ArticleDigital health
Effectiveness of a specified physiotherapy-led tier 2 eHealth weight management programme in a multi-ethnic cohort: A cross-sectional study.
Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Tier 2 multi-component lifestyle interventions are integral to the National Health Service weight management pathway. While eHealth delivery may increase accessibility of these interventions many digital programmes lack specificity and repeatability, making it challenging to evaluate which components are most effective. Objective: This study reports on a tier 2 eHealth weight management intervention, designed using the rehabilitation treatment specification system (RTSS), delivered in an ethnically diverse population. Methods: The tier 2 eHealth intervention was developed using the RTSS, which includes treatment components containing three elements of treatment theory: a target, a mechanism of action and ingredients. Participants (≥18 years) had body mass index >30 or >27.5 kg/m Results: Of 579 enrolled participants, outcome data were available for 322. Programme completion rate was 45%. Forty per cent of the programme completers lost ≥3% of weight (9.2 ± 11.3 kg (10%)), and 27% lost ≥5% (-11.8 ± 13 kg (12.4%)). Improvements in secondary outcomes were observed across ethnic and deprivation groups. Conclusion: Programme completion for this tier 2 eHealth intervention was below the recommended levels but is consistent with the literature. Weight and behavioural improvements were observed across ethnicities and deprivation levels. The RTSS-based intervention provides a replicable framework that enhances intervention fidelity, supports evaluation and informs future programme development. Further research is needed to optimize completion rates to improve outcomes.
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