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

Autor: Taylor K; Wellington House, NHS England, London, UK., Indulkar T; Wellington House, NHS England, London, UK., Thompson B; Wellington House, NHS England, London, UK., Pinkard C; Wellington House, NHS England, London, UK., Barron E; Wellington House, NHS England, London, UK., Frost T; Wellington House, NHS England, London, UK., Jayawardane P; Digital Innovation Unit, NHS Midlands and Lancashire Commissioning Support Unit, Stoke on Trent, UK., Davies N; Digital Innovation Unit, NHS Midlands and Lancashire Commissioning Support Unit, Stoke on Trent, UK., Bakhai C; General Practitioner and Primary Care Advisor to NHS Diabetes Programme, NHS England, London, UK.; Obesity Expert Reference Group, NHS England, London, UK., Forouhi NG; Obesity Expert Reference Group, NHS England, London, UK.; MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK., Aveyard P; Obesity Expert Reference Group, NHS England, London, UK.; Nuffield Department of Primary Care Health Science, University of Oxford, Oxford, UK., Jebb S; Obesity Expert Reference Group, NHS England, London, UK.; Nuffield Department of Primary Care Health Science, University of Oxford, Oxford, UK., Valabhji J; Obesity Expert Reference Group, NHS England, London, UK.; Department of Diabetes and Endocrinology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.; Division of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
Jazyk: angličtina
Zdroj: Obesity (Silver Spring, Md.) [Obesity (Silver Spring)] 2024 Jun; Vol. 32 (6), pp. 1083-1092. Date of Electronic Publication: 2024 Apr 21.
DOI: 10.1002/oby.24024
Abstrakt: 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.
(© 2024 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society.)
Databáze: MEDLINE
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