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Reimbursement Effects on Enrollment in Obesity Treatment

This study has been completed.
Information provided by:
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Identifier:
First received: November 7, 2005
Last updated: March 17, 2010
Last verified: March 2010
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
Behavioral: Simulated insurance reimbursement

Study Type: Interventional
Study Design: Allocation: Non-Randomized
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.

Further study details as provided by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK):

Primary Outcome Measures:
  • Proportion of inquirers who enroll in obesity treatment [ Time Frame: 16 months ]

Secondary Outcome Measures:
  • Class attendance [ Time Frame: 12 weeks ]
  • Percent weight loss [ Time Frame: 12 weeks and 9 months ]
  • Changes in medication dosages and costs [ Time Frame: 12 weeks and 9 months ]
  • Visits to health care providers [ Time Frame: 12 weeks and 9 months ]

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.

Ages Eligible for Study:   19 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
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:

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00250510

United States, Alabama
University of Alabama at Birmingham
Birmingham, Alabama, United States, 35294-3360
Sponsors and Collaborators
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Principal Investigator: Douglas C Heimburger, MD University of Alabama at Birmingham
  More Information

Additional Information:
Responsible Party: Jane Fant/Assoc VP for Sponsored Research Administration, University of Alabama at Birmingham Identifier: NCT00250510     History of Changes
Other Study ID Numbers: R03 DK67357 (completed)
Study First Received: November 7, 2005
Last Updated: March 17, 2010

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:
Nutrition Disorders
Body Weight
Signs and Symptoms processed this record on May 24, 2017