Evidence map›Paper›PMID 40842163›Full record

ArticleThe International journal of eating disorders2025

A Historical Cohort Comparison After Inpatient Admission for Adolescents With Anorexia Nervosa: Feasibility of Virtual Group Therapy.

Elizabeth V Franklin, Margaret Mathias, Rachel Wolfe, Duc T Nguyen, Drusilla M Rosales, Sofia Pedroza, Albert C Hergenroeder, Constance M Wiemann

Abstract readComparative Study
In one paragraph

Article in The International journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Elizabeth V FranklinDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0003-0623-1232
Margaret MathiasDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0009-0002-1831-4342
Rachel WolfeDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0009-0008-0621-4380
Duc T NguyenDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-5059-4404
Drusilla M RosalesDivision of Adolescent Medicine and Sports Medicine, Texas Children's Hospital, Houston, Texas, USA.ORCID 0009-0009-4662-7670
Sofia PedrozaBaylor College of Medicine, Houston, Texas, USA.ORCID 0009-0004-0157-4388
Albert C HergenroederDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0001-8793-1382
Constance M WiemannDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-2807-1121

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAccess to follow-up care after a medical admission for adolescents with anorexia nervosa (AN) is important; yet access can be delayed or unavailable. This study assessed the feasibility and acceptability of a supplemental virtual 8-week outpatient group therapy program following inpatient care. A secondary aim explored the outpatient program's impact on self-reported anxiety, disordered eating, and depression symptoms, and readmission rates.

methodA retrospective chart review study compared 68 adolescents (aged 11-18) with AN enrolled in an 8-week group therapy program (Recovery and Prevention Program [RAPP]) to 64 adolescents who were not enrolled in RAPP (historical cohort). "RAPP completers" were defined as having attended 75% of their scheduled virtual therapy appointments.

resultsRAPP demonstrated strong feasibility and acceptability, with a weekly attendance averaging 80%, and high participant satisfaction ratings (4.2 out of 5). Within-group comparisons of RAPP participants found that greater attendance was associated with decreased anxiety (p = 0.01) and ED symptoms (p < 0.001). Compared to females in the historical cohort, female RAPP completers had lower readmission rates within 6 months of discharge (p = 0.03). DISCUSSION: This is the first study to demonstrate feasibility, acceptability, and preliminary changes over time in appointment attendance and self-reported mental health symptoms among adolescents with AN discharging from an inpatient ED program participating in a supplemental virtual group therapy program. PUBLIC SIGNIFICANCE: This study demonstrated that an 8-week virtual group therapy program (RAPP) is feasible and acceptable to adolescents with AN post-inpatient treatment and could serve as a promising supplement to family-based treatment to improve access to necessary follow-up care, including publicly insured patients from primarily Spanish-speaking families.

Indexed as

Anorexia NervosaPsychotherapy, GroupAdolescentAnxietyChildCohort StudiesFeasibility StudiesFemaleHospitalizationHumansInpatientsMalePatient ReadmissionPatient SatisfactionRetrospective StudiesTreatment Outcomeaccess to careeating disordersgroup therapyRAPPtelemedicinevirtual therapy

Identifiers

PMID40842163
PMCPMC12605622

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LicenceCC BY-NC-ND
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Registered trials

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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.