Jennifer M Waller, Jennifer S Silk, Lindsey B Stone, Ronald E Dahl
Co-rumination and co-problem solving in the daily lives of adolescents with major depressive disorder
Journal of the American Academy of Child and Adolescent Psychiatry
prevalence healthcare cost metabolic dysfunctionassociated steatotic liver disease masld increased alongside epidemic surge obesity type 2 diabetes weight loss lifestyle modification remains primary effective therapy masld incorporation mobile technology lifestyle interventions previously found efficacious costeffective facilitating weight loss however paucity studies successfully translated lifestyle research clinical service weight loss alleviate disease burden study aimed describe process translating mobile technologyenabled trial tertiary hospital outpatient dietetics service patients masld iowa model evidencebased practice improve quality care used framework paper guide implementation organizational level regular engagement key operational staff hospital management team facilitated open discussions challenges faced enabled rapid implementation strategies contributed smooth piloting service service adoption rate 81 achieved preliminary outcome evaluation found percentage patients achieving 5 weight loss baseline 6 months comparable 54 52 service trial groups respectively evaluation implementation process found hybrid model care inperson consultation supplemented app coaching preserved interpersonal connections maximizing convenience scalability mobile appenabled service although high digital acceptance adoption rates propelled covid19supported telehealth prudent assess patients access technology digital literacy offer resources help benefit telehealth services