Service evaluation of a digital behavioural change programme.

The purpose of this service evaluation was to analyse the -efficacy of OurPath, a UK-based digital behavioural change programme, based on real-world data gathered in a commercial setting. In total, 98 potential participants with a mean body mass index of 31 kg/m (obese) paid money to enrol on OurPath, a digital behavioural change programme that combines a private online social network, daily structured educational content, health coaching, wireless scales and an activity tracker. Participants underwent a core 6-week intensive lifestyle change intervention and moved onto OurPath's Sustain programme, with follow-ups after 3 and 6 months. A total of 77 participants met the inclusion criteria for the core programme and achieved a significant weight loss from baseline of 5.3% in 6 weeks (p<0.01). At the date of data analysis, 69 participants were over 3 months from their start date. Of these 69 participants, 42 (61%) had submitted a weight reading after 3 months and had achieved a mean weight loss of 6.7% (p<0.01). Data available for 15 participants after 6 months (52% of participants who had passed the 6-month mark at the date of analysis) demonstrated a mean weight loss of 8.2% (p<0.01). Weight loss data were not available for all participants at the 3 and 6-month mark. The OurPath online behavioural change programme achieved clinically significant weight loss results in a real-world setting. Online delivery platforms like OurPath could therefore offer an effective and scalable solution to tackle the UK's obesity and diabetes epidemics.