A randomised controlled trial to test the clinical and cost-effectiveness of primary care referral to a commercial weight loss provider.
Lead Research Organisation:
MRC Human Nutrition Research
Abstract
Overweight and obesity is a serious public health issue due to its high prevalence and association with illnesses, such as Type II diabetes, heart disease and cancer. Early treatment and prevention are important if we are to reduce the health problems associated with excess weight, but there are few treatments available through the National Health Service (NHS) and those that are available can be very costly when we consider the number of people requiring treatment. It is in the interests of the NHS to offer (cost-effective) weight loss treatment options, as they spend £4.2 billion each year on treating illness related to overweight and obesity. The cost to the wider community is estimated at £16 billion. This study seeks to examine one of the treatment options currently available on the NHS - referral to a commercial weight loss treatment provider - and to establish whether this treatment option is cost-effective in helping people to lose weight and keep it off.
Previous research has shown that referring a patient for 12 sessions with a commercial weight loss provider can produce an amount of weight loss which has significant health benefits. These referral packages are offered to the NHS at a discounted price, however no studies have formally evaluated the cost-effectiveness of this approach. This study will examine whether the money spent on treatment is worthwhile when we consider the effect of improved health for patients and also potential cost savings on treatments for weight-related illness. But weight regain is common after weight loss treatment stops and it may be that 12 weeks is not long enough to develop long term changes in behaviour. It is not hard to imagine that a 12 month referral could lead to greater weight loss and more long term changes than a 12 week programme, and that this could mean less weight regain. However, the likely increased effect will come at a higher cost, leaving the question 'What is the more cost-effective option?'. This is precisely what this study seeks to examine. We also want to uderstand more about the patient experience of weight loss treatment. Previous research has shown that many adults with overweight and obesity do not consider this to be a medical problem and this may influence their attitudes to receiving treatment through the NHS. By improving our understanding of attitudes and experience of treatment, we can improve the way weight management is provided by the NHS.
In our trial, 1200 adults with overweight and obesity will be identified by their GP and recruited by the research team. The research team will randomly assign participants to one of three treatment groups - a 12 session referral to a commercial provider, a 12 month referral to a commercial provider, or a 'brief intervention' (standard information about how to lose weight and weighing at follow up). We will follow participants up at 3 months, 12 months and 24 months (1 year after treatment has finished) to compare the amount of weight lost by participants in each group. We will also look at how many participants in each group lose an amount of weight that is associated with significant health improvements. We will use this and other data collected during the trial to examine which treatment option offers the best value for money. This will be examined over the short term (the duration of the trial) and the longer term, using long term modelling of anticipated health changes and associated costs. We will also interview a subset of participants to gain a more holistic view of the patient experience and to explore their attitudes to weight loss treatment and NHS-commercial partnerships.
This research will provide important information to GPs and NHS treatment commissioners about which treatment option is most effective and which offers best value for money. Trial results and findings from interviews will help inform future decisions about NHS-commercial partnership
Previous research has shown that referring a patient for 12 sessions with a commercial weight loss provider can produce an amount of weight loss which has significant health benefits. These referral packages are offered to the NHS at a discounted price, however no studies have formally evaluated the cost-effectiveness of this approach. This study will examine whether the money spent on treatment is worthwhile when we consider the effect of improved health for patients and also potential cost savings on treatments for weight-related illness. But weight regain is common after weight loss treatment stops and it may be that 12 weeks is not long enough to develop long term changes in behaviour. It is not hard to imagine that a 12 month referral could lead to greater weight loss and more long term changes than a 12 week programme, and that this could mean less weight regain. However, the likely increased effect will come at a higher cost, leaving the question 'What is the more cost-effective option?'. This is precisely what this study seeks to examine. We also want to uderstand more about the patient experience of weight loss treatment. Previous research has shown that many adults with overweight and obesity do not consider this to be a medical problem and this may influence their attitudes to receiving treatment through the NHS. By improving our understanding of attitudes and experience of treatment, we can improve the way weight management is provided by the NHS.
In our trial, 1200 adults with overweight and obesity will be identified by their GP and recruited by the research team. The research team will randomly assign participants to one of three treatment groups - a 12 session referral to a commercial provider, a 12 month referral to a commercial provider, or a 'brief intervention' (standard information about how to lose weight and weighing at follow up). We will follow participants up at 3 months, 12 months and 24 months (1 year after treatment has finished) to compare the amount of weight lost by participants in each group. We will also look at how many participants in each group lose an amount of weight that is associated with significant health improvements. We will use this and other data collected during the trial to examine which treatment option offers the best value for money. This will be examined over the short term (the duration of the trial) and the longer term, using long term modelling of anticipated health changes and associated costs. We will also interview a subset of participants to gain a more holistic view of the patient experience and to explore their attitudes to weight loss treatment and NHS-commercial partnerships.
