Diabetes Prevention

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Noom’s Diabetes Prevention Program (DPP) was the first-ever virtual DPP to receive CDC recognition in 2017—and now maintains its highest distinction, Full Plus Recognition.

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Weight Loss Efficacy of a Novel Mobile Diabetes Prevention Program Delivery Platform with Human Coaching

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Published in the British Medical Journal Open Diabetes Research and Care (2016)
Evaluated the weight loss efficacy of a Noom DPP in 43 overweight or obese adult participants with a diagnosis of prediabetes.
Weight loss at 16 and 24 weeks was significant, with 56% of program starters (read 1 or more lessons per week on 4 or more core weeks) and 64% of program completers (read 9 or more lessons per week on core weeks) losing over 5% body weight at 24 weeks. Mean weight loss at 24 weeks was 6.58% in starters and 7.5% in completers.
Participants were highly engaged, with 84% of the sample completing 9 lessons or more (CDC standard)
In-app actions related to self-monitoring (e.g., weekly weigh-ins and number of meals logged) significantly predicted weight loss. Group posts were also associated with percent weight loss.

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Usefulness of a Novel Mobile Diabetes Prevention Program Delivery Platform With Human Coaching

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Published in the Journal of Internet Medical Research (JMIR) mHealth and uHealth (2018)
This is a follow-up of the study above on results from a 24-week DPP fully mobile pilot intervention, extending previous findings to evaluate weight loss efficacy of core and maintenance DPP interventions at 65 weeks from baseline.
At 65 weeks, mean weight loss was 6.15% in starters (read 1 or more lessons per week on 4 or more core weeks), 7.36% in completers (read 9 or more lessons per week on core weeks), and 8.98% in maintenance completers (did any action in postcore weeks). 44% of starters, 53% of completers, and 66% of maintenance completers lost at least 5% of their body weight.
In maintenance completers, mean body weight decreased significantly by 7.54 kg from baseline to 24 weeks and was sustained over time by 8.77 kg from baseline to 65 weeks.
Participants were highly engaged with 80% of the sample completing 9 lessons or more and 69% completing the maintenance phase.
Meal logging and group posts significantly predicted greater weight loss

Enabling Self-management of a Chronic Condition through Patient-centered Coaching

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Published in Health Communication (2019)
DPP coaches used several patient-centered strategies for enacting sustainable behavior change:
- Trigger reflections on users’ routinized habits
- Jointly determining a measurable health goal
- Facilitating self-evaluations on recent behavior change
- Tailoring programs to adapt to users’ lifestyle or health status
Coaches’ communication patterns demonstrated a high level of situational understanding of user routines.

Mobile Delivery of the Diabetes Prevention Program in People with Prediabetes: A Randomized Controlled Trial

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Published in the Journal of Internet Medical Research (JMIR) mHealth and uHealth (2020)
Examined the long-term weight loss and glycemic efficacy (hemoglobin A1c) of Noom’s DPP compared to a usual care control group
- DPP core had 20 weeks of core content and up to 52 weeks for the maintenance phase
202 participants were assigned to Noom DPP (n=101) or the control group (n=99)
At 6 months, weight loss was greater among the intervention group (-3.69%) and intervention completers (-5.59%) compared to the control group (-0.15%).
At 12 months, weight loss was greater among the intervention group (-2.54%) and the intervention completers (-4.66%) compared to the control group (+0.33%).
- Weight change at 12 months was predicted by more frequent weigh ins, logging more steps, and more frequent meal logging
There were small, but significant decreases in HbA1c at 6 and 12 months for each group
- 6 months: intervention group (-0.15%), intervention completers (-0.17%), control group (-0.17%)
- 12 months: intervention group (-0.23%), intervention completers (-0.28%), control group (-0.16%)

Relationship Between Age and Weight Loss in Noom: Quasi-Experimental Study

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Published in JMIR Diabetes (2020)
Examined weight loss of middle-age and older adults
Adults (median age = 51.0) lost 5.7% of their body weight at week 16 and 8.1% of their body weight at week 52

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