New Hampshire Medicaid Wellness Incentive Program (NHWIP)
18. februar 2019 oppdatert av: 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).
Studieoversikt
Status
Fullført
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
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.
Studietype
Intervensjonell
Registrering (Forventet)
2800
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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New Hampshire
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Concord, New Hampshire, Forente stater, 03301
- New Hampshire Hospital
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Concord, New Hampshire, Forente stater, 03301
- Riverbend Community Mental Health Center
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Derry, New Hampshire, Forente stater, 03038
- Center for Life Management
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Dover, New Hampshire, Forente stater, 03820
- Community Partners
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Keene, New Hampshire, Forente stater, 03431
- Mondadnock Family Services
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Lebanon And Claremont, New Hampshire, Forente stater
- West Central Behavioral Health Care
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Littleton And Conway, New Hampshire, Forente stater
- Northern Human Services
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Manchester, New Hampshire, Forente stater, 03103
- The Mental Health Center of Greater Manchester
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Nashua, New Hampshire, Forente stater, 03060
- Greater Nashua Mental Health Center at Community Council
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Nashua, New Hampshire, Forente stater
- Harbor Homes
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Plymouth And Laconia, New Hampshire, Forente stater
- Genesis Behavioral Heatlh
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Portsmouth, New Hampshire, Forente stater, 03801
- Seacoast Mental Health Center
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
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
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Helsetjenesteforskning
- Tildeling: Randomisert
- Intervensjonsmodell: Faktoriell oppgave
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Incentives
Participants randomly assigned to the incentive arm, will receive cash incentives for engaging in healthy lifestyle behaviors.
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Eksperimentell: No Incentives
Participants randomly assigned to the no incentives arm, will not receive cash incentives for engaging in healthy lifestyle behaviors.
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in Weight
Tidsramme: Baseline, 3 months, 6 months, 9 months, 12 months and 1 year post program follow up
|
Weight obtained using a scale at each assessment.
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Baseline, 3 months, 6 months, 9 months, 12 months and 1 year post program follow up
|
|
Change in the 6 minute walk test
Tidsramme: 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.
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Baseline, 3 months, 6 monhts, 9 months, 12 months, and 1 year post program completion follow up
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Change in Days of Abstinence-Timeline follow back interview for tobacco smokers
Tidsramme: Baseline, 3 months, 6 months, 9 months, 12 months, and 1 year post program completion follow up
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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.
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Baseline, 3 months, 6 months, 9 months, 12 months, and 1 year post program completion follow up
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Change in Carbon Monoxide Level
Tidsramme: Baseline, 3 months, 6 months, 9 months, 12 months, and 1 year post program completion follow up
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At each assessment and during the incentive quit cycles, carbon monoxide level is measured to confirm smoking abstinence or not.
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Baseline, 3 months, 6 months, 9 months, 12 months, and 1 year post program completion follow up
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Samarbeidspartnere
Etterforskere
- Studieleder: Sarah I Pratt, PhD, Dartmouth-Hitchcock Medical Center
- Hovedetterforsker: Kelley Capuchino, State of New Hampshire, Department of Health and Human Services
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- Bianco CL, Pratt SI, Ferron JC, Brunette MF. Electronic Cigarette Use During a Randomized Trial of Interventions for Smoking Cessation Among Medicaid Beneficiaries with Mental Illness. J Dual Diagn. 2019 Jul-Sep;15(3):184-191. doi: 10.1080/15504263.2019.1620400. Epub 2019 Jun 6.
- Brunette MF, Pratt SI, Bartels SJ, Scherer EA, Sigmon SC, Ferron JC, Santos M, Williams GE, Kosydar S, Wolfe RS, Lotz D, Capuchino K. Randomized Trial of Interventions for Smoking Cessation Among Medicaid Beneficiaries With Mental Illness. Psychiatr Serv. 2018 Mar 1;69(3):274-280. doi: 10.1176/appi.ps.201700245. Epub 2017 Nov 15.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. mai 2012
Primær fullføring (Faktiske)
1. april 2016
Studiet fullført (Faktiske)
1. desember 2018
Datoer for studieregistrering
Først innsendt
30. januar 2015
Først innsendt som oppfylte QC-kriteriene
4. august 2015
Først lagt ut (Anslag)
5. august 2015
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
19. februar 2019
Siste oppdatering sendt inn som oppfylte QC-kriteriene
18. februar 2019
Sist bekreftet
1. februar 2019
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 23336
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