{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T02:31:19Z","timestamp":1788316279828,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,1,21]],"date-time":"2023-01-21T00:00:00Z","timestamp":1674259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess weight change in the Healthier You: NHS Diabetes Prevention Programme (NHS DPP) delivered via video conferencing (remote) sessions or delivered via specific digital interventions through apps or websites, during the COVID\u201019 pandemic compared to group\u2010based face\u2010to\u2010face interventions, pre\u2010pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospectively collected national service\u2010level data relating to individuals with non\u2010diabetic hyperglycaemia (HbA<jats:sub>1c<\/jats:sub> 42\u201347\u2009mmol\/mol (6.0%\u20136.4%) or fasting plasma glucose 5.5\u20136.9\u2009mmol\/L) referred to the NHS DPP from June 2016 to March 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between March 2020 and March 2022, 335,961 people were referred to the programme and were offered a choice of remote or digital intervention. This was preceded by 556,793 people referred to the face\u2010to\u2010face programme between June 2016 and February 2022. Uptakes to intervention sessions were 47% for those offered a choice and 39% for face\u2010to\u2010face. Remote and digital participants were significantly younger (60 and 56 vs. 65\u2009years) and heavier (86.1\u00a0kg and 91.0\u00a0kg vs. 84.1\u00a0kg) compared to face\u2010to\u2010face. Weight change was assessed for 42,407 remote, 7699 digital and 97,205 face\u2010to\u2010face participants with sufficient time to have finished the programme and no missing data. Mean weight losses for participants attending at least one intervention session were: 2.40 (2.36\u20132.44) kg, 2.59 (2.49\u20132.68) kg and 2.01 (1.98\u20132.04) kg for remote, digital and face\u2010to\u2010face participants respectively. Corresponding mean weight losses for those who completed the programme were: 3.24 (3.19\u20133.30) kg, 4.76 (4.60\u20134.92) kg and 3.04 (3.00\u20133.07) kg. There were no significant differences in weight change between interventions by ethnicity and deprivation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Weight losses achieved through remote and digital interventions were greater than those previously achieved through face\u2010to\u2010face interventions, without evidence of exacerbation of health inequalities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.15028","type":"journal-article","created":{"date-parts":[[2022,12,16]],"date-time":"2022-12-16T12:40:09Z","timestamp":1671194409000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Effectiveness of digital and remote provision of the Healthier You: <scp>NHS<\/scp> Diabetes Prevention Programme during the <scp>COVID<\/scp>\u201019 pandemic"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6257-9044","authenticated-orcid":false,"given":"Emma","family":"Barron","sequence":"first","affiliation":[{"name":"NHS England  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominque","family":"Bradley","sequence":"additional","affiliation":[{"name":"NHS England  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soraya","family":"Safazadeh","sequence":"additional","affiliation":[{"name":"NHS England  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"McGough","sequence":"additional","affiliation":[{"name":"NHS England  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chirag","family":"Bakhai","sequence":"additional","affiliation":[{"name":"NHS England  London UK"},{"name":"Bedfordshire, Luton and Milton Keynes Integrated Care Board  Luton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bob","family":"Young","sequence":"additional","affiliation":[{"name":"Diabetes UK  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2343-7099","authenticated-orcid":false,"given":"Kamlesh","family":"Khunti","sequence":"additional","affiliation":[{"name":"Diabetes Research Centre University of Leicester  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Murray","sequence":"additional","affiliation":[{"name":"Research Department of Primary Care and Population Health University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Wareham","sequence":"additional","affiliation":[{"name":"MRC Epidemiology Unit Institute of Metabolic Science, University of Cambridge  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Jebb","sequence":"additional","affiliation":[{"name":"Nuffield Department of Primary Care Health Science University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Valabhji","sequence":"additional","affiliation":[{"name":"NHS England  London UK"},{"name":"Department of Diabetes and Endocrinology, St Mary's Hospital, Imperial College Healthcare NHS Trust  London UK"},{"name":"Division of Metabolism, Digestion and Reproduction, Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc19-1425"},{"key":"e_1_2_11_3_1","unstructured":"ParkinsonB MCManusE MeacockR;M Sutton Health Organisation Politics and Economics (HOPE) research group.The effectiveness of the NHS Diabetes Prevention Programme at reducing type 2 diabetes incidence amongst people with non\u2010diabetic hyperglycaemia.10.1111\/dme.14809"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2021-002736"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e4624"},{"key":"e_1_2_11_6_1","unstructured":"English Indices of deprivation.2019. 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