Early outcomes of referrals to the English National Health Service Digital Weight Management Programme

IF 4.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM Obesity Pub Date : 2024-04-21 DOI:10.1002/oby.24024

Katharine Taylor, Tejal Indulkar, Bethany Thompson, Christine Pinkard, Emma Barron, Tom Frost, Priyantha Jayawardane, Neil Davies, Chirag Bakhai, Nita Gandhi Forouhi, Paul Aveyard, Susan Jebb, Jonathan Valabhji

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Abstract

Objective

The study objective was to assess participant weight change for the English National Health Service (NHS) Digital Weight Management Programme, the first such digital intervention to achieve population coverage.

Methods

A service evaluation was used to assess intervention effectiveness for adults with obesity and a diagnosis of hypertension and/or diabetes, between April 2021 and March 2022, using prospectively collected, national service–level data in England.

Results

Of the 63,937 referrals made from general practices, within the time period, 31,861 (50%) chose to take up the 12-week Programme. There were 31,718 participants who had time to finish the Programme; of those, 14,268 completed the Programme (defined as attending ≥60%), a 45% completion rate. The mean weight change for those who had time to finish the Programme was −2.2 kg (95% CI: −2.25 to −2.16), for those who completed it was −3.9 kg (95% CI: −3.99 to −3.84), and for those who had time to finish the Programme but did not complete it was −0.74 kg (95% CI: −0.79 to −0.70).

Conclusions

The NHS Digital Weight Management Programme is effective at achieving clinically meaningful weight loss. The outcomes compare favorably to web-based weight management interventions tested in randomized trials and those delivered as face-to-face interventions, and results suggest that the approach may, with increased participation, bring population-level benefits.

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英国国民健康服务数字体重管理计划转诊的早期结果

研究目的是评估英国国民健康服务系统（NHS）数字体重管理计划参与者的体重变化情况，该计划是首个实现人口覆盖的此类数字干预措施。研究方法在2021年4月至2022年3月期间，利用前瞻性收集的英格兰国家服务水平数据，对肥胖并诊断出高血压和/或糖尿病的成年人进行服务评估，以评估干预效果。有时间完成计划的参与者有 31718 人；其中 14268 人完成了计划（定义为参加率≥60%），完成率为 45%。有时间完成计划者的平均体重变化为-2.2千克（95% CI：-2.25至-2.16），完成计划者的平均体重变化为-3.9千克（95% CI：-3.99至-3.84），有时间完成计划但未完成者的平均体重变化为-0.74千克（95% CI：-0.79至-0.70）。其结果与随机试验中测试的基于网络的体重管理干预措施以及面对面的干预措施相比毫不逊色。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity 医学-内分泌学与代谢

CiteScore

11.70

自引率

1.40%

发文量

261

审稿时长

2-4 weeks

期刊介绍： Obesity is the official journal of The Obesity Society and is the premier source of information for increasing knowledge, fostering translational research from basic to population science, and promoting better treatment for people with obesity. Obesity publishes important peer-reviewed research and cutting-edge reviews, commentaries, and public health and medical developments.