The BRIDGE Program - for patients | UCSF Integrative Hepatology

Behavioral Resources and Intervention via Digital Group Education (BRIDGE)

BRIDGE: Learn, Connect, and Take Charge of Your Liver Health

Living with metabolic dysfunction-associated steatotic liver disease (MASLD), also known as fatty liver disease, can come with a lot of questions. BRIDGE is here to help you find answers - and support you along the way.

BRIDGE (Behavioral Resources and Intervention via Digital Group Education) is a welcoming, interactive telehealth program designed to complement your regular medical care. Over 12 weeks, you’ll join a small group of people who are also navigating life with MASLD to learn more about liver health, share experiences, and discover practical ways to care for your health in everyday life.

Learn together. Try what works for you.

Every two weeks, you’ll meet online for a 90-minute session led by an experienced healthcare provider. These are not traditional lectures. Sessions are designed to be engaging and interactive, giving you plenty of opportunities to ask questions, participate in conversations, learn from others, and explore changes that feel realistic for your life.

Together, we’ll look at how everyday behaviors can influence your liver and overall health. You’ll gain practical tools and strategies that you can try between sessions, while building the knowledge and confidence to take an active role in your care.

A supportive community and care that is personal to you

One of the most important parts of BRIDGE is knowing that you don’t have to navigate liver health alone. Group conversations provide a supportive space to connect with others, exchange ideas, celebrate progress, and learn from one another’s experiences.

And while you’ll learn together as a group, your health journey is your own. During each session, you’ll also have an opportunity to connect individually with your clinician and develop personalized health goals that reflect what matters most to you.

Each BRIDGE session includes:

A warm check-in to reconnect with the group and see how things are going
An engaging learning session exploring an important topic related to liver health
Group conversation and Q&A where you can ask questions, share experiences, and learn from one another
Personalized support from your clinician to help you choose achievable goals and decide what you’d like to work on next

BRIDGE is more than learning about liver disease. It’s about building skills, finding support, and discovering changes that can become part of your life for the long term.

Come learn, connect, and explore what better liver health can look like for you.

BRIDGE: Your 6-Session Journey

Session 1 — Understanding Your Liver Health
Learn about MASLD, how it relates to metabolic health, and how it is diagnosed and monitored. Explore how thoughts, feelings, surroundings, and daily habits can influence your health.

Session 2 — Taking an Active Role in Your Health
Discover ways to support your liver and metabolic health through sustainable lifestyle changes, healthy weight management, and medications when appropriate. Identify what matters most to you and begin setting meaningful health priorities.

Session 3 — Turning Goals into Lasting Change
Explore how behavior change happens and what can help you move forward when challenges arise. Identify your motivations and barriers and learn to create realistic SMART goals using the BRIDGE Goal Tracker.

Session 4 — Eating for a Healthy Liver
Explore practical, evidence-based approaches to eating well, including the Mediterranean eating pattern, mindful eating, carbohydrates, and understanding nutrition labels. Identify nutrition goals that work for your everyday life.

Session 5 — Moving for Better Health
Discover how cardiovascular activity, strength training, and everyday movement can benefit your liver, metabolism, and overall well-being. Explore enjoyable and realistic ways to become more active.

Session 6 — Managing Stress & Supporting Better Sleep
Learn how stress and sleep affect your health and explore practical strategies for managing stress, improving sleep, and recognizing unhelpful thought patterns. Identify the people, activities, and resources that can support your well-being.

Lisa Catalli, MS, NP

Lisa Catalli, MS, NP, the co-founder of the BRIDGE program to liver health invites all patients diagnosed with MASLD to join the BRIDGE program. Interested patients can contact their hepatology provider and are added to a waiting list of patients to start ongoing BRIDGE sessions.

”I am passionate about using patient-centered care to empower patients so they can achieve their goals.”

Lisa Catalli, MS, NP-C, UCSF School of Nursing

She co-founded BRIDGE to Liver Health, a video conferencing-enabled, shared medical appointment program to longitudinally interface with hepatology patients to improve liver health outcomes.

Bridge sessions for MASLD patients

BRIDGE Session 1: Introduction to Metabolic dysfunction-associated steatotic liver disease (MASLD) This session provides an introduction to MASLD, covering key topics such as the dynamic nature of fatty liver disease, the role of metabolic dysfunction, its prevalence, and potential health impacts. Participants will gain an understanding of how MASLD is diagnosed and monitored over time. The group activity focuses on introducing cognitive behavioral strategies to help participants explore the connections between their environment, thoughts, emotions, physical symptoms, and health-related behaviors.

BRIGE Session 2: Improving outcomes in MASLD

This session focuses on strategies to improve outcomes for MASLD and metabolic dysfunction through sustainable health-related behaviors, lasting weight loss, and the use of medications. Emphasis is placed on participants becoming active participants in self-care. The group activity helps participants identify their core values that inspire positive health behaviors and introduces the BRIDGE goal tracker as a tool to prioritize specific areas of health to focus on.