CClinicalTrials.gg
CompletedNCT04191876Updated Sep 21, 2023

Financial Incentives to Improve Medication Adherence

An interventional study of Wellth - Financial Incentives in Schizophrenia, Schizo Affective Disorder and Bipolar Disorder, sponsored by Northwell Health. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-09-21.

Sponsored by Northwell Health · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Medication adherence is a challenge in all of medicine and is associated with multiple negative outcomes. Strategies to better measure and enhance adherence to medication are urgent and necessary to minimize unwanted health outcomes, hospitalizations, poorer quality of life and excessive costs for individuals, insurers and caregivers. Recently, behavioral economics-based approaches have emerged as a promising tool to address this unmet need, but its effectiveness in oral antipsychotic treatment remains to be assessed. For this project, investigators will use an app that offers financial incentives to increase compliance for patients with chronic diseases. Investigators intend to enroll 25 patients in a pilot project to assess feasibility of offering financial incentives to improve medication adherence in severe mental illness.

02

Conditions studied

  • Schizophrenia
  • Schizo Affective Disorder
  • Bipolar Disorder
  • Depression

Keywords

  • financial incentives
  • medication adherence
  • severe mental illness
03

In context

Schizophrenia

3,471 studies on the registry are indexed under Schizophrenia; 472 are open to participants now.

This study's enrollment of 25 is below the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Northwell Health is the lead sponsor of 463 studies on the registry; 109 are open to participants now.

Of its 40 completed or terminated interventional studies of FDA-regulated products, 20 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Psychiatric patients with suspected or confirmed poor oral medication adherence.
  2. Age 18-80 years old
  3. English speaking, since the app being used is only available in English
  4. Owning a Smartphone, since the app requires a Smartphone to work
  5. Willing and able to participate.

Exclusion criteria

Exclusion Criteria:

  1. Acute anger to self or others as per investigator assessment
  2. Unwilling or unable to participate
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    Active

    This study has only one arm. All patients enrolled will take part in the experimental arm.

    Other: Wellth - Financial Incentives

Interventions

  • OtherWellth - Financial Incentives

    Patients who are willing to participate will be offered financial incentives for medication adherence through an app (Wellth) over 10 weeks.

06

What researchers measure

Primary outcomes

  1. Change in medication adherence rate

    Adherence rate will be measured as pills missed/pills prescribed

    Time frame: Between baseline and study completion (10 weeks)

07

Study locations

1 site
  • The Zucker Hillside Hospital
    Glen Oaks, New York 11004, United States
08

References and documents

Publications

  • Guinart D, Sobolev M, Patil B, Walsh M, Kane JM. A Digital Intervention Using Daily Financial Incentives to Increase Medication Adherence in Severe Mental Illness: Single-Arm Longitudinal Pilot Study. JMIR Ment Health. 2022 Oct 12;9(10):e37184. doi: 10.2196/37184. PubMed 36222818 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 21, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04191876
Lead sponsor
Northwell Health
Responsible party
Sponsor
First posted
Dec 10, 2019
Start date
Nov 1, 2019
Primary completion
May 30, 2020
Completion
Mar 2, 2022
Last update
Sep 21, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion