Evidence map›Paper›PMID 41565327›Full record

Observational studyBMJ open2026

Using real-world evidence to evaluate the long-term health and economic impact of the digital tool Grohealth W8Buddy supporting access to specialist weight management services: a protocol for a cohort observational study.

Pranay Singh Deo, Amy Grove, Mengxi Zhang, Keith R Abrams, Peter Auguste, Thomas M Barber, Tracy Gazeley, Richard Green, Frances Griffiths, Jonathan Hazlehurst and 12 more

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

22 authors.

Pranay Singh DeoWarwick Medical School, University of Warwick, Coventry, UK.ORCID http://orcid.org/0000-0001-5704-036X
Amy GroveUniversity of Birmingham, Birmingham, UK.
Mengxi ZhangWarwick Medical School, University of Warwick, Coventry, UK.ORCID http://orcid.org/0000-0002-2815-1391
Keith R AbramsDepartment of Statistics, University of Warwick, Coventry, UK.
Peter AugusteSchool of Social Policy and Society, University of Birmingham, Birmingham, UK.
Thomas M BarberWarwick Medical School, University of Warwick, Coventry, UK.ORCID http://orcid.org/0000-0003-0689-9195
Tracy GazeleyUniversity Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Richard GreenUniversity Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Frances GriffithsWarwick Medical School, University of Warwick, Coventry, UK.ORCID http://orcid.org/0000-0002-4173-1438
Jonathan HazlehurstUniversity of Birmingham, Birmingham, UK.
Siew Wan HeeWarwick Medical School, University of Warwick, Coventry, UK.ORCID http://orcid.org/0000-0002-0415-263X
Amit KauraFaculty of medicine, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-6962-3199
Akhila MallipedhiHywel Dda Health Board, Carmarthen, UK.
Sarah O'TooleUniversity Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Arjun PanesarDDM Health, Coventry, UK.ORCID http://orcid.org/0000-0001-7050-9038
Nicholas ParsonsWarwick Medical School, University of Warwick, Coventry, UK.
Emma ScottWarwick Medical School, University of Warwick, Coventry, UK.
Charlotte SummersDDM Health, Coventry, UK.
Manreet ThindUniversity Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Marie ThorpeWarwick Medical School, University of Warwick, Coventry, UK.
Anjali ZalinBedfordshire Hospitals NHS Foundation Trust, Luton, UK.
Petra HansonWarwick Medical School, University of Warwick, Coventry, UK petra.hanson.1@warwick.ac.uk.ORCID http://orcid.org/0000-0002-6845-1049

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObesity affects over a quarter of the UK population and can lead to serious health issues. NHS Specialist Weight Management Services (WMS) offer treatments including lifestyle advice, psychological support and medications, but access and availability vary by region. Although around 4 million people could be eligible for NHS Specialist WMS annually, capacity is limited to 35 000, severely limiting overall access for those who need it. While digital technology has started to be used in WMS, more evidence is needed to confirm its long-term effectiveness, acceptability and cost-effectiveness. This study explores the use of Gro Health W8Buddy, a digital platform and app providing remote Specialist WMS. It aims to determine the long-term health benefits of remote WMS pathway Gro Health W8Buddy compared with standard NHS WMS delivered in hospitals, and to improve patients access to services. METHODS AND ANALYSIS: The study is a real-world evaluation with observational data collection. We will recruit 450 study participants from four NHS specialist WMS who will choose either standard NHS WMS or the digital pathway Gro Health W8Buddy. Participants are being given the option to choose their pathway to generate real-world evidence. We will measure and analyse health outcomes including weight loss, time taken to be treated and cost-effectiveness, at 18 months and follow up at 24 months for later analysis (outside of this core funding). We will gather experiential data from patients and healthcare professionals through surveys, observation and interviews. ETHICS AND DISSEMINATION: Ethical approval has been obtained from NHS Health Research Authority (HRA) and Health and Care Research Wales (HCRW) (Supplementary Figure 3) (REC reference: 25/EM/0147). Our findings will be disseminated through academic publications, conference presentations and stakeholder engagement.

trial registrationISRCTN89168871; Pre-results.

Indexed as

Health Services AccessibilityMobile ApplicationsObesityWeight Reduction ProgramsCost-Benefit AnalysisDigital HealthHumansResearch DesignState MedicineTelemedicineUnited KingdomClinical ProtocolsDigital TechnologyMobile ApplicationsObesity

Identifiers

PMID41565327
PMCPMC12853449

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.