This research will provide important information to GPs and NHS treatment commissioners about which treatment option is most effective and which offers best value for money. Trial results and findings from interviews will help inform future decisions about NHS-commercial partnership
Technical Summary
The prevalence of adult overweight and obesity and the associated burden of disease put increasing pressure on NHS resources. There is urgent need for treatment options that are clinically and cost-effective and deliverable at scale in primary care. Recent trials demonstrate the acceptability and short term efficacy of primary care referral to a commercial weight loss provider. NHS commissioners now need information on the optimal duration of intervention and the longer term outcomes and cost effectiveness of such treatment to give best value for money. The proposed 2 year randomised controlled trial will evaluate the clinical and cost effectiveness of 3 weight loss interventions that can be delivered in primary care (referral to a commercial weight loss provider (Weight Watchers; WW) for 12 weeks; referral to WW for 12 months; or a brief intervention that consists of standard information and periodic weighing with feedback). Participants will be 1200 adults (BMI >28kg/m2; Age>18years) identified by their GP as likely to benefit from weight loss. Participants attend assessments with the research team at 0, 3, 12 and 24 months. Main outcomes for evaluation of clinical effectiveness will be changes in weight, fat mass, and blood pressure, and the primary analysis will be an intention to treat analysis of differences between treatments. Secondary analyses will include a completers only analysis and the proportion of all participants and completers losing 5% or more of initial weight. Data will also be collected on quality of life and health care usage over the two year period to evaluate cost-effectiveness. A within-trial and long term cost-effectiveness analysis will be conducted from an NHS perspective. Qualitative methods will be used to examine experiences of patients and practitioners involved in the trial and their attitudes to NHS partnerships with the commercial sector. Findings will help practitioners and commissioners make decisions about treatment provision.
Planned Impact
It is anticipated that by improving the evidence base for primary care weight loss treatment, findings will help improve weight loss treatment provision in the UK NHS, thus having a direct benefit for patient and population health and quality of life. The impact of this study is not limited to the UK. Overweight and obesity is a global problem and these data will also inform international interest in obesity treatment provision and contribute to the UK role as a leader in obesity treatment and primary health care research. However, NHS commissioners will benefit from robust evidence on the effectiveness and cost-effectiveness of commercial weight loss treatment, enabling them to make better informed decisions about treatment provision and the allocation of resources. The trial should also inform debate about the nature of NHS-commercial partnerships at a national level and will be relevant to discussions around the Government Responsibility Deal for public health. Practitioners will benefit from better evidence on which to base treatment decisions, and in time will perhaps benefit from better choice and availabity of treatment options and referral pathways. Findings should also illuminate the optimal implementation of treatment provision. Disseminating the findings of this study will provide opportunities to open up a dialogue with the public on the role of health professionals and commercial providers in weight management.
The commercial treatment provider involved in the research may benefit from heightened profile and increased business through the NHS. Other commercial treatment providers may also benefit from a stronger evidence base for commercial referral and findings could potentially increase collaborative relationships with the National Health Service. We hope that this trial will strengthen the precedent for robust, independent evaluation of commercial programmes, encouraging responsible involvement of commercial companies in scientific research.
The research team will all benefit from the opportunity to collaborate on this research and share knowledge and expertise across research centres. Involvement in the trial will offer a platform for developing new interdisciplinary research networks, with the intention that these will lead to further research collaborations. This grant will specifically improve the career trajectories of the Principal Investigator and the Trial Manager. The Principal Investigator has experience of running similar trials and coordinating scientific studies. As PI on this grant she will be able to formally demonstrate her abilities as an independent researcher, with mentoring from Dr Jebb as line manager and coapplicant. The Trial Manager has received considerable training in the necessary skills of trial management and already has some experience of trial management. This study will provide a challenging but nurturing environment in which to put these skills into practice and give her the experience and further training/mentoring needed for her to progress to the next grade and make a transition from research support to trial manager.
The commercial treatment provider involved in the research may benefit from heightened profile and increased business through the NHS. Other commercial treatment providers may also benefit from a stronger evidence base for commercial referral and findings could potentially increase collaborative relationships with the National Health Service. We hope that this trial will strengthen the precedent for robust, independent evaluation of commercial programmes, encouraging responsible involvement of commercial companies in scientific research.
The research team will all benefit from the opportunity to collaborate on this research and share knowledge and expertise across research centres. Involvement in the trial will offer a platform for developing new interdisciplinary research networks, with the intention that these will lead to further research collaborations. This grant will specifically improve the career trajectories of the Principal Investigator and the Trial Manager. The Principal Investigator has experience of running similar trials and coordinating scientific studies. As PI on this grant she will be able to formally demonstrate her abilities as an independent researcher, with mentoring from Dr Jebb as line manager and coapplicant. The Trial Manager has received considerable training in the necessary skills of trial management and already has some experience of trial management. This study will provide a challenging but nurturing environment in which to put these skills into practice and give her the experience and further training/mentoring needed for her to progress to the next grade and make a transition from research support to trial manager.
