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INFORMED CONSENT FORM AND AUTHORIZATION TO USE AND DISCLOSE PROTECTED HEALTH INFORMATION

Sponsor / Study Title:
Noom, Inc. / “Observational Protocol on Program Engagement, Efficacy, and Outcomes”
Protocol Number:
RX1000
Principal Investigator:
Robert Moulder, PhD
Telephone:
347-687-8522 (24 Hours)
Address:
Noom, Inc. 1 Palmer Square Suite 441 Princeton, NJ 08452
Email:
research@noom.com

You are being asked to be a volunteer in a research study.

Please read this form carefully. If you have any questions, ask the study staff.

Introduction and Purpose

Noom delivers structured programs to improve health and wellness through our digital health app and our clinical team. To monitor and improve the quality of interventions provided, Noom’s Research Team will collect and analyze data that is created when you use the application. By using the app, you consent to and authorize Noom to use your information for research purposes. This information is always de-identified (coded). This study is intended to share de-identified information about groups of people who participate in Noom’s programs through publication and reports. As a Noom member, you may be asked to participate in other research studies. Those studies will have a separate consent process.

What is a research study?

A research study is when scientists try to answer a question about something that we don’t know enough about. Participating may not help you or others. People volunteer to be in a research study. The decision about whether or not to take part is totally up to you. You can also agree to take part now and later change your mind. Whatever you decide is okay. There will be no penalty or loss of benefits to you. It will not affect your ability to use Noom’s applications (apps). Any new information that develops during this research study which might make you change your mind about participating will be given to you promptly.

Study description

You will download the Noom mobile application to your Android or Apple phone. As you use the Noom application, data you enter are stored for you to track your own progress in the program. We also store and analyze the data you enter for research. Noom’s programs may include chats with lifestyle coaches or Noom’s clinical team. These are considered part of your program data and may be used in research studies.  

For example, questions we will answer with this research study include how groups of people use the app to support weight loss goals, what types of activities improve weight loss outcomes, and how people feel or experience their Noom programs differently. We are also interested in understanding the impact of Noom programs on whole person health.

Risks

There are no known risks directly associated with participation in this research study. This research is conducted on data that already exists as part of normal business operations. There is a minimal risk of breach of confidentiality. You can review more about this risk in the Confidentiality section below. When some people are asked to complete extra questionnaires, there may be a risk you get tired of answering questions. You always have the right to decline any additional questionnaires you are asked to complete.

Benefits

There are no direct benefits to you for participating in this research study. However, you might contribute to our knowledge of how Noom works, why it works, and how it could be improved, which could potentially help other people who use Noom in the future.

Compensation

You will not be compensated for participation in Noom’s research studies that use only in-app collected data for research. If you are offered the opportunity to complete questionnaires regarding your wellbeing and experience with the app, you may be eligible to receive a one-time payment for the extra time you spent providing us with survey responses. Depending on the length of the survey, you could be compensated between $10-$100. You will be paid following each completed survey.

Costs

There is no cost to you for taking part in this study. Taking part in this study does not have anything to do with your payment for Noom programs or services. You are still responsible for the costs of Noom programs or services.

Financial Disclosure

This Research Study is being conducted by employees or contractors of Noom. Employees or contractors receive compensation in the form of wages, stock, and/or stock options for the work they complete at Noom. In addition, the Principal Investigator and/or authorized Co-Investigators have a proprietary interest in this research study (for example, patent, trademark, copyright, or licensing agreement).  Contact research@noom.com if you have additional questions.

Confidentiality

The information that we collect from you for this research study will be kept confidential. Only authorized staff will have access to your identifying information. Participant identities will be kept confidential by assigning you a “subject identification number” within our research database. This subject identification number will be used instead of your name. All of your study data will be kept in a secure location. The Department of Health and Human Services and Advarra Institutional Review Board (IRB) may have access to the study data.

While every effort will be made to protect the confidentiality of your information, absolute confidentiality cannot be guaranteed.

Options

You may decide not to take part in this research study without any penalty or loss of benefit to which you are otherwise entitled. The choice is totally up to you. If you decide not to participate, please contact the investigator on the first page of this consent document or fill out the opt out of Noom research form. 

This research study is for research purposes only. The only alternative is to not participate in the research study.

Ending Participation in a Research Study

You may stop taking part in this research study at any time without any penalty or loss of benefit to which you are otherwise entitled. This will not affect your ability to continue using the Noom app. 

If you decide to stop being in the research study, please contact the investigator listed on the first page of this consent document.

Your part in the research may stop at any time for any reason, such as, the sponsor or the investigator decides to stop the study.

HIPAA Authorization for Research

This study will collect and use information about you that may be considered Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA). PHI includes information that could reasonably identify you and relates to your health, health care, or payment for health care.

What information will be used or disclosed

The information used and/or disclosed for this research may include:

  • Information you provide during the study (such as survey responses in-app actions)
  • Health-related information relevant to the study (such as medical history, symptoms, or health behaviors)
  • Data collected through study activities or devices, if applicable

Who will use or disclose this information

The research team and their authorized representatives will use and disclose your information for the purposes of conducting this research.

Who may receive this information

Your information may be shared with:

  • Members of the research team
  • Authorized study collaborators who are covered under a separate data sharing agreement, if applicable
  • Institutional Review Boards (IRBs), ethics committees, or regulatory authorities
  • Other parties as required by law or for research oversight

Purpose of use or disclosure

Your information will be used and/or disclosed only for purposes related to this research study, including analysis of study results and monitoring of the study.

How long this authorization lasts

This authorization will remain in effect until the end of the research study, unless you revoke it earlier.

Your right to revoke authorization

You may revoke this authorization at any time by contacting the research team in writing. If you revoke your authorization, no new information will be collected for the study. However, information already collected may still be used as necessary to maintain the integrity of the research and comply with legal or regulatory requirements.

Data Coding and Confidentiality

All data used for research under this authorization will be coded. The data warehouse used to access and analyze the data will contain de-identified information only and will not include direct identifiers such as your name or contact information.
A separate crosswalk (re-identification key) linking the code to your identity does exist and is maintained securely by authorized members of the research team. Access to this crosswalk is limited and will be used only when necessary for study-related purposes, such as data verification, follow-up, or regulatory requirements.

Your rights under HIPAA

You have the right to:

  • Refuse to agree to this authorization (but you may not be able to participate in the study)
  • Receive a copy of this authorization
  • Access, inspect, and request corrections to your health information as allowed by law

By using your UPID (unique program identification) or logging into the app, it means that you authorize the use and disclosure of your health information as described above for the purposes of this research.

Whom to Contact about this Study

During the study, if you have questions, concerns or complaints about the study such as:

  • Payment or compensation for being in the study, if any;
  • Your responsibilities as a study subject;
  • Eligibility to participate in the research;
  • The investigator’s or study site’s decision to exclude you from participation;

Please contact the investigator using the contact information on the first page of this consent document.

An Institutional Review Board (IRB) is an independent committee established to help protect .the rights of research subjects. If you have any questions about your rights as a research subject, contact:

  • By mail

Study Subject Adviser
Advarra IRB
6940 Columbia Gateway Drive, Suite 110
Columbia, MD 21046

Please reference the following number when contacting the Study Subject Adviser: Pro00076674.

By using your UPID (unique program identification) or logging into the app, it means that you authorize the use and disclosure of your health information as described above for the purposes of this research.

Robert Moulder, PhD Advarra IRB Approved Version 12 Feb 2026