eCHANGE

Project period

2017-2025

Funding

Oslo University Hospital and Vestfold Hospital. Applying for external funding.

Summary

Obesity is a substantial public health problem worldwide and Norway is no exception. Obesity rates are rapidly increasing, and even with diets and interventions aiding weight loss, an alarmingly large percentage of people struggle to maintain the lost weight. In the face of obesity, weight maintenance is therefore arising as a major obstacle and new innovative approaches are called for.

eHealth is an emerging field at the intersection of health services, information technology, public health and medical informatics. Technology is now a natural part of most people’s lives in the form of smartphones, tablets and personal computers. So far, there are some indications that using web-based interventions as supplement to face-to face interventions can support weight loss. Despite the fact that a substantial number of web-based diets, health and fitness focused interventions or “apps” already exist, few focus on weight maintenance, are research based or available post study. In addition, most have yet to show short- or long-term effect and few, if any, are developed together with users (e.g., patients, health care professionals). eHealth solutions may therefore be “a missing link” in supporting weight loss and maintenance, utilizing digital communication and even social media to induce motivation and bring about durable health behavior change anytime and anywhere.

The goal of this project is to establish a person-centered, evidence based interactive eHealth intervention facilitating weight maintenance following weight loss.
The proposed study has 3 main objectives:

  1. Establishment: Design, develop, pilot test and optimize an eHealth intervention
  2. Efficacy confirmation through a multicenter, randomized controlled trial (RCT)
  3. Evaluate the sustained intervention use through program assessment, cost-utility analysis and implementation preparation

The intervention will be guided by user-identified needs and requirements, bringing together and creating synergies between patient users, service providers and scientists from study initiation to implementation.

The project aligns with several healthcare trends, operating in the cross-section of health and care services, service innovation, technology, digitalization, economics and implementation. A person-centered approach through service design and participatory design methods will be used. The intervention will be developed through iterative process and in close collaboration with patient representatives, service providers, scientists and other relevant stakeholders.

The research team is well prepared for this research project, and the alliance of interdisciplinary experts from leading national and international research and expertise centers within eHealth and Morbid Obesity, in close collaboration with user representatives, facilitates high quality science from development to testing and preparation for implementation. If effective, this intervention has the potential to contribute to better health, reduced societal burden and most importantly to improve quality of life for people facing obesity and related health challenges.

Collaborators

  • Jøran Hjelmesæth, MD, PhD, Center Director and professor, Morbid Obesity Centre, Vestfold Hospital Trust / Department of Medicine, University of Oslo
  • Serena Tonstad, MD, MPH, PhD, Chief physician, Professor, Endocrinology, Morbid Obesity & Preventive Medicine, Oslo University Hospital
  • Jens Kristoffer Hertel, PhD, Head of research, Morbid Obesity Centre, Vestfold Hospital Trust
  • Line Kristin Johnson, PhD, Nutritionist, Morbid Obesity Centre, Vestfold Hospital Trust
  • Mette Svendsen, PhD, Nutritionist, Endocrinology, Morbid Obesity & Preventive Medicine, Oslo University Hospital
  • Eirik Abildsnes, MD, PhD, Family Medicine / Public Health, Kristiansand Municipality
  • Unni Mette Stamnes Köpp, MD, PhD, Chief Physician, Department of Physical Medicine & Rehabilitation, Sorlandet Hospital Trust
  • Frode Gallefoss, MD, PhD, Head of Research, Hospital Clinical Research Unit, Sorlandet Hospital Trust
  • Mirjam Smedsrød, MA, Director, Regional Patient Education Resource Center, Sorlandet Hospital Trust
  • Mari-Mette Graff, Manager, Norwegian Association for people with Obesity
  • Matthew M. Clark, LP, ABPP, PhD, Professor, Dept. of Psychiatry & Psychology / Division of Endocrinology, Department of Medicine, Mayo Clinic
  • Lisette van Gemert-Pijnen, PhD, Founding Director, Center for eHealth & Wellbeing Research, University of Twente
  • Saskia M. Kelders, PhD, Assistant Professor, Center for eHealth & Wellbeing Research, University of Twente
  • Mirjam Ekstedt, PhD, Professor, System Safety in Health Care Group, Medical Management Centre, Karolinska Institutet
  • Tonje Holte Stea, PhD, Associate Professor, University of Agder
  • Una Stenberg, PhD, Senior researcher, Learning & Mastery Health, Norwegian National Advisory Unit
  • Milada Cvancarova Småstuen, PhD, Associate professor, Oslo Metropolitan University

Publications and presentations

 

Participants

Lise Solberg Nes
Principal Investigator
Elin Børøsund
Researcher
Rikke Aune Asbjørnsen
PhD candidate / Project Administrator
Marianne Ollivier
Product Owner
Per Tømmer
Technical Manager
Yizhak Itzchaki
Digital Designer
Stein Jakob Nordbø
System Developer
Axel Boix Escolan
System Developer
Christine Rygg
Research Assistant