Organisations
- MRC Human Nutrition Research (Lead Research Organisation)
- ASTON UNIVERSITY (Collaboration)
- University of Sheffield (Collaboration)
- North Norfolk Clinical Commissioning Group (Collaboration)
- Weight Watchers International (Collaboration)
- Birkbeck, University of London (Collaboration)
- UNIVERSITY OF LEEDS (Collaboration)
- National Institute for Health Research (Collaboration)
- Cambridgeshire and Peterborough Clinical Commissioning Group (Collaboration)
- Cambridgeshire and Peterborough NHS Foundation Trust (Project Partner)
- Weight Watchers International, Inc. (Project Partner)
People |
ORCID iD |
Publications
Mead BR
(2021)
Associations between hedonic hunger and BMI during a two-year behavioural weight loss trial.
in PloS one
Jebb S
(2018)
British Nutrition Foundation Annual Lecture 2017 - Diet, obesity and cardiovascular risk
in Nutrition Bulletin
Bates S
(2024)
Cross-model validation of public health microsimulation models; comparing two models on estimated effects of a weight management intervention
in BMC Public Health
Morris E
(2021)
Effect of weight loss on cardiometabolic risk: observational analysis of two randomised controlled trials of community weight-loss programmes.
in The British journal of general practice : the journal of the Royal College of General Practitioners
Allen JT
(2015)
Experiences of a commercial weight-loss programme after primary care referral: a qualitative study.
in The British journal of general practice : the journal of the Royal College of General Practitioners
Ahern AL
(2017)
Extended and standard duration weight-loss programme referrals for adults in primary care (WRAP): a randomised controlled trial.
in Lancet (London, England)
Description | Briefing for DH Permanent Secretary |
Geographic Reach | National |
Policy Influence Type | Implementation circular/rapid advice/letter to e.g. Ministry of Health |
Impact | Informed development of government obesity strategy |
Description | Citation in Cochrane Review on low carb vs balanced diet |
Geographic Reach | Multiple continents/international |
Policy Influence Type | Citation in systematic reviews |
Description | Citation in systematic review on impact of behavioural weight management interventions on mental health |
Geographic Reach | Multiple continents/international |
Policy Influence Type | Citation in systematic reviews |
Impact | This study was included in a comprehensive systematic review and meta-analysis of the impact of weight management interventions on mental health, which challenges perceived wisdom that these interventions harm mental health. |
Description | Citation in systematic review on weight gain after behavioural programme |
Geographic Reach | Multiple continents/international |
Policy Influence Type | Citation in systematic reviews |
Description | Developing PHE guidelines |
Geographic Reach | National |
Policy Influence Type | Membership of a guideline committee |
URL | https://www.gov.uk/government/publications/adult-weight-management-a-guide-to-brief-interventions |
Description | EASO Obesity Management Task Force Teaching Course, Malta |
Geographic Reach | Europe |
Policy Influence Type | Influenced training of practitioners or researchers |
Impact | Training on weight management for 75 healthcare professionals (multi-disciplinary) and commissioners (Day 1) and 30 General Practitioners (Day 2) based on research from the WRAP trial. |
Description | Evidence/ Interview for NIHR Dissemination Centre |
Geographic Reach | National |
Policy Influence Type | Influenced training of practitioners or researchers |
URL | http://www.dc.nihr.ac.uk/highlights-and-reviews/obesity-in-men/feature-pages/what-motivates-men-to-l... |
Description | Input into weight management components of NHS Long Term Plan |
Geographic Reach | National |
Policy Influence Type | Implementation circular/rapid advice/letter to e.g. Ministry of Health |
Impact | NHS has committed to a pilot project of Total Diet Replacement Programmes for people with diabetes based in part on our research NHS has committed to expansion of behavioural weight management services for people with diabetes and hypertension, based in part on our research |
Description | Invited lecture and round table discussion with Department of Health, Canberra, Australia |
Geographic Reach | Australia |
Policy Influence Type | Implementation circular/rapid advice/letter to e.g. Ministry of Health |
Impact | Consideration given to possibility of implementing new schemes to offer behavioural weight management interventions as central part of new chronic disease management pathway |
Description | National Diabetes Prevention programme Advisory Group |
Geographic Reach | National |
Policy Influence Type | Participation in a guidance/advisory committee |
Impact | Design of the National Diabetes Prevention programme and oversight/guidance during implementation |
Description | No 10 Round-table on obesity |
Geographic Reach | National |
Policy Influence Type | Implementation circular/rapid advice/letter to e.g. Ministry of Health |
Impact | Discussions informed development of obesity strategy |
Description | PHE Obesity Priority Programme Board |
Geographic Reach | National |
Policy Influence Type | Participation in a guidance/advisory committee |
Impact | Advice on the implementation of the national obesity strategy/plan |
Description | PHE guidance on Uptake and retention in group-based weight-management services |
Geographic Reach | National |
Policy Influence Type | Citation in systematic reviews |
Impact | Papers from the WRAP trial provided evidence for PHE for the guideline: "Uptake and retention in group-based weight-management services", a literature review and behavioural analysis designed to identify how weight management programmes can maximise uptake and retention. |
