Intervention in the online group
Diabetes, weight loss, diabetes
DIABETES, DIABETES
The online group was managed by a multidisciplinary team (MDT). Specialized nurses designed a nursing plan accordingly and instructed the participants on how to use the WeChat platform. With the use of the functional section function of the WeChat platform, the participants uploaded blood sugar, blood pressure, weight, diet and exercise‐related data. With the platform's information section function, the participants grasped the common sense of weight loss. The key members of the project team monthly discussed the bottlenecks and solutions encountered during the implementation of the project.Led by a diabetes specialist nurse, a weight‐loss management team typically comprised a specialist nurse, a dietitian, a sports coach, a psychological consultant and a full‐time physician. For the weekly conventional course, the specialist nurse and the experts of the project team determined the training time and place in advance and then informed each participant. Medical experts, psychological experts, nutrition experts and weight loss coaches gave lectures and explanations, breaking down the movements step by step and highlighting the essential points of the movements in a simple language. After class, the participants could have face‐to‐face communication with each expert to answer questions. This course had a total of 56 sessions, with reference to Joslin Diabetes Centre Why Wait Weight Loss Course (Grant et al., For problems shared by many participants, the expert group managed them in a weekly meeting, which took about 15 min for each problem. For individual problems, the expert group communicated with participants separately, and the discussion was controlled to take up to 1 h. After that, the participants would receive weekly comments from the expert group. During follow‐up, the expert group would provide individual guidance and encouragement for the participants' performance at this stage. The duration of each follow‐up was 45 min for each participant, and the rest of the follow‐up and lectures were arranged as for the conventional group.More details on the roles of the team members are provided in the 