Reimbursement Effects on Enrollment in Obesity Treatment
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Purpose
The purpose of this study is to simulate what would occur if insurance reimbursement became available for obesity treatment but required that the individual meet defined performance milestones.
| Condition | Intervention |
|---|---|
|
Obesity |
Behavioral: Simulated insurance reimbursement |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Prospective Study to Determine the Effects of a Reimbursement Incentive on Enrollment and Outcomes in a Community Weight Control Program. |
- Proportion of inquirers who enroll in obesity treatment [ Time Frame: 16 months ] [ Designated as safety issue: No ]
- Class attendance [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Percent weight loss [ Time Frame: 12 weeks and 9 months ] [ Designated as safety issue: No ]
- Changes in medication dosages and costs [ Time Frame: 12 weeks and 9 months ] [ Designated as safety issue: No ]
- Visits to health care providers [ Time Frame: 12 weeks and 9 months ] [ Designated as safety issue: No ]
| Enrollment: | 401 |
| Study Start Date: | June 2004 |
| Study Completion Date: | December 2006 |
| Arms | Assigned Interventions |
|---|---|
| No Intervention: 1 | |
|
Experimental: 2
EatRight Program inquirers with BMI's of 30 kg/m2 or greater were told that they would have the possibility of being reimbursed 50% ($150) of their initial fee ($300) if certain conditions were met.
|
Behavioral: Simulated insurance reimbursement
Participants were told they would have the possibility of being reimbursed 50% ($150) of their initial fee ($300) if they: 1) paid the fee in advance or committed 3 monthly payments in advance, 2) attended 10 of 12 class sessions, and 3) lost at least 6% of their current body weight during the program.
|
Detailed Description:
This is a prospective study to determine whether a reimbursement incentive (the prospect of reimbursement of half of the out-of-pocket fee for participation in the UAB EatRight Weight Management Program, when it is contingent upon consistent Program participation and loss of 6% of initial body weight) is associated with (1) a higher rate of Program enrollment and (2) greater percent weight loss, greater reductions in medication dosages and costs, and fewer visits to health care providers after 12 weeks and 9 months.
Eligibility| Ages Eligible for Study: | 19 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Adults with obesity (BMI at least 30 kg/m2)
- Commitment of the full EatRight Weight Management Program fee
Exclusion Criteria:
- None
Contacts and Locations| United States, Alabama | |
| University of Alabama at Birmingham | |
| Birmingham, Alabama, United States, 35294-3360 | |
| Principal Investigator: | Douglas C Heimburger, MD | University of Alabama at Birmingham |
More Information
Additional Information:
Publications:
| Responsible Party: | Jane Fant/Assoc VP for Sponsored Research Administration, University of Alabama at Birmingham |
| ClinicalTrials.gov Identifier: | NCT00250510 History of Changes |
| Other Study ID Numbers: | R03 DK67357 (completed) |
| Study First Received: | November 7, 2005 |
| Last Updated: | March 17, 2010 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK):
|
Obesity treatment Insurance reimbursement Health care utilization Health care costs |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013