URL | https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/7259... |
Description | Public Health England Obesity Review Board |
Geographic Reach | National |
Policy Influence Type | Implementation circular/rapid advice/letter to e.g. Ministry of Health |
Description | Systematic review and meta-analysis of group-based weight loss interventions (Borek et al. 2018) |
Geographic Reach | Multiple continents/international |
Policy Influence Type | Citation in systematic reviews |
Description | The Queen's Lecture for the British Council |
Geographic Reach | Multiple continents/international |
Policy Influence Type | Participation in a guidance/advisory committee |
Guideline Title | Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions |
Description | USPSTF Guidance: Preventing Obesity-Related Morbidity and Mortality |
Geographic Reach | North America |
Policy Influence Type | Citation in clinical guidelines |
URL | https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/obesity-in-adults-int... |
Description | Funding for collection and analysis of blood samples |
Amount | £186,000 (GBP) |
Organisation | Weight Watchers International |
Sector | Private |
Country | United Kingdom |
Start | 08/2013 |
End | 09/2015 |
Description | Liverpool Industry CASE Studentship |
Amount | £60,000 (GBP) |
Organisation | Science and Technologies Facilities Council (STFC) |
Department | Industrial Case Studentship |
Sector | Public |
Country | United Kingdom |
Start | 09/2012 |
End | 09/2015 |
Description | NIHR Biomedical Research Centre- theme on Diet and Obesity |
Amount | £4,500,000 (GBP) |
Organisation | National Institute for Health Research |
Sector | Public |
Country | United Kingdom |
Start | 03/2017 |
End | 03/2022 |
Description | NIHR Programme Grant for Applied Research |
Amount | £1,984,164 (GBP) |
Funding ID | RP-PG-0216-20010 |
Organisation | National Institute for Health Research |
Sector | Public |
Country | United Kingdom |
Start | 09/2017 |
End | 03/2022 |
Description | Wellcome Trust PhD Programme for Primary Care Clinicians |
Amount | £256,000 (GBP) |
Funding ID | 203921/z/16/z |
Organisation | Wellcome Trust |
Sector | Charity/Non Profit |
Country | United Kingdom |
Start | 09/2019 |
End | 09/2024 |
Description | EMA CASE Studentship (Liverpool) |
Organisation | Birkbeck, University of London |
Department | Department of Psychological Sciences |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Contribution to study design and funding application. Co-supervision of student. |
Collaborator Contribution | Led study design and funding application. Primary supervision of student. |
Impact | NWDTC ESRC CASE Studentship at University of Liverpool. |
Start Year | 2013 |
Description | RESOLVE (REalist Synthesis Of non-pharmacologicaL interVEntions for antipsychotic-induced weight gain in people living with Severe Mental Illness |
Organisation | Aston University |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | AA will provide expertise in behavioural weight management interventions |
Collaborator Contribution | Aston University will lead this collaboration |
Impact | Protocol for the REalist Synthesis Of non-pharmacologicaL interVEntions for antipsychotic-induced weight gain (RESOLVE) in people living with Severe Mental Illness https://doi.org/10.21203/rs.3.rs-936580/v1 Multidisciplinary: pharmacy, psychology, primary care, social science |
Start Year | 2021 |
Description | Scalable Behavioural Weight Management Interventions for Diabetes |
Organisation | Cambridgeshire and Peterborough Clinical Commissioning Group |
Country | United Kingdom |
Sector | Public |
PI Contribution | Led the development of a 5-year programme of research on the development and evaluation of scalable behavioural interventions for the prevention and treatment of diabetes. |
Collaborator Contribution | University of Leeds contributed expertise on the development of weight management interventions. The University of Sheffield (ScHARR) led the development on the economic modelling component of this programme of research. Weight Watchers International will provide a diabetes education and weight management programme for 288 participants at no cost (in kind contribution of ~£65,000). Cambridgeshire and Peterborough CCG will support recruitment of participants and the collection of data, delivery of control interventions, and patient and stakeholder engagement. NHS North Norfolk CCG will support patient and public engagement and stakeholder engagement. NIHR CRN Eastern will support the delivery of the trial and provide research nurses for data collection. Some of this will be provided via NHS service support costs (estimated £18,000). |
Impact | NIHR PGfAR award RP-PG-0216-20010. Multidisciplinary - Psychology, Health Economics, Epidemiology, Sociology, Epidemiology, Statistics, General Practice Medicine |
Start Year | 2016 |
Description | Scalable Behavioural Weight Management Interventions for Diabetes |
Organisation | National Institute for Health Research |
Department | NIHR Clinical Research Network Eastern |
Country | United Kingdom |
Sector | Public |
PI Contribution | Led the development of a 5-year programme of research on the development and evaluation of scalable behavioural interventions for the prevention and treatment of diabetes. |
Collaborator Contribution | University of Leeds contributed expertise on the development of weight management interventions. The University of Sheffield (ScHARR) led the development on the economic modelling component of this programme of research. Weight Watchers International will provide a diabetes education and weight management programme for 288 participants at no cost (in kind contribution of ~£65,000). Cambridgeshire and Peterborough CCG will support recruitment of participants and the collection of data, delivery of control interventions, and patient and stakeholder engagement. NHS North Norfolk CCG will support patient and public engagement and stakeholder engagement. NIHR CRN Eastern will support the delivery of the trial and provide research nurses for data collection. Some of this will be provided via NHS service support costs (estimated £18,000). |
