{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:28:52Z","timestamp":1787027332262,"version":"build-2736575974"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001299","name":"Prevent Cancer Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001299","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>The high prevalence of metabolic-dysfunction associated steatotic liver disease (MASLD), formerly non-alcoholic fatty liver disease (NAFLD), necessitates the availability of an evidence-based intervention to manage the condition among patients to prevent severe chronic liver disease and other cardiometabolic-related illnesses. IM Adapt (Intervention Mapping for Adaptation) is a systematic approach for planning modifications in interventions to improve fit and potential effectiveness. Following this stepped approach, we conducted interviews with the target population, conducted a literature review, solicited expert advice, and created a logic model describing expected program outcomes for the new population and setting. We searched for, selected, and adapted an evidence-based intervention suitable for the target population. Given the similarities in management strategies between type 2 diabetes mellitus and MASLD (i.e., weight loss from physical activity and dietary changes), the National Diabetes Prevention Program\u2019s Prevent T2 curriculum was selected and adapted to Hispanic\/Latino patients with MASLD. We used Evidence-Based Intervention (EBI) Mapping to develop a logic model of change for the Prevent T2 curriculum, and we then compared this logic model to the one developed for our hypothetical program. Differences in content and delivery were noted, and changes were made to the curriculum. This resulted in the proposed Healthy Liver\/H\u00edgado Sano program. We also used IM Adapt to help plan for the implementation and evaluation of the program. Future testing of this intervention will determine its utility in improving the management of MASLD among Hispanic\/Latino patients.<\/jats:p>","DOI":"10.3389\/fpubh.2025.1628845","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T05:26:02Z","timestamp":1753421162000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Adaptation using IM Adapt of an evidence-based lifestyle intervention to support the management of metabolic-dysfunction associated steatotic liver disease among Hispanic\/Latino adults"],"prefix":"10.3389","volume":"13","author":[{"given":"Natalia I.","family":"Heredia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvia A.","family":"Ayieko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena A.","family":"Rodriguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica P.","family":"Hwang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorna H.","family":"McNeill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria E.","family":"Fernandez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"101133","DOI":"10.1016\/j.aohep.2023.101133","article-title":"A multisociety Delphi consensus statement on new fatty liver disease nomenclature","volume":"29","author":"Rinella","year":"2024","journal-title":"Ann Hepatol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"666","DOI":"10.1097\/HEP.0000000000000604","article-title":"National prevalence estimates for steatotic liver disease and subclassifications using consensus nomenclature","volume":"79","author":"Lee","year":"2024","journal-title":"Hepatology"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e0252164","DOI":"10.1371\/journal.pone.0252164","article-title":"Prevalence and factors associated with NAFLD detected by vibration controlled transient elastography among US adults: results from NHANES 2017-2018","volume":"16","author":"Zhang","year":"2021","journal-title":"PLoS One"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"102292","DOI":"10.1016\/j.eclinm.2023.102292","article-title":"Metabolic dysfunction-associated steatotic liver disease increases the risk of incident cardiovascular disease: a nationwide cohort study","volume":"65","author":"Moon","year":"2023","journal-title":"eClinicalMedicine"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1797","DOI":"10.1097\/HEP.0000000000000323","article-title":"AASLD practice guidance on the clinical assessment and management of nonalcoholic fatty liver disease","volume":"77","author":"Rinella","year":"2023","journal-title":"Hepatology"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.ejim.2023.11.005","article-title":"Natural history of metabolic dysfunction-associated steatotic liver disease","volume":"122","author":"Lekakis","year":"2024","journal-title":"Eur J Intern Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2263","DOI":"10.1001\/jama.2015.5370","article-title":"Nonalcoholic fatty liver disease: a systematic review","volume":"313","author":"Rinella","year":"2015","journal-title":"JAMA"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"829","DOI":"10.1016\/j.jhep.2017.05.016","article-title":"Treatment of NAFLD with diet, physical activity and exercise","volume":"67","author":"Romero-G\u00f3mez","year":"2017","journal-title":"J Hepatol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1002\/hep.22940","article-title":"Independent effects of physical activity in patients with nonalcoholic fatty liver disease","volume":"50","author":"St George","year":"2009","journal-title":"Hepatology (Baltimore, Md)"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"3377","DOI":"10.3748\/wjg.v17.i29.3377","article-title":"Nutrition and physical activity in NAFLD: an overview of the epidemiological evidence","volume":"17","author":"Zelber-Sagi","year":"2011","journal-title":"World J Gastroenterol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1124\/pharmrev.123.001087","article-title":"Steatotic liver disease: pathophysiology and emerging pharmacotherapies","volume":"76","author":"Kokkorakis","year":"2024","journal-title":"Pharmacol Rev"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1016\/j.jhep.2024.07.006","article-title":"Effect of pemvidutide, a GLP-1\/glucagon dual receptor agonist, on MASLD: a randomized, double-blind, placebo-controlled study","volume":"82","author":"Harrison","year":"2025","journal-title":"J Hepatol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"e084411","DOI":"10.1136\/bmjopen-2024-084411","article-title":"Exploration of Latina\/Hispanic women\u2019s experiences living with non-alcoholic fatty liver disease: a qualitative study with patients in Houston","volume":"14","author":"Heredia","year":"2024","journal-title":"BMJ Open"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/HC9.0000000000000224","article-title":"Behavioral weight-loss interventions for patients with NAFLD: a systematic scoping review","volume":"7","author":"Balakrishnan","year":"2023","journal-title":"Hepatol Commun"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1037\/a0027085","article-title":"Cultural adaptations of behavioral health interventions: a progress report","volume":"81","author":"Barrera","year":"2013","journal-title":"J Consult Clin Psychol"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1146\/annurev-clinpsy-033109-132032","article-title":"Issues and challenges in the design of culturally adapted evidence-based interventions","volume":"6","author":"Castro","year":"2010","journal-title":"Annu Rev Clin Psychol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1037\/0033-3204.43.4.531","article-title":"Culturally adapted mental health intervention: a meta-analytic review","volume":"43","author":"Griner","year":"2006","journal-title":"Psychotherapy (Chic)"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1186\/s13012-018-0815-9","article-title":"A systematic review of adaptations of evidence-based public health interventions globally","volume":"13","author":"Escoffery","year":"2018","journal-title":"Implementation Sci: IS"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/978-1-4419-8646-7_10","article-title":"The Fidelity-adaptation debate: implications for the implementation of public sector social programs","volume-title":"A quarter century of community psychology: Readings from the American journal of community psychology","author":"Blakely","year":"2002"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1111\/j.1468-2850.2006.00042.x","article-title":"Making the case for selective and directed cultural adaptations of evidence-based treatments: examples from parent training","volume":"13","author":"Lau","year":"2006","journal-title":"Clin Psychol Sci Pract"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"209","DOI":"10.3389\/fpubh.2019.00209","article-title":"Intervention mapping: theory- and evidence-based health promotion program planning: perspective and examples","volume":"7","author":"Fernandez","year":"2019","journal-title":"Front Public Health"},{"key":"ref22","volume-title":"Planning health promotion programs: An intervention mapping approach","author":"Bartholomew Eldrigde","year":"2016"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"158","DOI":"10.3389\/fpubh.2019.00158","article-title":"Implementation mapping: using intervention mapping to develop implementation strategies","volume":"7","author":"Fernandez","year":"2019","journal-title":"Front Public Health"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2015\/160103","article-title":"Intervention mapping to adapt evidence-based interventions for use in practice: increasing mammography among African American women","volume":"2015","author":"Highfield","year":"2015","journal-title":"Biomed Res Int"},{"key":"ref25","year":"2015"},{"key":"ref26","year":"2023"},{"key":"ref27","year":"2023"},{"key":"ref28","year":"2024"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1300","DOI":"10.1186\/s12889-022-13692-x","article-title":"Evidence-based intervention (EBI) mapping: a systematic approach to understanding the components and logic of EBIs","volume":"22","author":"Walker","year":"2022","journal-title":"BMC Public Health"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1177\/15404153211043885","article-title":"Perceived barriers to weight loss among Hispanic patients with non-alcoholic fatty liver disease","volume":"20","author":"Heredia","year":"2022","journal-title":"Hispanic Health Care Int: Official J National Assoc Hispanic Nurses"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1186\/1748-5908-8-90","article-title":"A two-way street: bridging implementation science and cultural adaptations of mental health treatments","volume":"8","author":"Cabassa","year":"2013","journal-title":"Implementation Sci: IS"},{"key":"ref32","first-page":"10","article-title":"Cultural sensitivity in public health: defined and demystified","volume":"9","author":"Resnicow","year":"1999","journal-title":"Ethn Dis"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1053\/j.gastro.2015.04.005","article-title":"Weight