New Hampshire Medicaid Wellness Incentive Program
- Conditions
- Mental IllnessObesityTobacco Dependence
- Interventions
- Behavioral: NH Medicaid Incentives Program
- Registration Number
- NCT02515981
- Lead Sponsor
- Dartmouth-Hitchcock Medical Center
- Brief 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).
- 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 2800
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description No Incentives NH Medicaid Incentives Program Participants randomly assigned to the no incentives arm, will not receive cash incentives for engaging in healthy lifestyle behaviors. Incentives NH Medicaid Incentives Program Participants randomly assigned to the incentive arm, will receive cash incentives for engaging in healthy lifestyle behaviors.
- Primary Outcome Measures
Name Time Method Change in Weight Baseline, 3 months, 6 months, 9 months, 12 months and 1 year post program follow up Weight obtained using a scale at each assessment.
Change in Days of Abstinence-Timeline follow back interview for tobacco smokers 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.
Change in the 6 minute walk test 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.
Change in Carbon Monoxide Level 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.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (12)
New Hampshire Hospital
🇺🇸Concord, New Hampshire, United States
Riverbend Community Mental Health Center
🇺🇸Concord, New Hampshire, United States
Center for Life Management
🇺🇸Derry, New Hampshire, United States
Mondadnock Family Services
🇺🇸Keene, New Hampshire, United States
West Central Behavioral Health Care
🇺🇸Lebanon And Claremont, New Hampshire, United States
The Mental Health Center of Greater Manchester
🇺🇸Manchester, New Hampshire, United States
Greater Nashua Mental Health Center at Community Council
🇺🇸Nashua, New Hampshire, United States
Harbor Homes
🇺🇸Nashua, New Hampshire, United States
Seacoast Mental Health Center
🇺🇸Portsmouth, New Hampshire, United States
Community Partners
🇺🇸Dover, New Hampshire, United States
Northern Human Services
🇺🇸Littleton And Conway, New Hampshire, United States
Genesis Behavioral Heatlh
🇺🇸Plymouth And Laconia, New Hampshire, United States