PMID- 31958064
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 2371-4379 (Electronic)
IS  - 2371-4379 (Linking)
VI  - 5
IP  - 1
DP  - 2020 Jan 20
TI  - Effectiveness of a Digital Lifestyle Change Program in Obese and Type 2 Diabetes 
      Populations: Service Evaluation of Real-World Data.
PG  - e15189
LID - 10.2196/15189 [doi]
LID - e15189
AB  - BACKGROUND: The prevalence of type 2 diabetes mellitus (T2DM) and obesity is 
      increasing, and the way people interact with health care is evolving. People 
      traditionally access advice and support to improve their lifestyle and learn more 
      about the self-management of T2DM in a face-to-face setting. Although these 
      services have a strong evidence base, they have limitations for reaching specific 
      groups of people. Digital programs could provide a new delivery model to help 
      more people access health education and behavior change support, but long-term 
      data supporting these programs are limited. OBJECTIVE: The purpose of this 
      service evaluation was to analyze the weight change of people who participated in 
      OurPath (also known as Second Nature), a UK-based digital lifestyle change 
      program, for either weight management or diabetes-related weight management and 
      structured education at 6 and 12 months. METHODS: Participants either paid to 
      access the program privately (self-funded clients) or were referred by their 
      general practitioner to participate in the program free of charge (funded by the 
      National Health Service). Additional follow-up support was provided to help 
      people to maintain lifestyle changes. To retrospectively assess potential weight 
      loss, the analysis included data from participants who submitted weight readings 
      at baseline and 6 and 12 months after starting the program. Changes in weight 
      after 6 and 12 months were primary outcome measures. RESULTS: For the 896 
      participants who submitted baseline and 6- and 12-month data, a significant 
      change in mean weight of -7.12 kg (-7.50%; SD 6.37; P<.001) was observed at 6 
      months. Data from the same participants at 12 months showed a change in mean 
      weight when compared with a baseline of -6.14 kg (-6.48%; SD 6.97; P<.001). 
      CONCLUSIONS: The data presented here had several limitations, and there were too 
      many uncertainties to make any reliable conclusions. However, these results 
      suggest that digital lifestyle change programs could provide a new way to help 
      people to access nutritional advice and support to achieve weight loss. Further 
      research into digital education and coaching platforms is needed to establish 
      their effectiveness.
CI  - (c)Iskandar Idris, James Hampton, Fiona Moncrieff, Michael Whitman. Originally 
      published in JMIR Diabetes (http://diabetes.jmir.org), 20.01.2020.
FAU - Idris, Iskandar
AU  - Idris I
AUID- ORCID: 0000-0002-7548-8288
AD  - Division of Medical Sciences & Graduate Entry Medicine, University of Nottingham, 
      Nottingham, United Kingdom.
FAU - Hampton, James
AU  - Hampton J
AUID- ORCID: 0000-0002-9693-5403
AD  - Bath and North East Somerset CCG, Bath, United Kingdom.
FAU - Moncrieff, Fiona
AU  - Moncrieff F
AUID- ORCID: 0000-0001-6979-0061
AD  - OurPath, London, United Kingdom.
FAU - Whitman, Michael
AU  - Whitman M
AUID- ORCID: 0000-0001-7144-7545
AD  - OurPath, London, United Kingdom.
LA  - eng
PT  - Journal Article
DEP - 20200120
PL  - Canada
TA  - JMIR Diabetes
JT  - JMIR diabetes
JID - 101719410
PMC - PMC6997924
OTO - NOTNLM
OT  - OurPath
OT  - behavior change
OT  - cognitive behavioral therapy
OT  - dietetics
OT  - digital
OT  - empowerment
OT  - mHealth
OT  - mobile app
OT  - obesity
OT  - prevention
OT  - type 2 diabetes
OT  - weight loss
OT  - well-being
COIS- Conflicts of Interest: MW and FM are both employees of OurPath Ltd. JH is a 
      minority shareholder of OurPath Ltd.
EDAT- 2020/01/21 06:00
MHDA- 2020/01/21 06:01
PMCR- 2020/01/20
CRDT- 2020/01/21 06:00
PHST- 2019/06/26 00:00 [received]
PHST- 2019/12/16 00:00 [accepted]
PHST- 2019/09/24 00:00 [revised]
PHST- 2020/01/21 06:00 [entrez]
PHST- 2020/01/21 06:00 [pubmed]
PHST- 2020/01/21 06:01 [medline]
PHST- 2020/01/20 00:00 [pmc-release]
AID - v5i1e15189 [pii]
AID - 10.2196/15189 [doi]
PST - epublish
SO  - JMIR Diabetes. 2020 Jan 20;5(1):e15189. doi: 10.2196/15189.