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Reducing overweight and obesity is critical in tackling chronic diseases, as they are the primary risk factors for many chronic diseases. However, adherence to lifestyle interventions is low. Patient empowerment is strongly associated with improving adherence. Despite the potential of digital health to support the empowerment process, there is a lack of design knowledge for such systems that span multiple iterations of patient self-management and consultations. Such knowledge is essential as chronic diseases are iterative in nature and require continuous care. This study reports on a research-through-design project that aimed to improve adherence to treatment with the Digital Companion. The Digital Companion is an integrated system that facilitates the empowerment process by activating patients to participate in patient-centered consultations. We evaluate the Digital Companion in a naturalistic and formative evaluation. 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