New Hampshire Medicaid Wellness Incentive Program
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2,800
- 试验地点
- 12
- 主要终点
- Change in Weight
研究概览
简要总结
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).
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
Incentives
Participants randomly assigned to the incentive arm, will receive cash incentives for engaging in healthy lifestyle behaviors.
干预措施: NH Medicaid Incentives Program (Behavioral)
No Incentives
Participants randomly assigned to the no incentives arm, will not receive cash incentives for engaging in healthy lifestyle behaviors.
干预措施: NH Medicaid Incentives Program (Behavioral)
结局指标
主要结局
Change in Weight
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
未报告次要终点
研究者
Sarah Pratt
Medicaid Policy Analyst
Dartmouth-Hitchcock Medical Center