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Non-alcoholic fatty liver disease (NAFLD) increase the risk for morbidity and mortality and is strongly associated with obesity. No licenced medication exist for NAFLD. Clinical guidelines around the world recommend clinicians offer advice on lifestyle modification, which mostly includes weight loss through hypo-energetic diets and increased physical activity. However, whether clinicians provide advice and the type of advice they give may vary greatly, and guidelines rarely specifically recommend treatment programs to support weight loss. The aims of this project are to

  • Estimate the association between various stages of NAFLD and disease outcomes and survival and quantify the lifestyle advice provided to people with NAFLD in primary care utilising big data.
  • Explore the attitudes of primary care professionals towards providing lifestyle advice to people with NAFLD using qualitative methodology.
  • Develop and pilot an intervention to prompt GPs to refer people with NAFLD to weight management programmes by drawing on the current literature and using a mixed-methods approach.

The successful candidate will develop their skills in quantitative and qualitative analysis and intervention development and evaluation.