Evidence map›Paper›PMID 35488866›Full record

Trial reportThe International journal of eating disorders2022

Optimizing relapse prevention and changing habits (REACH+) in anorexia nervosa.

Joanna E Steinglass, Evelyn Attia, Deborah R Glasofer, Yuanjia Wang, Julia Ruggiero, B Timothy Walsh, J Graham Thomas

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The International journal of eating disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04810624 (Optimizing Relapse Prevention and Changing Habits in Anorexia Nervosa), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04810624 narecruitingnot on this map

Optimizing Relapse Prevention and Changing Habits in Anorexia Nervosa

TypeinterventionalSponsorNew York State Psychiatric InstituteRan2021 to 2027Enrolled60ConditionsAnorexia NervosaArmsRelapse Prevention and Changing Habits (REACH+)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Recent developments in treatments for eating disorders.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  4. Article
  5. The current clinical approach to feeding and eating disorders aimed to increase personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Joanna E SteinglassNew York State Psychiatric Institute, New York, New York, USA.ORCID 0000-0001-8434-8212
Evelyn AttiaNew York State Psychiatric Institute, New York, New York, USA.ORCID 0000-0002-5602-6491
Deborah R GlasoferNew York State Psychiatric Institute, New York, New York, USA.
Yuanjia WangColumbia University Irving Medical Center, New York, New York, USA.
Julia RuggieroColumbia University Irving Medical Center, New York, New York, USA.
B Timothy WalshNew York State Psychiatric Institute, New York, New York, USA.ORCID 0000-0001-8626-5859
J Graham ThomasBrown University, Providence, Rhode Island, USA.
Columbia University Irving Medical Center · USBrown University · US

Funding

Optimizing Relapse Prevention and Changing Habits (REACH+) in Anorexia NervosaR34MH127180 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI EVELYN ATTIA, JOANNA E STEINGLASS · 2021 to 2026
$688k
NIMH NIH HHS R34 MH127180
6 · The paper itself

Abstract

introductionRelapse rates in anorexia nervosa (AN) are high, even after full weight restoration. This study aims to develop a relapse prevention treatment that specifically addresses persistent maladaptive behaviors (habits). Relapse Prevention and Changing Habits (REACH+) aims to support patients in developing routines that promote weight maintenance, encourage health, and challenge habits that perpetuate illness. The clinical trial design uses the Multiphase Optimization STrategy (MOST) framework to efficiently identify which components of treatment contribute to positive outcomes.

methodsParticipants will be 60 adults with AN who have achieved weight restoration in an inpatient setting. Treatment will consist of 6 months of outpatient telehealth sessions. REACH+ consists of behavior, cognitive, and motivation components, as well as food monitoring and a skill consolidation phase. A specialized online platform extends therapy between sessions. Participants will be randomly assigned to different versions of each component in a fractional factorial design. Outcomes will focus on maintenance of remission, measured by rate of weight loss and end-of-trial status. Interventions that contribute to remission will be included in an optimized treatment package, suitable for a large-scale clinical trial of relapse prevention in AN.

Indexed as

Anorexia NervosaAdultHabitsHumansInpatientsRecurrenceSecondary Preventionanorexia nervosabehavior therapyclinical trialhabitMOSTrelapse preventiontelehealth

Identifiers

PMID35488866
PMCPMC9167790
OpenAlexW4225260150

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.