Overview

This trial is active, not recruiting.

Conditions tobacco dependence, obesity, mental illness
Treatment nh medicaid incentives program
Sponsor Dartmouth-Hitchcock Medical Center
Collaborator State of New Hampshire Bureau of Behavioral Health
Start date May 2012
End date April 2016
Trial size 2800 participants
Trial identifier NCT02515981, 23336

Summary

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).

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Intervention model factorial assignment
Masking open label
Primary purpose health services research
Arm
(Experimental)
Participants randomly assigned to the incentive arm, will receive cash incentives for engaging in healthy lifestyle behaviors.
nh medicaid incentives program
(Experimental)
Participants randomly assigned to the no incentives arm, will not receive cash incentives for engaging in healthy lifestyle behaviors.
nh medicaid incentives program

Primary Outcomes

Measure
Change in Weight
time frame: 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
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
Change in Carbon Monoxide Level
time frame: Baseline, 3 months, 6 months, 9 months, 12 months, and 1 year post program completion follow up

Eligibility Criteria

Male or female participants at least 18 years old.

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

Additional Information

Official title New Hampshire Medicaid Wellness Incentive Program
Principal investigator Kelley Capuchino
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.
Trial information was received from ClinicalTrials.gov and was last updated in August 2016.
Information provided to ClinicalTrials.gov by Dartmouth-Hitchcock Medical Center.