Impact | NIHR PGfAR award RP-PG-0216-20010. Multidisciplinary - Psychology, Health Economics, Epidemiology, Sociology, Epidemiology, Statistics, General Practice Medicine |
Start Year | 2016 |
Description | Scalable Behavioural Weight Management Interventions for Diabetes |
Organisation | North Norfolk Clinical Commissioning Group |
Country | United Kingdom |
Sector | Public |
PI Contribution | Led the development of a 5-year programme of research on the development and evaluation of scalable behavioural interventions for the prevention and treatment of diabetes. |
Collaborator Contribution | University of Leeds contributed expertise on the development of weight management interventions. The University of Sheffield (ScHARR) led the development on the economic modelling component of this programme of research. Weight Watchers International will provide a diabetes education and weight management programme for 288 participants at no cost (in kind contribution of ~£65,000). Cambridgeshire and Peterborough CCG will support recruitment of participants and the collection of data, delivery of control interventions, and patient and stakeholder engagement. NHS North Norfolk CCG will support patient and public engagement and stakeholder engagement. NIHR CRN Eastern will support the delivery of the trial and provide research nurses for data collection. Some of this will be provided via NHS service support costs (estimated £18,000). |
Impact | NIHR PGfAR award RP-PG-0216-20010. Multidisciplinary - Psychology, Health Economics, Epidemiology, Sociology, Epidemiology, Statistics, General Practice Medicine |
Start Year | 2016 |
Description | Scalable Behavioural Weight Management Interventions for Diabetes |
Organisation | University of Leeds |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Led the development of a 5-year programme of research on the development and evaluation of scalable behavioural interventions for the prevention and treatment of diabetes. |
Collaborator Contribution | University of Leeds contributed expertise on the development of weight management interventions. The University of Sheffield (ScHARR) led the development on the economic modelling component of this programme of research. Weight Watchers International will provide a diabetes education and weight management programme for 288 participants at no cost (in kind contribution of ~£65,000). Cambridgeshire and Peterborough CCG will support recruitment of participants and the collection of data, delivery of control interventions, and patient and stakeholder engagement. NHS North Norfolk CCG will support patient and public engagement and stakeholder engagement. NIHR CRN Eastern will support the delivery of the trial and provide research nurses for data collection. Some of this will be provided via NHS service support costs (estimated £18,000). |
Impact | NIHR PGfAR award RP-PG-0216-20010. Multidisciplinary - Psychology, Health Economics, Epidemiology, Sociology, Epidemiology, Statistics, General Practice Medicine |
Start Year | 2016 |
Description | Scalable Behavioural Weight Management Interventions for Diabetes |
Organisation | University of Sheffield |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Led the development of a 5-year programme of research on the development and evaluation of scalable behavioural interventions for the prevention and treatment of diabetes. |
Collaborator Contribution | University of Leeds contributed expertise on the development of weight management interventions. The University of Sheffield (ScHARR) led the development on the economic modelling component of this programme of research. Weight Watchers International will provide a diabetes education and weight management programme for 288 participants at no cost (in kind contribution of ~£65,000). Cambridgeshire and Peterborough CCG will support recruitment of participants and the collection of data, delivery of control interventions, and patient and stakeholder engagement. NHS North Norfolk CCG will support patient and public engagement and stakeholder engagement. NIHR CRN Eastern will support the delivery of the trial and provide research nurses for data collection. Some of this will be provided via NHS service support costs (estimated £18,000). |
Impact | NIHR PGfAR award RP-PG-0216-20010. Multidisciplinary - Psychology, Health Economics, Epidemiology, Sociology, Epidemiology, Statistics, General Practice Medicine |
Start Year | 2016 |
Description | Scalable Behavioural Weight Management Interventions for Diabetes |
Organisation | Weight Watchers International |
Country | United Kingdom |
Sector | Private |
PI Contribution | Led the development of a 5-year programme of research on the development and evaluation of scalable behavioural interventions for the prevention and treatment of diabetes. |
Collaborator Contribution | University of Leeds contributed expertise on the development of weight management interventions. The University of Sheffield (ScHARR) led the development on the economic modelling component of this programme of research. Weight Watchers International will provide a diabetes education and weight management programme for 288 participants at no cost (in kind contribution of ~£65,000). Cambridgeshire and Peterborough CCG will support recruitment of participants and the collection of data, delivery of control interventions, and patient and stakeholder engagement. NHS North Norfolk CCG will support patient and public engagement and stakeholder engagement. NIHR CRN Eastern will support the delivery of the trial and provide research nurses for data collection. Some of this will be provided via NHS service support costs (estimated £18,000). |
