{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T14:14:50Z","timestamp":1792419290685,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:00:00Z","timestamp":1714348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Endocrino Diabet &amp;amp; Metabol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The prevalence and healthcare cost of metabolic dysfunction\u2013associated steatotic liver disease (MASLD) has increased alongside the epidemic surge in obesity and Type 2 diabetes. Weight loss through lifestyle modification remains the primary effective therapy for MASLD. Incorporation of mobile technology in lifestyle interventions has been previously found to be efficacious and cost\u2010effective in facilitating weight loss. However, there is a paucity of studies that have successfully translated lifestyle research into clinical service for weight loss to alleviate disease burden. Our study aimed to describe the process of translating a mobile technology\u2013enabled trial into a tertiary hospital outpatient dietetics service for patients with MASLD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Iowa Model of Evidence\u2010Based Practice to Improve Quality Care was used as a framework for this paper to guide implementation at the organizational level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Regular engagement of key operational staff and the hospital management team facilitated open discussions of the challenges faced and enabled rapid implementation of strategies that contributed to the smooth piloting of the service. A service adoption rate of 81% was achieved. Preliminary outcome evaluation found that the percentage of patients achieving \u2265\u20095% weight loss from baseline at 6\u2009months was comparable at 54% and 52% for the service and trial groups, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Evaluation of the implementation process found that a hybrid model of care (in\u2010person consultation supplemented with app coaching) preserved interpersonal connections while maximizing the convenience and scalability of mobile app\u2013enabled service. Although high digital acceptance and adoption rates propelled by COVID\u201019\u2010supported telehealth, it is prudent to assess patient's access to technology and digital literacy and offer resources to help them benefit from telehealth services.<\/jats:p><\/jats:sec>","DOI":"10.1002\/edm2.485","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T05:23:15Z","timestamp":1714454595000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical Service Incorporating Mobile Technology on Weight Loss in Patients With Metabolic Dysfunction\u2013Associated Steatotic Liver Disease: A Translation From Research Trial"],"prefix":"10.1002","volume":"7","author":[{"given":"Siew\u00a0Min","family":"Ang","sequence":"first","affiliation":[{"name":"Department of Dietetics National University Hospital  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su\u00a0Lin","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Dietetics National University Hospital  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yock\u00a0Young","family":"Dan","sequence":"additional","affiliation":[{"name":"Department of Medicine National University Hospital  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiong\u00a0Huak","family":"Chan","sequence":"additional","affiliation":[{"name":"Biostatistics Unit, Yong Loo Lin School of Medicine National University Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qai\u00a0Ven","family":"Yap","sequence":"additional","affiliation":[{"name":"Biostatistics Unit, Yong Loo Lin School of Medicine National University Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2844-6947","authenticated-orcid":false,"given":"Juliana","family":"Chen","sequence":"additional","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, Charles Perkins Centre The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/HEP.0000000000000004"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010011\u20102446\u20104"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.28785"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13040614"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/HEP.0000000000000323"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2023.01.026"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/20491"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2018.12.005"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2196\/28185"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuad032"},{"key":"e_1_2_7_12_1","volume-title":"Pragmatic Implementation Trials: Understanding the Integrated Research\u2010Practice Partnership Approach to Lifestyle Obesity Management Across a Transforming Health System","author":"Johnson S. 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