{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:04:08Z","timestamp":1790661848792,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Little is known about children's and caregivers' experiences, information needs, and willingness to change lifestyle following evaluation for metabolic dysfunction\u2010associated steatotic liver disease (MASLD). This study assessed these aspects across European hepatology clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Children and caregivers completed a web\u2010based questionnaire after the MASLD evaluation visit, assessing discomfort, information sufficiency, and willingness to change lifestyle using mainly 5\u2010point Likert scales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The cohort included 249 children (13\u2009\u00b1\u20093 years) from 12 countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discomfort<\/jats:title>\n                    <jats:p>\n                      Before the visit, most children reported \u201cno\u201d or \u201cslight\u201d nervousness, anxiety, or worry, whereas 7%\u20139% reported \u201cvery\u201d or \u201cextreme\u201d discomfort and 14% felt negative. Nervousness was slightly higher at first visits than follow\u2010up visits. During the visit, 4% were \u201cvery\u201d or \u201cextremely\u201d nervous and 62% felt highly supported by the physician. After the visit, 7% still felt negative, although anxiety remained low (68% \u201cno\u201d or \u201cslight\u201d). Caregiver assessments (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009203) cross\u2010validated these findings.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Information<\/jats:title>\n                    <jats:p>\n                      Over half (51%) reported \u201cno\u201d or \u201cslight\u201d pre\u2010visit knowledge, yet 81% rated information during the visit as \u201cvery\u201d or \u201cextremely\u201d sufficient. Pre\u2010visit knowledge was higher at follow\u2010up. Caregivers rated information sufficiency higher than children and more often intended to seek information (57% vs\n                      <jats:italic>.<\/jats:italic>\n                      23%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Lifestyle: 44% reported high willingness to change lifestyle post\u2010visit, consistent with caregiver expectations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>MASLD evaluation was associated with low burden overall, although a small subset experienced high discomfort. Baseline knowledge about the visit was low. Perceived information sufficiency was high, however, only 44% reported high willingness to change lifestyle post\u2010visit. Better information tools are needed to improve screening acceptability and lifestyle motivation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpn3.70587","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T04:22:55Z","timestamp":1789705375000},"source":"Crossref","is-referenced-by-count":0,"title":["Children's and caregivers' experiences, information needs, and willingness to change lifestyle in metabolic dysfunction\u2010associated steatotic liver disease care: A multicenter study across Europe"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0214-988X","authenticated-orcid":false,"given":"Anne\u2010Sophie R.","family":"Stroes","sequence":"first","affiliation":[{"name":"Department of Pediatric Gastroenterology Emma Children's Hospital, Amsterdam University Medical Centers, University of Amsterdam Amsterdam The Netherlands"},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism Research Institute Amsterdam 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Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9646-7462","authenticated-orcid":false,"given":"Antonella","family":"Mosca","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplant Unit Bambino Ges\u00f9 Children's Hospital, IRCCS Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1687-6448","authenticated-orcid":false,"given":"Maria","family":"Mercadal\u2010Hally","sequence":"additional","affiliation":[{"name":"Pediatric Hepatology and Liver Transplant Department Vall d'Hebron Barcelona Hospital Campus Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7871-8325","authenticated-orcid":false,"given":"Jernej","family":"Brecelj","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology and Nutrition University Children's Hospital Ljubljana Slovenia"},{"name":"Department of Pediatrics, Faculty of Medicine University of Ljubljana Ljubljana Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7463-1401","authenticated-orcid":false,"given":"Corina","family":"Pienar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6430-0788","authenticated-orcid":false,"given":"Wojciech","family":"Ja\u0144czyk","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Hepatology, Nutritional Disorders and Pediatrics, The Children's Memorial Health Institute Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3642-0838","authenticated-orcid":false,"given":"Christian A.","family":"Hudert","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology Nephrology and Metabolic Diseases, Charit\u00e9 Universit\u00e4tsmedizin Berlin Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7479-7388","authenticated-orcid":false,"given":"Eberhard","family":"Lurz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology and Hepatology Dr. von Hauner Children's Hospital, University Hospital Munich, LMU Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0794-2741","authenticated-orcid":false,"given":"Cigdem","family":"Arikan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology Hepatology and Nutrition, Koc University School of Medicine Istanbul 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