A Feasibility Study to Determine the Most Appropriate Digital Dietary Assessment Tool in Patients With Obesity Initiating GLP-1 Receptor Agonist Treatment (FIDGET)

King's College London

Status: Invitation-only

Conditions: Obese Patients

Treatments: Device: Testing 3 different digital dietary assessment tools in a random order (Nutritics-Libro, MyFood24 and Intake24)

Study type: Interventional

Funder types: Other

Identifiers

NCT07194317

347758

Details and patient eligibility

About

New medications that work on gut hormones such as semaglutide (Wegovy) and tirzepatide (Mounjaro) are helping many people lose weight and are now recommended for treating obesity by the NHS. While these treatments are effective for weight loss, we don't yet know how they affect what people eat or their overall nutrition. Understanding diet before, during, and after treatment is important. Traditional ways of tracking diet, like paper food diaries, can be difficult to use and are time consuming for clinicians to interpret and record in clinical notes. Digital tools like MyFood24, Nutritics-Libro, and Intake24 may offer a better way to record what people eat, but we need to find out if they can be easily used in everyday healthcare settings. The FIDGET study will test how well these digital diet tools can be used in clinics and linked with electronic health records. The study will use surveys and group discussions to understand how patients and healthcare professionals feel about using these tools.

Full description

Gut hormone-based therapies including the glucagon-like peptide-1 (GLP-1) receptor agonist semaglutide (Wegovy) and dual glucose-dependent insulinotropic polypeptide (GIP)/ GLP-1 receptor agonist Tirzepatide (Mounjaro) are increasingly effective in weight management, leading to their recommendations for obesity treatment in the UK's National Health Service (NHS). These medications support weight loss; however, their impact on dietary intake and nutritional status remains unexplored. Assessing diet is essential before, during and after treatment. Several digital dietary assessment tools address limitations of traditional paper-based methods; however, feasibility of integrating these digital tools into routine clinical workflows has not been assessed. The Feasibility of Digital Dietary Assessment (FIDGET) study will evaluate integration of digital dietary recording tools (MyFood24, Nutritics-Libro and Intake24) into routine clinical workflows and electronic health record, using a randomised crossover design with mixed-methods evaluation (quantitative cross-sectional surveys, qualitative focus groups).

Enrollment: 50 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults aged >18 years
• Living with obesity as diagnosed by healthcare professional.
• Referral to T3WMS at GSTT and currently on the service waiting list
• Eligible for GLP-1 receptor agonist (Wegovy) prescription
• Have an active MyChart account
• Have an email address
• Access to a digital device such as a smart phone, computer or tablet where you can access the internet
• Not following a meal replacement diet, for example soups / shakes
• Able to provide informed consent.
• Able to complete surveys in English.

Exclusion criteria

• Adults aged >18 years

  • Living with obesity as diagnosed by healthcare professional.
  • Referral to T3WMS at GSTT and currently on the service waiting list
  • Eligible for GLP-1 receptor agonist (Wegovy) prescription
  • Have an active MyChart account
  • Have an email address
  • Access to a digital device such as a smart phone, computer or tablet where you can access the internet
  • Not following a meal replacement diet, for example soups / shakes
  • Able to provide informed consent.
  • Able to complete surveys in English.
  • Not able to provide informed consent
  • Not able to complete surveys in English
  • Has an eating disorder
  • Taking part in another research trial that involves dietary modification

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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50 participants in 1 patient group

Feasibility and acceptability

Other group

Description:

Participants will record their dietary intake over three weeks, using a different tool for three consecutive days each week. The digital tools are: MyFood24, Nutritics-Libro and Intake24.The order sequence to complete will be from auto number generation.

Treatment:

Device: Testing 3 different digital dietary assessment tools in a random order (Nutritics-Libro, MyFood24 and Intake24)