Evidence map›Paper›PMID 38110926›Full record

ArticleBMC health services research2023

The effectiveness of digital delivery versus group-based face-to-face delivery of the English National Health Service Type 2 Diabetes Prevention Programme: a non-inferiority retrospective cohort comparison study.

Antonia M Marsden, Mark Hann, Emma Barron, Ben McGough, Elizabeth Murray, Jonathan Valabhji, Sarah Cotterill

Abstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Cost-effectiveness of implementing the National Health Service England Diabetes Prevention Programme in Canada: a modelling study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  2. Building diabetes prevention and remission programs across Canada: learning from England.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Antonia M MarsdenCentre for Biostatistics, School of Health Sciences, University of Manchester, Oxford Road, Manchester, M13 9PL, UK. antonia.marsden@manchester.ac.uk.
Mark HannCentre for Primary Care and Health Services Research, School of Health Sciences, University of Manchester, Manchester, UK.
Emma BarronNHS England, London, UK.
Ben McGoughNHS England, London, UK.
Elizabeth MurrayInstitute of Epidemiology & Health Care, University College London, London, UK.
Jonathan ValabhjiNHS England, London, UK.
Sarah CotterillCentre for Biostatistics, School of Health Sciences, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.

Funding

National Institute for Health and Care Research 16/48/07
6 · The paper itself

Abstract

backgroundFace-to-face group-based diabetes prevention programmes have been shown to be effective in many settings. Digital delivery may suit some patients, but research comparing the effectiveness of digital with face-to-face delivery is scarce. The aim was to assess if digital delivery of the English National Health Service Diabetes Prevention Programme (NHS DPP) is non-inferior to group-based face-to-face delivery in terms of weight change, and evaluate factors associated with differential change.

methodsThe study included those recruited to the NHS DPP in 2017-2018. Individual-level data from a face-to-face cohort was compared to two cohorts on a digital pilot who (i) were offered no choice of delivery mode, or (ii) chose digital over face-to-face. Changes in weight at 6 and 12 months were analysed using mixed effects linear regression, having matched participants from the digital pilot to similar participants from face-to-face.

resultsWeight change on the digital pilot was non-inferior to face-to-face at both time points: it was similar in the comparison of those with no choice (difference in weight change: -0.284 kg [95% CI: -0.712, 0.144] at 6 months) and greater in digital when participants were offered a choice (-1.165 kg [95% CI: -1.841, -0.489]). Interactions between delivery mode and sex, ethnicity, age and deprivation were observed.

conclusionsDigital delivery of the NHS DPP achieved weight loss at least as good as face-to-face. Patients who were offered a choice and opted for digital experienced better weight loss, compared to patients offered face-to-face only.

Indexed as

Diabetes Mellitus, Type 2State MedicineHumansRetrospective StudiesWeight LossCohortDigitalFace-to-faceHealthy eatingMatchingNon inferiorityPreventionSelf-managementType 2 DiabetesWeight

Identifiers

PMID38110926
PMCPMC10729322

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.