New Hampshire Medicaid Wellness Incentive Program (NHWIP)

February 18, 2019 updated by: Sarah Pratt, Dartmouth-Hitchcock Medical Center
The New Hampshire Medicaid Wellness Incentive Program (WIP) will address both the health disparity and increased costs by providing incentivized health promotion programs to overweight or obese and/or tobacco-smoking Medicaid beneficiaries receiving services at New Hampshire's 10 regional Community Mental Health Centers (CMHCs).

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

In the New Hampshire Medicaid Wellness Incentive Program, multiple program options will fall into two categories: (1) Supported Fitness and Weight Management and (2) Supported Smoking Cessation. Eligible participants are able to participate in 1 or both of the programs. The program options for Supported Fitness and Weight Management are: 1. Fitness Club Membership for 12 months, 2. Fitness Club Membership plus weekly meetings with a Health Mentor for 12 months (In SHAPE), 3. Weight Watchers Membership for 12 months, 4. In SHAPE plus Weight Watchers for 12 months. The options for Supported Smoking Cessation are: 1. Prescriber meeting to discuss smoking cessation treatment options, 2. Prescriber meeting plus NH State Tobacco Helpline, 3. Prescriber meeting plus Telephone-based Cognitive Behavioral Therapy for Smoking Cessation. Vouchers for memberships to community fitness centers and formal weight loss programs will be provided, as well as incentives for participation and positive outcomes. An equipoise stratified randomization design will be used to preserve the research benefits of randomization while maintaining the highly valued opportunity for consumer choice. Research assessments will be conducted at baseline, 3 months, 6 months, 9 months, and 12 months.

Study Type

Interventional

Enrollment (Anticipated)

2800

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • New Hampshire
      • Concord, New Hampshire, United States, 03301
        • New Hampshire Hospital
      • Concord, New Hampshire, United States, 03301
        • Riverbend Community Mental Health Center
      • Derry, New Hampshire, United States, 03038
        • Center for Life Management
      • Dover, New Hampshire, United States, 03820
        • Community Partners
      • Keene, New Hampshire, United States, 03431
        • Mondadnock Family Services
      • Lebanon And Claremont, New Hampshire, United States
        • West Central Behavioral Health Care
      • Littleton And Conway, New Hampshire, United States
        • Northern Human Services
      • Manchester, New Hampshire, United States, 03103
        • The Mental Health Center of Greater Manchester
      • Nashua, New Hampshire, United States, 03060
        • Greater Nashua Mental Health Center at Community Council
      • Nashua, New Hampshire, United States
        • Harbor Homes
      • Plymouth And Laconia, New Hampshire, United States
        • Genesis Behavioral Heatlh
      • Portsmouth, New Hampshire, United States, 03801
        • Seacoast Mental Health Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria for smoking intervention and weight management intervention:

  • Participants must be Medicaid recipients receiving mental health treatment at one of the participating study sites in New Hampshire.
  • 18 years or older

Additional Inclusion Criteria for smoking intervention only:

*Smoking 5 or more cigarettes a day or a carbon monoxide level of 5 or higher at screening.

Additional Inclusion Criteria for weight management only:

*Body Mass Index of 30 or higher or 25 or higher and sedentary lifestyle.

Exclusion Criteria for both interventions:

  • Diagnosis of dementia or terminal illness (expected to result in death in 1 year or less)
  • Nursing home
  • Inability to speak or understand English

Additional exclusion Criteria for weight management only:

  • Previous participation in the In SHAPE program
  • Active eating disorder diagnosis
  • Pregnancy

Additional exclusion Criteria for smoking intervention only:

*Active alcohol or drug dependence with use in the past 30 days

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Factorial Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Incentives
Participants randomly assigned to the incentive arm, will receive cash incentives for engaging in healthy lifestyle behaviors.
Behavioral: NH Medicaid Incentives Program
Experimental: No Incentives
Participants randomly assigned to the no incentives arm, will not receive cash incentives for engaging in healthy lifestyle behaviors.
Behavioral: NH Medicaid Incentives Program

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Weight
Time Frame: Baseline, 3 months, 6 months, 9 months, 12 months and 1 year post program follow up
Weight obtained using a scale at each assessment.
Baseline, 3 months, 6 months, 9 months, 12 months and 1 year post program follow up
Change in the 6 minute walk test
Time Frame: Baseline, 3 months, 6 monhts, 9 months, 12 months, and 1 year post program completion follow up
Each participant walks as many ft as possible at a brisk pace. The amount of feet covered in 6 minutes is documented.
Baseline, 3 months, 6 monhts, 9 months, 12 months, and 1 year post program completion follow up
Change in Days of Abstinence-Timeline follow back interview for tobacco smokers
Time Frame: Baseline, 3 months, 6 months, 9 months, 12 months, and 1 year post program completion follow up
A timeline follow back interview is completed for the smoking cessation intervention to identify days of abstinence within the assessment period as well as amount of cigarettes smoked.
Baseline, 3 months, 6 months, 9 months, 12 months, and 1 year post program completion follow up
Change in Carbon Monoxide Level
Time Frame: Baseline, 3 months, 6 months, 9 months, 12 months, and 1 year post program completion follow up
At each assessment and during the incentive quit cycles, carbon monoxide level is measured to confirm smoking abstinence or not.
Baseline, 3 months, 6 months, 9 months, 12 months, and 1 year post program completion follow up

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Dartmouth-Hitchcock Medical Center

Collaborators

State of New Hampshire Bureau of Behavioral Health

Investigators

  • Study Director: Sarah I Pratt, PhD, Dartmouth-Hitchcock Medical Center
  • Principal Investigator: Kelley Capuchino, State of New Hampshire, Department of Health and Human Services

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2012

Primary Completion (Actual)

April 1, 2016

Study Completion (Actual)

December 1, 2018

Study Registration Dates

First Submitted

January 30, 2015

First Submitted That Met QC Criteria

August 4, 2015

First Posted (Estimate)

August 5, 2015

Study Record Updates

Last Update Posted (Actual)

February 19, 2019

Last Update Submitted That Met QC Criteria

February 18, 2019

Last Verified

February 1, 2019

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 23336

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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