info-adolescentsinresearch@hiv-research.org.za | +27 (0) 21 301 2020
Compensation
Compensation is intended to compensate participants and or peers for time, inconvenience, discomfort and other research-related burdens (not risks).
Other types of payments include
- Reimbursement payments are refunds to participants for direct research-related expenses.
- Incentive payments encourage participation either intentionally, when payment is given over and above compensation and reimbursement, or inadvertently, when payment unintentionally exceeds direct costs and burdens; and appreciation payments are bonuses given after participation to thank participants for their efforts.
Payments can be in the form of:
- Cash – the advantages of providing cash are its simple, convenient and no-prescriptive to the participants. The disadvantages are that cash on site is a security risk, is easily taken from the participant by others (strangers, family), can be used for items such as alcohol, etc.
- Voucher – advantages are that thy are easy to issue, reduces security risk, can be restricted to exclude alcohol and cigarettes (NB for adolescents). The disadvantages are that vouchers can be taken (stolen or aggressively snatched) by others, vouchers need to be relevant to the needs of the adolescents and be redeemable from a shop that is local and appropriate (e.g. local grocery store or airtime).
- Other non-monetary incentives – Food is an important incentive, but it must be suited to the adolescent palate.
Compensation And Other Types Of Payments To Adolescents
Whatever the means of compensation or reimbursement, and there are varied options in the form of milestone gifts, data, airtime – all compensation and reimbursement options need to be declared to the study ethics committees. There are ethics guidance documents available on this and normally, ethics committees will also provide guidance on this.
How to provide compensation
Who are you compensating?
- Reimbursement to adolescent directly (rather than to parent/guardian) to avoid exploitation.
- A separate transport fee to parent/guardian and full study visit reimbursement to adolescent participant
Undue incentives
Grant & Sugarman (2004) state that incentives become an ethical issue when they not only coerce participation but also cloud the judgement and the participation of the subject into research. They argue that the use of incentives to recruit and retain research participants is not a necessarily harmful practice. However, this practice may become problematic and unethical when the incentives induce a kind of participant dependency to the researcher, or that under ordinary circumstances the participant would not participate in such activities without the presence of such an incentive.
BY YOLISWA NTSEPE (MA, PhD)
ADOLESCENT PROGRAMMES MANAGER
UPDATED NOV 22, 2023
TABLE OF CONTENTS:
REFERENCES & ADDITIONAL RESOURCES:
Ethics in Human Subjects Research: Do Incentives Matter? Journal of Medicine and Philosophy.
Grant, R.W. & Sugarman,J. (2004) 29:6, 717-738, DOI 10.1080/03605310490883046
- https://pubmed.ncbi.nlm.nih.gov/15812465/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5533159/
- https://journals.lww.com/jaids/fulltext/2010/07011/community_engagement_and_investment_in_biomedical.3.aspx?casa_token=SEAOJHdZHisAAAAA:Y9k3pdq1hXkoXFfhpWiteCKiNJSQEUD6mQFkSpG_d545sDq81qQPQ0uMLr15259hJA_7KAYpmRI-uEduN7NPf1gtUg
- https://journals.sagepub.com/doi/abs/10.1177/1556264619892707
- https://research-repository.griffith.edu.au/bitstream/handle/10072/48522/80893_1.pdf?sequence=1
- https://pubmed.ncbi.nlm.nih.gov/31829071/
Use the SAHPRA TIE model:
Examples of guidance documents:
- http://www.hsrc.ac.za/uploads/pageContent/5498/National%20Guidelines%20for%20Payment%20of%20Participants%20in%20Clinical%20Trials%20(2012).pdf
- South African Good Clinical Practice: Clinical Trial Guidelines