Growth of an Analysis Framework for a Way of life Management Model amongst Chinese MASLD Sufferers beneath the Idea of Physical and Medical Integration

Abstract

Objective: Metabolic dysfunction-associated steatotic liver illness (MASLD), previously generally known as non-alcoholic fatty liver illness (NAFLD), has emerged as a big public well being risk in China. Under the nationwide “physical and medical integration” framework—which advocates collaborative efforts between healthcare and sports activities science—there’s an pressing must develop a scientific and sensible analysis system to standardize way of life administration packages for MASLD sufferers and assist medical implementation of evidence-based way of life interventions. Methods: Building on prior analysis figuring out components influencing adherence to wholesome life amongst Chinese MASLD sufferers, we employed a mixed-methods strategy combining in-depth interviews and a two-round Delphi survey with consultants from train science, public well being, well being administration, train prescription for continual illnesses, and hepatology. The Analytic Hierarchy Process (AHP) was used to find out indicator weights and finalize the analysis framework. Results: Six consultants participated in in-depth interviews, and 12 consultants accomplished two rounds of Delphi questionnaires (response charges: 100% and 91.7%; authority coefficients: 0.90 and 0.89). The ultimate analysis system includes three dimensions: (1) Process analysis—6 first-level indicators (e.g., organizational construction, personnel configuration, supporting amenities) with 12 second-level indicators; (2) Effect analysis—3 first-level indicators (affected person participation, way of life enchancment, follow-up standing) with 5 second-level indicators; and (3) Outcome analysis—2 first-level indicators (illness management, health-related bodily health enchancment) with 4 second-level indicators. Kendall’s W coefficients indicated statistically important consensus (first-level: 0.23 and 0.20; second-level: 0.22 and 0.26; all P < 0.05). AHP-derived weights had been 0.50 for course of, 0.25 for impact, and 0.25 for consequence. All consistency ratios (CR) had been under 0.1, confirming the validity of the weighting. Conclusion: This examine efficiently developed a multidimensional, dependable, and practice-oriented analysis system for way of life administration of MASLD sufferers beneath the combination of drugs and bodily exercise framework. The system offers a standardized software to evaluate and enhance the standard of built-in way of life interventions in medical settings, providing actionable steerage for delivering coordinated, patient-centered look after MASLD.