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Testing the short-term effectiveness of primary care referral to online weight loss programmes: A randomised controlled trial

Abstract:
Guidelines ask health professionals to offer brief advice to encourage weight loss for people living with obesity. We tested whether referral to one of three online programmes could lead to successful weight loss. A total of 528 participants aged ≥18 years with a body mass index of ≥30 kg/m2 were invited via a letter from their GP. Participants were randomised to one of three online weight loss programmes (NHS Weight Loss Plan, Rosemary Online or Slimming World Online) or to a control group receiving no intervention. Participants self-reported weight at baseline and 8 weeks. The primary outcome was weight change in each of the active intervention groups compared with control. We also compared the proportion of participants losing ≥5% or ≥10% of body weight. For Rosemary, Online mean weight loss was modestly greater than control (−1.5 kg [95% confidence interval (CI) −2.3 to −0.6]) and more than three times as many participants in this group lost ≥5% (relative risk [RR] = 3.64, 95% CI: 1.63–8.1). For Slimming World, mean weight loss was not significantly different from control (−0.8 kg [95%CI −1.7 to 0.1]), twice as many participants lost ≥5% (RR = 2.70, 1.17–6.23). There was no significant difference in weight loss for participants using the NHS Weight Loss Plan (−0.4 kg, [95% CI −1.3 to 0.5]), or the proportion losing ≥5% (RR = 2.09, 0.87–5.01). Only one of three online weight loss programmes was superior to no intervention and the effect size modest among participants living with obesity.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1111/cob.12482

Authors

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Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
More by this author
Role:
Author
ORCID:
0000-0002-6782-0017
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0001-9301-7458


Publisher:
Wiley
Journal:
Clinical Obesity More from this journal
Volume:
11
Issue:
6
Article number:
e12482
Publication date:
2021-10-06
Acceptance date:
2021-06-30
DOI:
EISSN:
1758-8111
ISSN:
1758-8103
Pmid:
34612589


Language:
English
Keywords:
Pubs id:
1187335
Local pid:
pubs:1187335
Deposit date:
2021-10-20
ARK identifier:

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