Evidence map›Paper›PMID 31642066›Full record

Trial reportHealth services research2019

The Wellness Incentive and Navigation intervention improved health-related quality of life among Medicaid enrollees: A randomized pragmatic clinical trial.

Yi Guo, Walter Bruce Vogel, Keith E Muller, Dena Stoner, Tianyao Huo, Elizabeth A Shenkman

Abstract readComparative StudyRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

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

5 · Who and what money

Authors and funding

6 authors.

Yi GuoDepartment of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida.ORCID 0000-0003-0587-4105
Walter Bruce VogelDepartment of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida.
Keith E MullerDepartment of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida.
Dena StonerBehavioral Health Services, Texas Health and Human Services, Austin, Texas.
Tianyao HuoDepartment of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida.
Elizabeth A ShenkmanDepartment of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida.

Funding

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services CMS-1B1-11-001
6 · The paper itself

Abstract

objectiveTo examine whether the Wellness Incentive and Navigation (WIN) intervention can improve health-related quality of life (HRQOL) among Medicaid enrollees with co-occurring physical and behavioral health conditions. DATA SOURCES: Annual telephone survey data from 2013 to 2016, linked with claims data. STUDY

designWe recruited 1259 participants from the Texas STAR + PLUS managed care program and randomized them into an intervention group that received flexible wellness accounts and navigator services or a control group that received standard care. We conducted 4 waves of telephone surveys to collect data on HRQOL, patient activation, and other participant demographic and clinical characteristics. DATA COLLECTION/EXTRACTION

methodsThe 3M Clinical Risk Grouping Software was used to extract variables from claims data and group participants based on disease severity. PRINCIPAL

findingsOur results showed that the WIN intervention was effective in increasing patient activation and HRQOL among Medicaid enrollees with co-occurring physical and behavioral health conditions. Furthermore, we found that this intervention effect on HRQOL was partially mediated by patient activation.

conclusionsProviding navigator support with wellness account is effective in improving HRQOL among Medicaid enrollees. The pragmatic nature of the trial maximizes the chance of successfully implementing it in state Medicaid programs.

Indexed as

Health BehaviorMotivationAdultFemaleHealth PromotionHumansMaleMedicaidMiddle AgedPatient NavigationPatient ParticipationQuality of LifeSurveys and QuestionnairesTexasUnited StateslongitudinalMedicaidmotivational interviewingpatient activationpragmatic clinical trial

Identifiers

PMID31642066
PMCPMC6863227

What OpenQuestion holds

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Registered trials

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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.