Evaluation of the Texas Wellness Incentives and Navigation (WIN) Project
WIN
1 other identifier
interventional
1,663
1 country
1
Brief Summary
The Wellness Incentives and Navigation (WIN) project is designed to help improve health self-management and reduce the incidence and consequences of chronic disease among non-elderly adult Medicaid Supplemental Security Income (SSI) beneficiaries. WIN targets SSI beneficiaries with behavioral health (mental health and substance abuse) diagnoses. Research demonstrates that these individuals are more likely to suffer chronic physical co-morbidities, experience debilitating chronic illnesses earlier in life and have elevated healthcare costs. WIN uses person-centered wellness planning and navigation facilitated by trained, professional health Navigators, dedicated specifically to the WIN project, who use Motivational Interviewing (MI) techniques, and a personal wellness account. Participants with more serious mental illnesses will be offered additional support in the form of Wellness Recovery Action Planning (WRAP) to enable them to take full advantage of person-centered wellness planning.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2012
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2012
CompletedFirst Submitted
Initial submission to the registry
April 22, 2015
CompletedFirst Posted
Study publicly available on registry
May 12, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedOctober 3, 2017
October 1, 2017
3.5 years
April 22, 2015
October 2, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Self-reported physical health related quality of life (HRQOL) using the Short Form-12 (SF-12)
The SF-12 has been validated across a number of chronic diseases and conditions. The survey consists of 12 questions measuring functional health and well-being. Patients answer questions related to daily functioning, difficulties in physical tasks, and disruptions in life due to mental illness (e.g. depression, anxiety). The overall score can be further classified into two summary scores for physical and mental health.
(Change) baseline, 12 months, 24 months and 36 months
Self-reported mental health related quality of life (HRQOL) using the Short Form-12 (SF-12)
The SF-12 has been validated across a number of chronic diseases and conditions. The survey consists of 12 questions measuring functional health and well-being. Patients answer questions related to daily functioning, difficulties in physical tasks, and disruptions in life due to mental illness (e.g. depression, anxiety). The overall score can be further classified into two summary scores for physical and mental health.
(Change) baseline, 12 months, 24 months and 36 months
Secondary Outcomes (4)
Change in Total Healthcare expenditures as measured through Medicaid claims data
(Change) baseline, 12 months, 24 months, 36 months, and 1 year after month 36
Changes in Inpatient Hospitalization expenditures as measured through Medicaid claims data
(Change) baseline, 12 months, 24 months, 36 months, and 1 year after month 36
Changes in Outpatient expenditures as measured through Medicaid claims data
(Change) baseline, 12 months, 24 months, 36 months, and 1 year after month 36
Changes in Emergency Department expenditures as measured through Medicaid claims data
(Change) baseline, 12 months, 24 months, 36 months, and 1 year after month 36
Study Arms (3)
Intervention
EXPERIMENTALA person-centered wellness intervention that includes a patient-directed wellness account. Enrollees meet with a patient Navigator to develop a wellness plan. The enrollee can then use the flexible wellness account to make purchases that are consistent with the goals of the wellness plan. Health Navigators have monthly phone contact with enrollees and meet quarterly with them to discuss goals and spending with the express goal of improving self-management, use of preventive services, satisfaction with care, healthcare utilization and expenditures and quality of care.
Control
NO INTERVENTIONControl group participants receive a monthly mailing requesting updated contact information. They can send this card via mail, or by calling the toll free number.
Comparison
NO INTERVENTIONThese are STAR+PLUS enrollees who meet the same enrollment criteria as the intervention and control but reside outside of the Harris Service Area. The purpose of the comparison group is to follow them and their outcomes. This group will help us to better compare the outcomes we see with those enrolled in the WIN Project to a comparable group for whom we already house data.
Interventions
The intervention group (n=629) continue to receive usual care and receive a financial incentive to use in meeting their health goals.
The intervention group (n=629) will work with a health navigator on a monthly basis to develop and refine patient-centered health goals. Motivational interviewing techniques are used to establish the wellness goals.
Eligibility Criteria
You may qualify if:
- Be a resident of the Harris service area
- Be a non-dual eligible member of STAR+PLUS;
- Be 21 to 55 years of age; and
- Have an SMI Diagnosis (schizophrenia, bi-polar disorder, major depressive disorder); or
- Other behavioral health diagnoses (e.g., anxiety, depression, substance use disorder) coupled with a chronic health diagnosis (physical health condition).
You may not qualify if:
- Intellectual or cognitive diagnoses indicative of severe cognitive impairment. These could include diagnoses such as 290.X (dementia) and 318-319 (moderate to severe mental retardation).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Floridalead
- Centers for Medicare and Medicaid Servicescollaborator
- RTI Internationalcollaborator
- Econometrica, Inc.collaborator
Study Sites (1)
University of Florida, Institute for Child Health Policy
Gainesville, Florida, 32608, United States
Related Publications (1)
Shenkman E, Muller K, Vogel B, Nixon SJ, Wagenaar AC, Case K, Guo Y, Wegman M, Aric J, Stoner D. The wellness incentives and navigation project: design and methods. BMC Health Serv Res. 2015 Dec 29;15:579. doi: 10.1186/s12913-015-1245-x.
PMID: 26714845DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Elizabeth Shenkman, Ph.D.
University of Florida
- STUDY DIRECTOR
Kimberly Case, Ph.D.
University of Florida
- STUDY DIRECTOR
Dena Stoner
Texas Health and Human Services Commission
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 22, 2015
First Posted
May 12, 2015
Study Start
June 1, 2012
Primary Completion
December 1, 2015
Study Completion
December 1, 2016
Last Updated
October 3, 2017
Record last verified: 2017-10