Early outcomes of referrals to the English National Health Service Digital Weight Management Programme.
Journal
Obesity (Silver Spring, Md.)
ISSN: 1930-739X
Titre abrégé: Obesity (Silver Spring)
Pays: United States
ID NLM: 101264860
Informations de publication
Date de publication:
21 Apr 2024
21 Apr 2024
Historique:
revised:
24
02
2024
received:
20
12
2023
accepted:
26
02
2024
medline:
22
4
2024
pubmed:
22
4
2024
entrez:
21
4
2024
Statut:
aheadofprint
Résumé
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. 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. 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). 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.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society.
Références
World Health Organization. Obesity and overweight. Updated March 1, 2024. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
NHS Digital. Health Survey for England, 2021 part 1. Published December 15, 2022. Accessed January 22, 2023. https://digital.nhs.uk/data‐and‐information/publications/statistical/health‐survey‐for‐england/2021
Public Health England. Health matters: obesity and the food environment. Published March 31, 2017. https://www.gov.uk/government/publications/health‐matters‐obesity‐and‐the‐food‐environment/health‐matters‐obesity‐and‐the‐food‐environment‐‐2
World Health Organization. WHO Director‐General's opening remarks at the media briefing on COVID‐19–22 December 2021. Published December 22, 2021. https://www.who.int/director‐general/speeches/detail/who‐director‐general‐s‐opening‐remarks‐at‐the‐media‐briefing‐on‐covid‐19‐‐‐22‐december‐2021
HM Government. The Health Protection (Coronavirus, Restrictions) (England) Regulations 2020. The National Archives, No. 350. Updated April 7, 2020. https://www.legislation.gov.uk/uksi/2020/350
Valabhji J, Barron E, Bradley D, et al. Early outcomes from the English National Health Service Diabetes Prevention Programme. Diabetes Care. 2020;43(1):152‐160.
Scientific Advisory Committee on Nutrition. Carbohydrates and Health. Public Health England; 2015. www.gov.uk/government/uploads/system/uploads/attachment_data/file/445503/SACN_Carbohydrates_and_Health.pdf
UK Department of Health. Dietary reference values for food energy and nutrients for the United Kingdom. Department of Health; 1991.
World Health Organization. Diet, Nutrition and the Prevention of Chronic Diseases. WHO; 2003.
Department of Health and Social Care. Physical activity guidelines: UK Chief Medical Officers' report. Published September 7, 2019. Updated January 9, 2020. https://www.gov.uk/government/publications/physical‐activity‐guidelines‐uk‐chief‐medical‐officers‐report
National Institute for Health and Care Excellence. Weight management: lifestyle services for overweight or obese adults. Public health guideline PH53. Published May 28, 2014. https://www.nice.org.uk/guidance/ph53
National Institute for Health and Care Excellence. Obesity prevention. Clinical guideline CG43. Published December 13, 2006. Updated March 13, 2015. https://www.nice.org.uk/guidance/cg43
HM Government. ‘Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data (United Kingdom General Data Protection Regulation). The National Archives, No. 679. April 27, 2016. https://www.legislation.gov.uk/eur/2016/679/article/35#
Ministry of Housing, Communities & Local Government. English indices of deprivation 2019. Published September 26, 2019. https://www.gov.uk/government/statistics/english‐indices‐of‐deprivation‐2019
NHS Digital. Patients registered at a GP practice, March 2022. Published March 10, 2022. https://digital.nhs.uk/data‐and‐information/publications/statistical/patients‐registered‐at‐a‐gp‐practice/march‐2022
Joiner KL, Nam S, Whittemore R. Lifestyle interventions based on the diabetes prevention program delivered via eHealth: a systematic review and meta‐analysis. Prev Med. 2017;100:194‐207.
Van Rhoon L, Byrne M, Morrissey E, Murphy J, McSharry J. A systematic review of the behaviour change techniques and digital features in technology driven type 2 diabetes prevention interventions. Digit Health. 2020;6:2055207620914427.
Bian RR, Piatt GA, Sen A, et al. The effect of technology‐mediated diabetes prevention interventions on weight: a meta‐analysis. J Med Internet Res. 2017;19(3):e476.
Beleigoli A, Andrade A, Cançado A, Paulo M, Diniz M, Ribeiro A. Web‐based digital health interventions for weight loss and lifestyle habit changes in overweight and obese adults: systematic review and meta‐analysis. J Med Internet Res. 2019;21(1):e298.
Borek AJ, Abraham C, Greaves CJ, Tarrant M. Group‐based diet and physical activity weight‐loss interventions: a systematic review and meta‐analysis of randomised controlled trials. Appl Psychol Health Well Being. 2018;10(1):62‐86.
Ross JAD, Barron E, McGough B, et al. Uptake and impact of the English National Health Service digital diabetes prevention programme: observational study. BMJ Open Diab Res Care. 2022;10:e002736.
Alberga AS, Edache IY, Forhan M, Russell‐Mayhew S. Weight bias and health care utilization: a scoping review. Prim Health Care Res Dev. 2019;22(20):e116.
Rodger S. How health coaching can help patients manage their own health. Nurs Times. 2020;117(1):59‐61.
Miyamoto S, Henderson S, Fazio S, et al. Empowering diabetes self‐management through technology and nurse health coaching. Diabetes Educ. 2019;45(6):586‐595.
Butterworth SW, Linden A, McClay W. Health coaching as an intervention in health management programs. Disease Management & Health Outcomes. 2007;15:299‐307.
Silberman JM, Kaur M, Sletteland J, Venkatesan A. Outcomes in a digital weight management intervention with one‐on‐one health coaching. PloS One. 2020;15(4):e0232221.
NHS Digital. National Obesity Audit. https://digital.nhs.uk/data-and-information/clinical-audits-and-registries/national-obesity-audit