Evidence map›Paper›PMID 26714845›Full record

Trial reportBMC health services research2015

The wellness incentives and navigation project: design and methods.

Elizabeth Shenkman, Keith Muller, Bruce Vogel, Sara Jo Nixon, Alexander C Wagenaar, Kimberly Case, Yi Guo, Martin Wegman, Jessie Aric, Dena Stoner

Registry-linked trialAbstract readPragmatic Clinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02440906 (Evaluation of the Texas Wellness Incentives and Navigation), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02440906 nacompletednot on this map

Evaluation of the Texas Wellness Incentives and Navigation (WIN) Project

TypeinterventionalSponsorUniversity of FloridaRan2012 to 2016Enrolled1,663ConditionsChronic Mental Illness, Chronic Physical IllnessArmsPatient-Directed Wellness Account, Health Navigator
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Elizabeth ShenkmanDepartment of Health Outcomes and Policy, College of Medicine, the Clinical and Translational Science Institute, and the Institute for Child Health Policy, University of Florida, Gainesville, USA. eshenkman@ufl.edu.
Keith MullerDepartment of Health Outcomes and Policy, College of Medicine, the Clinical and Translational Science Institute, and the Institute for Child Health Policy, University of Florida, Gainesville, USA. kmuller@ufl.edu.
Bruce VogelDepartment of Health Outcomes and Policy, College of Medicine, the Clinical and Translational Science Institute, and the Institute for Child Health Policy, University of Florida, Gainesville, USA. bvogel@ufl.edu.
Sara Jo NixonDepartment of Psychiatry, College of Medicine, University of Florida, Gainesville, USA. sjnixon@ufl.edu.
Alexander C WagenaarDepartment of Health Outcomes and Policy, College of Medicine and the Institute for Child Health Policy, University of Florida, Gainesville, USA. wagenaar@gmail.com.
Kimberly CaseDepartment of Health Outcomes and Policy, College of Medicine, University of Florida, University of Florida, Gainesville, USA. kim.case@ufl.edu.
Yi GuoDepartment of Health Outcomes and Policy, College of Medicine, University of Florida, University of Florida, Gainesville, USA. yiguo@ufl.edu.
Martin WegmanDepartment of Health Outcomes and Policy, College of Medicine, Department of Epidemiology, College of Public Health and Health Professions, and the Clinical and Translational Science Institute, University of Florida,, Gainesville, USA. mwegman@ufl.edu.
Jessie AricTexas Department of State Health Services, Austin, USA. Jessie.Aric@dshs.state.tx.us.
Dena StonerTexas Department of State Health Services, Austin, USA. Dena.Stoner@dshs.state.tx.us.

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
UF Clinical and Translational Science AwardTL1TR000066 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$345k
Comparative effect of managed care on quality and costs of care for Medicaid adulF30MH105153 · NIMH · UNIVERSITY OF FLORIDA · PI WEGMAN, MARTIN P · 2014 to 2018
$145k
NCATS NIH HHS TL1 TR000066NCATS NIH HHS UL1 TR001427NIMH NIH HHS F30 MH105153
6 · The paper itself

Abstract

backgroundAbout 35 % of non-elderly U.S. adult Medicaid enrollees have a behavioral health condition, such as anxiety, mood disorders, substance use disorders, and/or serious mental illness. Individuals with serious mental illness, in particular, have mortality rates that are 2 to 3 times higher as the general population, which are due to multiple factors including inactivity, poor nutrition, and tobacco use. 61 % of Medicaid beneficiaries with behavioral health conditions also have multiple other co-occurring chronic physical health conditions, which further contributes to morbidity and mortality. The Wellness Incentives and Navigation (WIN) project is one of 10 projects under the Centers for Medicare and Medicaid Services "Medicaid Incentives for the Prevention of Chronic Diseases" Initiative, to "test the effectiveness of providing incentives directly to Medicaid beneficiaries of all ages who participate in prevention programs, and change their health risks and outcomes by adopting healthy behaviors." METHODS/

designWIN is a three-year randomized pragmatic clinical trial designed to examine the comparative effectiveness of the combined use of personal navigators, motivational interviewing, and a flexible wellness account on cardiovascular risk reduction among individuals in Medicaid with co-occurring physical and mental health conditions or serious mental illness alone relative to the usual care provided within Medicaid Managed Care. 1250 individuals, identified through Medicaid claims data, were recruited and randomly assigned to an intervention group or control group with outcomes tracked annually. A comparison group was also recruited to help assess the study's internal validity. DISCUSSION: The primary outcomes are physical and mental health related quality-of-life as measured by the SF-12, and BMI, blood pressure, LDL-C, and Hba1c results for those who are diabetic measured clinically. The purpose of this paper is to present the unique design of the WIN trial prior to results becoming available in hopes of assisting other researchers in conducting community-based randomized pragmatic trials. Outcomes will be assessed through the linkage of patient reported outcomes, health care claims, and electronic health record data.

trial registrationNCT02440906.

Indexed as

AdultAgedBlood PressureCardiovascular DiseasesCholesterol, LDLChronic DiseaseDiabetes MellitusFemaleGlycated HemoglobinHealth BehaviorHealth PromotionHumansInternetManaged Care ProgramsMedicaidMental DisordersCholesterol, LDLGlycated Hemoglobin

Identifiers

PMID26714845
PMCPMC4696169

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.