loss through lifestyle modification significantly reduces features of nonalcoholic steatohepatitis","volume":"149","author":"Vilar-Gomez","year":"2015","journal-title":"Gastroenterology"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/s11894-021-00827-0","article-title":"Dietary approaches for Management of non-Alcoholic Fatty Liver Disease: a clinician\u2019s guide","volume":"23","author":"Aboubakr","year":"2021","journal-title":"Curr Gastroenterol Rep"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"100256","DOI":"10.1016\/j.jhepr.2021.100256","article-title":"Treatment of NAFLD with intermittent calorie restriction or low-carb high-fat diet \u2013 a randomised controlled trial","volume":"3","author":"Holmer","year":"2021","journal-title":"JHEP Reports"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"5695","DOI":"10.1038\/s41598-022-09583-1","article-title":"Perceptions of weight status and energy balance behaviors among patients with non-alcoholic fatty liver disease","volume":"12","author":"Heredia","year":"2022","journal-title":"Sci Rep"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/978-3-642-69746-3_2","article-title":"From intentions to actions: a theory of planned behavior","volume-title":"Action control","author":"Ajzen","year":"1985"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0749-5978(91)90020-T","article-title":"The theory of planned behavior","volume":"50","author":"Ajzen","year":"1991","journal-title":"Organ Behav Hum Decis Process"},{"key":"ref39","volume-title":"Social foundations of thought and action: A social cognitive theory","author":"Bandura","year":"1986"},{"key":"ref40","first-page":"1","volume-title":"Social cognitive theory","author":"Bandura","year":"1989"},{"key":"ref41","first-page":"45","article-title":"The health belief model","volume-title":"Health behavior and health education: Theory, research, and practice","author":"Champion","year":"2008"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/109019818401100101","article-title":"The health belief model: a decade later","volume":"11","author":"Janz","year":"1984","journal-title":"Health Educ Q"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1177\/109019817400200405","article-title":"The health belief model and preventive health behavior","volume":"2","author":"Rosenstock","year":"1974","journal-title":"Health Educ Monogr"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1056\/NEJMoa012512","article-title":"Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin","volume":"346","author":"Knowler","year":"2002","journal-title":"N Engl J Med"},{"key":"ref45","year":"2002"},{"key":"ref46","year":"2016"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"1331","DOI":"10.2337\/dc16-2099","article-title":"A National Effort to prevent type 2 diabetes: participant-level evaluation of CDC\u2019S National diabetes prevention program","volume":"40","author":"Ely","year":"2017","journal-title":"Diabetes Care"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1007\/s11892-019-1200-z","article-title":"Public health approaches to type 2 diabetes prevention: the US National Diabetes Prevention Program and beyond","volume":"19","author":"Gruss","year":"2019","journal-title":"Curr Diab Rep"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"2437","DOI":"10.17576\/jsm-2018-4710-20","article-title":"Comparison of the effectiveness of online and face-to-face weight-loss interventations in the workplace: evidence from Malaysia","volume":"47","author":"Rusali","year":"2018","journal-title":"Sains Malays"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1177\/1357633X211070725","article-title":"Barriers and facilitators to pediatric telehealth use in English- and Spanish-speaking families: a qualitative study","volume":"30","author":"Samuels-Kalow","year":"2024","journal-title":"J Telemed Telecare"},{"key":"ref51","doi-asserted-by":"publisher","DOI":"10.20517\/mtod.2024.143","article-title":"From NAFLD to MASLD: transforming steatotic liver disease diagnosis and management","volume":"5","author":"Iruzubieta","year":"2025","journal-title":"Metabolism Target Organ Damage"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"2165","DOI":"10.2337\/diacare.25.12.2165","article-title":"The diabetes prevention program (DPP)","volume":"25","year":"2002","journal-title":"Diabetes Care"},{"key":"ref53","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1002\/hep.29367","article-title":"The diagnosis and management of nonalcoholic fatty liver disease: practice guidance from the American Association for the Study of Liver Diseases","volume":"67","author":"Chalasani","year":"2018","journal-title":"Hepatology"},{"key":"ref54","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1001\/jama.2018.14854","article-title":"The physical activity guidelines for Americans","volume":"320","author":"Piercy","year":"2018","journal-title":"Jama"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1628845\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T05:26:05Z","timestamp":1753421165000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1628845\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,25]]},"references-count":54,"alternative-id":["10.3389\/fpubh.2025.1628845"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1628845","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,25]]},"article-number":"1628845"}}