Evaluation of the Texas Wellness Incentives and Navigation (WIN) Project
NCT ID: NCT02440906
Last Updated: 2017-10-03
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
1663 participants
INTERVENTIONAL
2012-06-30
2016-12-31
Brief Summary
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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.
Detailed Description
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The study is focused on non-dual eligible adult STAR+PLUS (a Texas Medicaid managed care program for people with chronic illnesses) members (ages 21-55) with a behavioral health disorder including serious mental illness (SMI - e.g., schizophrenia, bipolar disorder or major depressive disorder) or other behavioral health conditions (e.g., anxiety disorder or substance abuse). Key features of the program include the use of professional health navigators, working in collaboration with the three STAR+PLUS plans in the Harris Service Area (SA) (United-Evercare, Amerigroup, and Molina), the use of motivational interviewing (MI) techniques to help members develop and meet personal wellness goals, and a flexible wellness account for the participant to use in meeting his/her goals.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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Intervention
A 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.
Patient-Directed Wellness Account
The intervention group (n=629) continue to receive usual care and receive a financial incentive to use in meeting their health goals.
Health Navigator
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.
Control
Control group participants receive a monthly mailing requesting updated contact information. They can send this card via mail, or by calling the toll free number.
No interventions assigned to this group
Comparison
These 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.
No interventions assigned to this group
Interventions
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Patient-Directed Wellness Account
The intervention group (n=629) continue to receive usual care and receive a financial incentive to use in meeting their health goals.
Health Navigator
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
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Inclusion Criteria
* 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).
Exclusion Criteria
21 Years
55 Years
ALL
No
Sponsors
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Centers for Medicare and Medicaid Services
FED
RTI International
OTHER
Econometrica, Inc.
INDUSTRY
University of Florida
OTHER
Responsible Party
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Principal Investigators
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Elizabeth Shenkman, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
University of Florida
Kimberly Case, Ph.D.
Role: STUDY_DIRECTOR
University of Florida
Dena Stoner
Role: STUDY_DIRECTOR
Texas Health and Human Services Commission
Locations
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University of Florida, Institute for Child Health Policy
Gainesville, Florida, United States
Countries
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References
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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.
Other Identifiers
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168-2012
Identifier Type: -
Identifier Source: org_study_id