Impact | NIHR PGfAR award RP-PG-0216-20010. Multidisciplinary - Psychology, Health Economics, Epidemiology, Sociology, Epidemiology, Statistics, General Practice Medicine |
Start Year | 2016 |
Description | Association for the Study of Obesity Annual Meeting |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Presentation of a series of studies including two NPRI funded projects about weight management in primary care. |
Year(s) Of Engagement Activity | 2016 |
Description | BBC Horizon Series: What's the Right Diet for You? |
Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Public/other audiences |
Results and Impact | BBC2 horizon Series - 3 x 1h episodes, later also shown on BBC Worldwide Accompanying e-book Webinar and Live post programme chat |
Year(s) Of Engagement Activity | 2015 |
URL | http://www.bbc.co.uk/programmes/p02ddsd9 |
Description | BBC World Service Nutrition Series |
Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Public/other audiences |
Results and Impact | Series of short interviews on variety of nutrition topics |
Year(s) Of Engagement Activity | 2016 |
Description | FDF Nutrition Committee |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Industry/Business |
Results and Impact | Presentation to the Food and Drink Federation Nutrition Committee (approx 15 companies) to communicate findings from a systematic review on portion size and obesity and to discuss actions which business might take to mitigate the risk from large portions |
Year(s) Of Engagement Activity | 2015 |
Description | General Practitioner Forums |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Regional |
Primary Audience | Professional Practitioners |
Results and Impact | Presentation of findings from the WRAP trial and plans for the GLoW trial at regional GP forums, in order to influence practice and engage them in future similar research. Each forum was attended by ~15 General Practitioners who asked questions and engaged with the findings and future plans. Resulted in increased understanding of trial findings, raised awareness of the effectiveness of commercial programmes to support weight management and diabetes reduction, and achieved buy in for future research in this area. |
Year(s) Of Engagement Activity | 2017,2018 |
Description | ITV Tonight: Childhood obesity programme |
Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Public/other audiences |
Results and Impact | Interview as part of 30 min prime-time programme |
Year(s) Of Engagement Activity | 2015 |
Description | Institute of Child Health Seminar series |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Professional Practitioners |
Results and Impact | Talk on weight management in primary care |
Year(s) Of Engagement Activity | 2014 |
Description | Keynote address at UK Society for Behavioural Medicine |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Other audiences |
Results and Impact | This was a keynote presentation to a key audience of colleagues who work in similar ways in which I described the mechanisms underlying the effect of the intervention on behaviour and what that tells us about treatment. |
Year(s) Of Engagement Activity | 2016 |
URL | https://www.kc-jones.co.uk/uksbm2016 |
Description | Lancet Podcast |
Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | Podcast interview for the Lancet. Increased engagement with the study among audio subscribers to the Lancet |
Year(s) Of Engagement Activity | 2017 |
URL | http://www.thelancet.com/pb-assets/Lancet/stories/audio/lancet/2017/03may.mp3 |
Description | Lecture to university medical group visiting from China: Treating obesity at scale to bring public health benefits |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | Lecture: Treating obesity at scale to bring public health benefits |
Year(s) Of Engagement Activity | 2019 |
Description | Lecture: Diet, obesity and health: from science to policy - Jenner Society |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Public/other audiences |
Results and Impact | Invited talk on our research and careers in science to Sixth Form science students |
Year(s) Of Engagement Activity | 2018 |
Description | Lecture: How to help your patients lose weight - Society for Endocrinology |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Invited lecture for Society for Endocrinology Clinical Update Influenced professional practice to encourage greater attention to weight management |
Year(s) Of Engagement Activity | 2018 |
Description | Lecture: Obesity - Brasenose Medical Society |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Professional Practitioners |
Results and Impact | Invited lecture. Fostered awareness of diet/health links, opportunities for intervention and role of practitioners |
Year(s) Of Engagement Activity | 2018 |
Description | Lecture: Treating obesity in routine healthcare settings - Malaysian ASO |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | Talk to University of Putra Malaysia for Association for the Study of Obesity. Student education. Raised profile of our research. Discussions on possible Newton funding collaborations. |
Year(s) Of Engagement Activity | 2018 |
Description | Liverpool Postgraduate Conference |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Postgraduate students |
