%; RR 1.38, 95% CI 1.24-1.55, P<.001; Uganda: 59.9%; RR 1.47, 95% CI 1.33-1.62, P<.001) and the lottery incentive arms (Bangladesh: 36.6%; RR 1.28, 95% CI 1.15-1.45, P<.001; Uganda: 54.6%; RR 1.34, 95% CI 1.21-1.48, P<.001) than those for the control arm (Bangladesh: 28.4%; Uganda: 40.9%). Similarly, response rates were significantly higher for the promised incentive (Bangladesh: 26.5%%; RR 1.26, 95% CI 1.14-1.39, P<.001; Uganda: 41.2%; RR 1.27, 95% CI 1.16-1.39, P<.001) and lottery incentive arms (Bangladesh: 24.5%%; RR 1.17, 95% CI 1.06-1.29, P=.002; Uganda: 37.9%%; RR 1.17, 95% CI 1.06-1.29, P=.001) than those for the control arm (Bangladesh: 21.0%; Uganda: 32.4%). Conclusions: Promised or lottery airtime incentives improved survey participation and facilitated a large sample within a short period in 2 countries. Trial Registration: ClinicalTrials.gov NCT03773146; http://clinicaltrials.gov/ct2/show/NCT03773146 
SN  - 1438-8871
UR  - https://www.jmir.org/2022/5/e36943
UR  - https://doi.org/10.2196/36943
UR  - http://www.ncbi.nlm.nih.gov/pubmed/35532997
DO  - 10.2196/36943
ID  - info:doi/10.2196/36943
ER  -