![]() This is important since recent meta-analyses have shown declining metabolic response to lifestyle programs already after 6 months, and international guidelines emphasize that more long-term data are needed 1, 2, 3, 4, 5. While initial analyses of this intervention have focused on subsets of the most frequent users of the tool 6, we here make a full assessment of patients exposed to the intervention over an extensive follow-up of approximately 3 years. In view of these knowledge gaps and the large clinical need for scalable lifestyle treatment, we have developed a self-managed digital tool that is based on a new approach combining health information with structured self-reflection to effectively promote behavioral change 6. ![]()
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