Results and Impact | Invited Keynote presentation at Liverpool School of Psychology Postgraduate Research Student Conference, attended by 25 PhD canditates and supervisors. Led to questions and discussion about the research and attendees reported an increased interest in doing multi-disciplinary research in public health. Feedback from several students that presentation had inspired them to think about how their work could be applied to public health problems and to consider a career in applied research. |
Year(s) Of Engagement Activity | 2013 |
Description | NHS England South Central Medical Directorate Conference |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Regional |
Primary Audience | Professional Practitioners |
Results and Impact | Talk to present data on clinical and cost effectiveness of interventions to treat obesity |
Year(s) Of Engagement Activity | 2017 |
URL | http://tvscn.nhs.uk/wp-content/uploads/2017/01/Agenda-for-7-June-conference.pdf |
Description | North Oxford Rotary Club |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Public/other audiences |
Results and Impact | Lunchtime discussion about diet and health |
Year(s) Of Engagement Activity | 2016 |
Description | Oxford Brazil Diabetes Symposium |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | Talk on Weight Management in Primary Care |
Year(s) Of Engagement Activity | 2015 |
Description | Participant Newsletters |
Form Of Engagement Activity | A magazine, newsletter or online publication |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Study participants or study members |
Results and Impact | Participants are all sent newsletters which gave them more information about the trial, who was taking part, the trial team, the goals of the research, and preliminary results. This increased participant retention in the WRAP trial and encouraged participants to stay engaged in research. Participant retention in the WRAP trial increased and some participants attributed this to the newsletter. |
Year(s) Of Engagement Activity | 2013,2014,2015,2016 |
Description | Presentation at PCRN National Team Meeting |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | Yes |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Shared experience of recruitment phase of trial with PCRN members, GPs and practice staff from across the country as part of a workshop aimed at sharing best practice and improving service provision. Led to increased interest in participating in this type of research, and sharing of ideas to make it easier to conduct this type of research. Prompted considerable discussion on the challenges of conducting obesity research in primary care and what the PCRN might do to try and overcome such challenges. Several network members expressed interest in participating in this kind of research in the future. |
Year(s) Of Engagement Activity | 2013 |
Description | Presentation: 'Policy initiatives to tackle obesity in England' - Australian Government Obesity Summit |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Policymakers/politicians |
Results and Impact | Skype Presentation 'Policy initiatives to tackle obesity in England' to Australian Government Obesity Summit |
Year(s) Of Engagement Activity | 2019 |
Description | Presentation: Obesity policy in England - NSW Treasury |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Policymakers/politicians |
Results and Impact | Talk to NSW Treasury on obesity policies in UK. Informing NSW obesity strategy |
Year(s) Of Engagement Activity | 2018 |
Description | Presentation: Treating obesity - Oxford Women's Health Annual Study Day |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Professional Practitioners |
Results and Impact | Treating Obesity Presentation. Evalutation reported that some audience members planned to change their practice and offere weight management interventions. |
Year(s) Of Engagement Activity | 2018 |
Description | Presentation: What can doctors do to tackle obesity? - Somerville College |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Professional Practitioners |
Results and Impact | Presentation 'What can doctors do to tackle obesity? at Somerville College, Oxford |
Year(s) Of Engagement Activity | 2019 |
Description | Presentation: What's new in primary care trials - Society for Endocrinology - Obesity Update Conference 2018 |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Society for Endocrinology Obesity Update 2018 Conference |
Year(s) Of Engagement Activity | 2018 |
Description | Public Talk: NIHR BRC Oxford Public Lecture - Obesity Week - Is dieting worth it? - JR Hospital |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Public/other audiences |
Results and Impact | Public Talk for Obesity Week at JR Hospital. Stimulated public awareness of effective ways to lose weight. |
Year(s) Of Engagement Activity | 2018 |
Description | Radio Interview: Weight - Audible |
Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Public/other audiences |
Results and Impact | Radio interview as part of 6 part documentary series on Weight hosted by Dr Giles Yeo, Cambridge geneticist |
Year(s) Of Engagement Activity | 2018 |
Description | Regional Diabetes Programme Board |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Regional |
Primary Audience | Professional Practitioners |
Results and Impact | Presented findings from the WRAP trial and plans for the GLoW trial to the regional Diabetes Programme Board, with the aim of engaging 16 leading practitioners and key decision makers in commissioning of regional weight management and diabetes services with future research in this area. Resulted in increased interest and changed views on the use of commercial weight management programmes in diabetes treatment, and resulted in follow on meetings for closer collaboration. |
Year(s) Of Engagement Activity | 2017 |
Description | Richard Doll Seminar Series |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Other audiences |
