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 Group

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

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.

Publications

10 25 50
 
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 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 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 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 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 09/2013 
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 04/2017 
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 10/2017 
End 03/2022
 
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 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: Obesity Week - BBC Radio Oxford 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Radio Interview for Obesity Week.
Contributing to public discussion on obesity.
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