{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T14:59:51Z","timestamp":1787669991392,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T00:00:00Z","timestamp":1566259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the feasibility, acceptability, and preliminary efficacy of an innovative therapist\u2010guided smartphone\u2010based aftercare intervention following inpatient treatment of patients with severe anorexia nervosa (AN).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Forty female patients with AN (ICD\u201010: F50.0\/F50.1) (aged: 15\u201336\u2009years) were randomized either to an 8\u2010week smartphone\u2010based aftercare intervention (German version of \u201cRecovery Record\u201d) with therapist feedback as an adjunct to treatment as usual (intervention group [IG]) or to treatment as usual alone (control group [CG]). Body mass index (BMI) and eating disorder (ED) symptoms were assessed at discharge (baseline), postintervention (after 8\u2009weeks), and at 6\u2010month follow\u2010up. Additionally, patients' satisfaction, adherence to the smartphone\u2010based intervention, and postdischarge health care utilization were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients showed a high level of adherence and reported a very high acceptance of the app and the aftercare intervention. We found at postintervention nonsignificant small to moderate between\u2010group effect sizes favoring the IG regarding BMI (<jats:italic>d<\/jats:italic> = \u22120.24; 95% confidence interval [CI] [\u22120.90, 0.41]) and ED symptoms (Eating Disorder Examination\u2010Questionnaire global: <jats:italic>d<\/jats:italic> = 0.56; 95% CI [\u22120.10, 1.22]). At 6\u2010month follow\u2010up, effects wore off and no significant differences between the IG and CG were evident.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This was the first study to evaluate a therapist\u2010guided smartphone\u2010based aftercare intervention for discharged inpatients with AN. Results suggest that such an intervention is highly accepted by patients and that it could support symptom stabilization or continued improvement as an add\u2010on therapy to treatment as usual. A larger scale randomized controlled trial is now planned to further evaluate the efficacy of this aftercare intervention for patients with AN.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23152","type":"journal-article","created":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T13:40:03Z","timestamp":1566308403000},"page":"1191-1201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":71,"title":["Improving aftercare with technology for anorexia nervosa after intensive inpatient treatment: A pilot randomized controlled trial with a therapist\u2010guided smartphone app"],"prefix":"10.1002","volume":"52","author":[{"given":"Christina","family":"Neumayr","sequence":"first","affiliation":[{"name":"Schoen Clinic Roseneck  Prien am Chiemsee Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Voderholzer","sequence":"additional","affiliation":[{"name":"Schoen Clinic Roseneck  Prien am Chiemsee Germany"},{"name":"Department of Psychiatry and Psychotherapy University Hospital of Freiburg  Freiburg Germany"},{"name":"Department of Psychiatry and Psychotherapy Ludwig Maximilian University (LMU)  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Tregarthen","sequence":"additional","affiliation":[{"name":"Recovery Record Inc.  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1791-7379","authenticated-orcid":false,"given":"Sandra","family":"Schlegl","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy Ludwig Maximilian University (LMU)  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0028030"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2012.04.037"},{"key":"e_1_2_8_5_1","unstructured":"Darcy A. Tregarthen J. &Lock J.(n.d.).Can smartphones be used to improve eating disorder symptoms? An exploration of outcome and symptom profiles. 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