Results and Impact | Talk on "New evidence from trials to inform the management of obesity in routine care" Audience of about 150 In following week, two doctors spontaneously reported that they had changed their practice and made a brief intervention for weight management with a patient |
Year(s) Of Engagement Activity | 2016 |
Description | Seminar for BBSRC Head Office |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Other audiences |
Results and Impact | Seminar for staff at BBSRC head Office and discussions related to funding for diet and health research |
Year(s) Of Engagement Activity | 2017 |
Description | Society for Academic Primary Care |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Presentation of results from NPRI funded trial to primary care practitioners |
Year(s) Of Engagement Activity | 2016 |
Description | South West Public Health Conference, Weight loss support as public health intervention |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Regional |
Primary Audience | Professional Practitioners |
Results and Impact | This was a CPD update for public health practitioners in South West England |
Year(s) Of Engagement Activity | 2017 |
Description | TVSCRN Obesity Webinar |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Webinar on effective intervention to treat obesity in primary care |
Year(s) Of Engagement Activity | 2017 |
URL | http://tvscn.nhs.uk/wp-content/uploads/2017/05/TVSCRN-webinar-Brief-Interventions-for-Weight-Managem... |
Description | Talk to Glasgow University |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Other audiences |
Results and Impact | In this talk I presented our research on weight management and what it has achieved. |
Year(s) Of Engagement Activity | 2017 |
Description | Thames Valley Strategic Clinical Network Conference |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | Regional |
Primary Audience | Professional Practitioners |
Results and Impact | A regional event to promote service innovation by learning from research. Presented new findings primarily from NPRI funded studies on weight management in adults. Evaluation forms found it to be the most highly rated presentation on the day with some reporting intention to change practice. Asked by regional Medical Director to do a video interview, subsequent webinar for local commissioners and speak at follow up event.. |
Year(s) Of Engagement Activity | 2016 |
Description | The Obesity Society |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | Presentation of WRAP trial main findings at The Obesity Society conference. Raised profile of trial and findings with international scientists, practitioners and policy makers. |
Year(s) Of Engagement Activity | 2016 |
Description | The Osler Lecture - Oxford medical Alumni |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | A presentation to an alumni group of about 200 people, including many current medical practitioners. I received 4 or 5 emails subsequently requesting additional information and notes reporting a new awareness about the success of weight-loss interventions offered by health professionals with some correspondents specifically noting this would info;hence their practice. |
Year(s) Of Engagement Activity | 2016 |
Description | UK Congress on Obesity 2017 |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Presentation on the potential impact of commercial weight management programmes on the prevention and treatment of type 2 diabetes. This presentation formed part of a symposium on the role of weight management in the prevention and treatment of type 2 diabetes. The presentation sparked questions and discussions and resulted in several approaches regarding future collaborations and requests for further information about embedding this approach in clinical practice. |
Year(s) Of Engagement Activity | 2017 |
Description | UK Society for Behavioural Medicine |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Presentation on 24 month outcomes from the WRAP trial. Raised profile of trial and awareness and understanding of findings at a National level. |
Year(s) Of Engagement Activity | 2016 |
Description | WRAP main findings - media activity |
Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Media (as a channel to the public) |
Results and Impact | A press release detailing key findings from the trial was issued by the Lancet on publication of the main paper in 2017. Print media and radio interviews were given by ALA and SAJ. The news story was covered in print and online in the Guardian (print circulation = 156,000, online users = 42.6 million globally); iNews (print circulation = 266,768) and the Sun (print circulation = 1,666,715) and 24 online new outlets. The story featured on radio shows including LBC and BBC Local Radio.and was blogged about in the BMJ, on 5 University websites, and on the Weight Watchers website. The article was tweeted 223 times by 199 separate individuals and featured on 8 Facebook pages. |
Year(s) Of Engagement Activity | 2017 |
URL | http://www.mrc-epid.cam.ac.uk/blog/extending-weight-loss-programmes-cost-effective/ |
Description | Working with Public Health England to develop training for practitioners in weight management |
Form Of Engagement Activity | A formal working group, expert panel or dialogue |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Public Health England are developing resources to help practitioners raise the issue of overweight and obesity with patients and train them in what to do. The brief intervention component is based on BWeL and the use of referral to weight management services is based on the WRAP trial. We are having regular phone conferences and editing the materials. |
Year(s) Of Engagement Activity | 2016,2017 |