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临床试验/NCT07283978
NCT07283978尚未招募不适用

Real-world Exploration of Digital iNnovation in the Management of Excess Weight

Guy's and St Thomas' NHS Foundation Trust2 个研究点 分布在 1 个国家目标入组 580 人开始时间: 2025年12月8日最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
入组人数
580
试验地点
2
主要终点
Percentage of weight change at 12 months

研究概览

简要总结

This is a real-world study. The purpose of this research is to explore whether a new National Institute for Health and Care Excellence (NICE)-approved digital weight-management model of care can improve health service delivery and address the Quintuple Aim of Healthcare (health outcomes, cost, patient and clinician experience, and health inequalities), for individuals living with obesity accessing National Health Service (NHS) Tier 3 weight-management services.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
主要目的
Health Services Research
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 18 years of age or older
  • Referred to South east London Tier 3 weight management pathway by their GP
  • Accepted by the GSTT Tier 3 weight management service

排除标准

  • Participants is Group A cannot participate in Group B
  • Do not have use of a smartphone
  • Do not read, write, or speak English
  • Are unable and/or unwilling to provide informed consent
  • Have a diagnosis of an eating disorder
  • Have had bariatric surgery
  • Currently have deranged thyroid function tests (required as part of normal referral process)
  • Have type-1 diabetes
  • Are on insulin or sulfonylureas at high risk of hypoglycaemia

结局指标

主要结局

Percentage of weight change at 12 months

时间窗: Baseline and 12 months

Quality of Life as a measure to determine cost-effectiveness

时间窗: Baseline and 12 months

Quality of Life will be measured using the European Quality of Life 5 Dimensions 5 Level (EQ-5D-5L) questionnaire

次要结局

  • Patient reported outcomes - eating pattern(Baseline, 6 months, 12 months)
  • Feasibility of implementing the intervention into Tier 3 weight management pathways(Once)
  • Acceptability of implementing the intervention into Tier 3 weight management pathways(Once)
  • Uptake of the intervention(12 months)
  • Retention in the intervention programme(From enrolment until the end of the intervention at 12 months /withdrawal/dropout)
  • Success in the intervention programme(From enrolment until the end of the intervention at 12 months)
  • Economic measurements - Quality of Life Years(Baseline, 6 months, and 12 months)
  • Economics measurements - Resource Use(From enrolment to the end of the intervention at 12 months)
  • Economics measurements - Unit costs(From enrolment to end of intervention at 12 months)
  • Economics measurements - Costs between intervention group and standard care group(From enrolment to end of intervention at 12 months)
  • Patient reported outcomes - alcohol use(At Baseline, 6 months, and 12 months)
  • Patient reported outcomes - patient health(Baseline, 6 months, 12 months)
  • Patient reported outcomes - binge eating(Baseline)
  • Patient reported outcomes - physical activity(Baseline if required per clinician assessment)
  • Sub-group analyses- Use of glucagon-like peptide (GLP-1) agonists(From enrolment until the end of intervention at 12 months)
  • Sub-group analyses - Adherence(From enrolment until drop-out, withdrawal, or end of intervention at 12 months)
  • Sub-group analyses - Comorbidities(From enrolment until end of intervention at 12 months)
  • Sub-group analyses - Social demographics(At enrolment)
  • Clinical measures - height(Baseline)
  • Clinical measures - blood pressure(Baseline, 6 months, and 12 months)
  • Clinical measures - Body Mass Index(Baseline, 6 months, and 12 months)
  • Clinical Measures - waist circumference(Baseline, 6 months, 12 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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