Introduction/Rationale: Advances in diabetes remission programs have markedly improved type 2 diabetes (T2D) management, addressing glycemia, blood pressure, and microvascular health. However, the high demand for in-person medical consultations increases costs and decreases patient engagement. Recognizing these challenges, the DIGEST study by Habitual explores the efficiency of a remote-delivered diet replacement and digital therapy for T2D remission and weight loss, circumventing the traditional clinical visit model. The study employed Lindus Health for a fully virtual trial, navigating strict recruitment criteria through digital outreach and a primary care network.

Methods: Lindus Health executed a fully virtual design, enabling remote monitoring for six months. The approach utilized digital marketing and referrals from ten GP sites to attract participants, directing them to a study website for initial screening. Eligible individuals underwent a virtual assessment by Lindus Health nurses for deeper engagement and informed consent.

Results: Lindus Health's strategies enabled Habitual to reach its recruitment goal of 100 patients in five months, significantly ahead of the initial 12-month prediction. The trial's decentralization allowed for UK-wide participant inclusion, reaching over 16,000 people through online advertising. Remote monitoring facilitated home-based study participation, allowing real-time tracking of patient progress and enhancing the trial's patient-centric approach.

Conclusion: The DIGEST study demonstrates the potential of fully decentralized trials in T2D management, showcasing the Habitual Remission Program's efficacy. The model's success, driven by virtual designs and strategic recruitment, highlights a shift towards more accessible, efficient clinical research, suggesting a scalable and patient-friendly future for digital health solutions in disease management.

Disclosure

M. Gorobzov: None.

Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.