Evidence map›Paper›PMID 42334272›Full record

Trial reportThe International journal of eating disorders2026

Therapist-Guided Smartphone-Based Aftercare for Inpatients With Severe Anorexia Nervosa (SMART-AN): A Randomized Clinical Trial.

Sandra Schlegl, Andreas Gerich, Yannik Terhorst, Christina Fricke Neumayr, Ulrich Voderholzer

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04228939 (Therapist-guided Smartphone-based Aftercare for Inpatients With Severe Anorexia Nervosa), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04228939 naunknown statusnot on this map

Therapist-guided Smartphone-based Aftercare for Inpatients With Severe Anorexia Nervosa (SMART-AN): a Randomized Controlled Trial

TypeinterventionalSponsorLudwig-Maximilians - University of MunichRan2019 to 2021Enrolled184ConditionsAnorexia NervosaArmsRecovery Record aftercare, Treatment as usual (TAU)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

5 authors.

Sandra SchleglDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0003-1791-7379
Andreas GerichDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0009-0009-5498-861X
Yannik TerhorstDepartment of Psychological Methods and Assessment, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0003-4091-5048
Christina Fricke NeumayrSchoen Clinic Roseneck, Prien am Chiemsee, Germany.ORCID https://orcid.org/0009-0005-4325-2595
Ulrich VoderholzerDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0003-0261-3145

Funding

Schweizerische Anorexia Nervosa Stiftung Project #78-17
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of a 16-week therapist-guided, smartphone-based aftercare intervention as an add-on to treatment as usual (TAU) following inpatient treatment for anorexia nervosa (AN).

methodIn this single-center randomized clinical trial, 186 female inpatients with DSM-5 AN (≥ 13 years; body mass index (BMI) ≥ 15.0 kg/m

resultsAt T1, there was no significant between-group difference in EDE global score (mean difference, 0.12; 95% CI, -0.21 to 0.46), and results were similar at T2 (0.27; 95% CI, -0.13 to 0.67). Secondary outcomes did not differ clearly between groups. Intervention adherence was high (69.9% completed 16 weeks). Rehospitalizations occurred in 4.7% of participants by T1 and 26.4% by T2, without significant between-group differences. DISCUSSION: In a context of intensive TAU with rapid access to outpatient psychotherapy, adding therapist-guided smartphone-based aftercare did not yield additional short-term symptom benefit after inpatient treatment for AN. Future work should refine digital aftercare and embed it more closely into blended treatment models.

trial registrationClinicalTrials.gov identifier: NCT04228939.

Indexed as

AftercareAnorexia NervosaMental Health TeletherapyMobile ApplicationsSmartphoneAdolescentAdultFemaleHumansInpatientsTreatment OutcomeYoung Adultaftercareanorexia nervosainpatientRCTsmartphonetherapist‐guided

Identifiers

PMID42334272
PMCPMC13655992

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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.