Hawaii Patient Reward And Incentives to Support Empowerment

Summary

The purpose of this randomized controlled trial (RCT) study is to examine the extent that financial incentives when combined with diabetes evidence-based practices, improve self-management and biometric measures for adult diabetic Medicaid recipients with an HbA1c of ≥ 6.5 at enrollment. The study will also evaluate the cost-effectiveness of the program.

Specific Aims:

1. Evaluate whether financial incentives for completing American Diabetes Association (ADA) recommended tests, exams, health education, biometric outcome goals, and vaccinations will improve primary biometric outcomes.
2. Evaluate whether financial incentives for completing ADA recommended tests, exams, health education, biometric outcome goals, and vaccinations will improve diabetes patients' self-management as assessed by Summary of Diabetes Self-Care Activities Measure (SDSCA) and 36-Item Short Form Health Survey (SF36v2).
3. Evaluate the extent to which financial incentives for healthy behaviors reduce the cost of health care utilization.

Conditions

• Diabetes Mellitus

Interventions

BEHAVIORAL

Financial Incentives

This intervention will examine the effects of incentives on improving adult diabetic Medicaid beneficiaries' health outcomes and reducing associated costs through healthy behavior changes in their diabetes self-management. Incentives focus on improving self-management of diabetes, compliance with ADA recommended preventive, treatment and management measures, primary biometric measures of diabetes, and eliminating barriers to a healthy lifestyle

Sponsors & Collaborators

• IMPAQ International, LLC.

  collaborator INDUSTRY

• Econometrica, Inc.

  collaborator INDUSTRY

• Centers for Medicare and Medicaid Services

  collaborator FED

• Hawaii Department of Human Services (DHS)

  collaborator UNKNOWN

• Kaiser Permanente

  collaborator OTHER

• RTI International

  collaborator OTHER

• University of Hawaii

  lead OTHER

Principal Investigators

• Ritabelle Fernandes, MD · University of Hawaii

• Rebecca R. Ozaki, PhD · Unversity of Hawaii - Center on Disability Studies

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2014-05-31

Primary Completion

2015-12-31

Completion

2016-09-30

Countries

• United States

Study Locations