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

Summary

The Wellness Incentives and Navigation (WIN) project is designed to help improve health self-management and reduce the incidence and consequences of chronic disease among non-elderly adult Medicaid Supplemental Security Income (SSI) beneficiaries. WIN targets SSI beneficiaries with behavioral health (mental health and substance abuse) diagnoses. Research demonstrates that these individuals are more likely to suffer chronic physical co-morbidities, experience debilitating chronic illnesses earlier in life and have elevated healthcare costs.

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.

Conditions

• Chronic Mental Illness
• Chronic Physical Illness

Interventions

BEHAVIORAL

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.

BEHAVIORAL

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.

Sponsors & Collaborators

• Centers for Medicare and Medicaid Services

  collaborator FED

• RTI International

  collaborator OTHER

• Econometrica, Inc.

  collaborator INDUSTRY

• University of Florida

  lead OTHER

Principal Investigators

• Elizabeth Shenkman, Ph.D. · University of Florida

• Kimberly Case, Ph.D. · University of Florida

• Dena Stoner · Texas Health and Human Services Commission

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

21 Years

Max Age

55 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2012-06-30

Primary Completion

2015-12-31

Completion

2016-12-31

Countries

• United States

Study Locations