NCT02515981

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).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
2,800

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started May 2012

Longer than P75 for not_applicable

Geographic Reach
1 country

12 active sites

Status
completed

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

May 1, 2012

Completed
2.8 years until next milestone

First Submitted

Initial submission to the registry

January 30, 2015

Completed
6 months until next milestone

First Posted

Study publicly available on registry

August 5, 2015

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2016

Completed
2.7 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2018

Completed
Last Updated

February 19, 2019

Status Verified

February 1, 2019

Enrollment Period

3.9 years

First QC Date

January 30, 2015

Last Update Submit

February 18, 2019

Conditions

Keywords

tobacco dependencesmoking cessationmental healthcardiovascular diseaseobesity

Outcome Measures

Primary Outcomes (4)

  • Change in Weight

    Weight obtained using a scale at each assessment.

    Baseline, 3 months, 6 months, 9 months, 12 months and 1 year post program follow up

  • Change in the 6 minute walk test

    Each participant walks as many ft as possible at a brisk pace. The amount of feet covered in 6 minutes is documented.

    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

    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.

    Baseline, 3 months, 6 months, 9 months, 12 months, and 1 year post program completion follow up

  • Change in Carbon Monoxide Level

    At each assessment and during the incentive quit cycles, carbon monoxide level is measured to confirm smoking abstinence or not.

    Baseline, 3 months, 6 months, 9 months, 12 months, and 1 year post program completion follow up

Study Arms (2)

Incentives

EXPERIMENTAL

Participants randomly assigned to the incentive arm, will receive cash incentives for engaging in healthy lifestyle behaviors.

Behavioral: NH Medicaid Incentives Program

No Incentives

EXPERIMENTAL

Participants randomly assigned to the no incentives arm, will not receive cash incentives for engaging in healthy lifestyle behaviors.

Behavioral: NH Medicaid Incentives Program

Interventions

IncentivesNo Incentives

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants must be Medicaid recipients receiving mental health treatment at one of the participating study sites in New Hampshire.
  • years or older
  • \*Smoking 5 or more cigarettes a day or a carbon monoxide level of 5 or higher at screening.
  • \*Body Mass Index of 30 or higher or 25 or higher and sedentary lifestyle.

You may not qualify if:

  • Diagnosis of dementia or terminal illness (expected to result in death in 1 year or less)
  • Nursing home
  • Inability to speak or understand English
  • Previous participation in the In SHAPE program
  • Active eating disorder diagnosis
  • Pregnancy
  • \*Active alcohol or drug dependence with use in the past 30 days

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (12)

New Hampshire Hospital

Concord, New Hampshire, 03301, United States

Location

Riverbend Community Mental Health Center

Concord, New Hampshire, 03301, United States

Location

Center for Life Management

Derry, New Hampshire, 03038, United States

Location

Community Partners

Dover, New Hampshire, 03820, United States

Location

Mondadnock Family Services

Keene, New Hampshire, 03431, United States

Location

West Central Behavioral Health Care

Lebanon and Claremont, New Hampshire, United States

Location

Northern Human Services

Littleton and Conway, New Hampshire, United States

Location

The Mental Health Center of Greater Manchester

Manchester, New Hampshire, 03103, United States

Location

Greater Nashua Mental Health Center at Community Council

Nashua, New Hampshire, 03060, United States

Location

Harbor Homes

Nashua, New Hampshire, United States

Location

Genesis Behavioral Heatlh

Plymouth and Laconia, New Hampshire, United States

Location

Seacoast Mental Health Center

Portsmouth, New Hampshire, 03801, United States

Location

Related Publications (3)

  • Pratt SI, Ferron JC, Wolfe R, Xie H, Brunette M, Santos M, Williams G, Bartels S, Jue K, Capuchino K. Healthy choices, healthy changes: A randomized trial of incentives to promote healthy eating and exercise in people with schizophrenia and other serious mental illnesses. Schizophr Res. 2023 May;255:1-8. doi: 10.1016/j.schres.2023.03.007. Epub 2023 Mar 16.

  • 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.

MeSH Terms

Conditions

Tobacco Use DisorderObesityMental DisordersSmoking CessationPsychological Well-BeingCardiovascular Diseases

Condition Hierarchy (Ancestors)

Substance-Related DisordersChemically-Induced DisordersOverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsHealth BehaviorBehaviorPersonal Satisfaction

Study Officials

  • Sarah I Pratt, PhD

    Dartmouth-Hitchcock Medical Center

    STUDY DIRECTOR
  • Kelley Capuchino

    State of New Hampshire, Department of Health and Human Services

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Medicaid Policy Analyst

Study Record Dates

First Submitted

January 30, 2015

First Posted

August 5, 2015

Study Start

May 1, 2012

Primary Completion

April 1, 2016

Study Completion

December 1, 2018

Last Updated

February 19, 2019

Record last verified: 2019-02

Locations