Implementation of a digital therapeutic to support physical activity within existing multi-disciplinary weight management services for severe obesity.
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Issue Date
2023
Authors
Williams , O
Zalin, A
Atkinson, L
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Abstract
Introduction Physical activity (PA) behaviour change is an essential element of Tier 3 and 4 obesity care pathways, with increased PA prior to bariatric surgery linked to more positive patient outcomes. Clinical staff within bariatric services advise patients to increase PA, however few have the specific knowledge needed to create personalised PA plans, and services often have limited access to exercise specialists. Digital therapeutics have the potential to provide accessible, scalable PA behaviour change support, but have not previously been implemented within a multi-disciplinary weight management service. Methods A digital PA prescription service was implemented into the Tier 3 and 4 weight management services within two NHS Trusts. Delivered to patients via a smartphone app, the service automatically creates a safe, progressive PA plan, based on NICE guidance and Exercise is Medicine protocols. Plans are personalised to the patient's health conditions and current PA status. Clinical staff are able to monitor patients' adherence to their prescription, and self-reported health metrics, via a secure data portal. Patients were additionally supported by a specialist practitioner. Results Through a collaborative learning process, methods for integrating the service into existing pathways, including staff training and awareness, and onboarding and supporting patients, were iteratively refined. Once established, on average 40 patients per month initiated the service. Overall improvements in service users' active minutes, steps, and physical function were observed, and positive feedback was received from both patients and staff. Conclusions An innovative, digital PA prescription service was successfully integrated into existing weight management services.
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Research Subject Categories::TECHNOLOGY::Information technology::Other information technology
Citation
Williams O., Zalin A. & Atkinson L. (2023). Implementation of a digital therapeutic to support physical activity within existing multi-disciplinary weight management services for severe obesity. Obesity Surgery, 33(Supplement 1), S126. https://doi.org/10.1007/s11695-023-06662-8