{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T02:17:04Z","timestamp":1782267424744,"version":"3.54.5"},"reference-count":48,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T00:00:00Z","timestamp":1596153600000},"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":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Inpatient treatment for patients with anorexia nervosa (AN) is recommended in extreme or severe cases after failure of outpatient treatment and is highly effective. However, a number of patients show symptom increase and relapse after discharge. The aim of this study is to evaluate the efficacy of a therapist\u2010guided smartphone\u2010based aftercare intervention for inpatients with AN to support symptom stabilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A total of 186 female patients with a DSM\u20105 diagnosis of AN (307.1) will be randomized either to receive a 16\u2010week smartphone\u2010based aftercare intervention with therapist feedback as add\u2010on to treatment as usual (TAU) or TAU alone. Data will be assessed at discharge (=\u2009baseline, T0), after 16\u2009weeks (=\u2009end of the aftercare intervention, T1) and after 10 months (=\u20096\u2010month follow\u2010up, T2). Primary outcome will be overall eating disorder symptomatology (Eating Disorder Examination Global score). Secondary outcome measures will include body mass index, depression, motivation to change, self\u2010efficacy, patient satisfaction with and adherence to the smartphone\u2010based aftercare intervention as well as rehospitalization rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This study will be the first randomized controlled trial to examine a therapist\u2010guided smartphone\u2010based aftercare intervention for inpatients with AN. Results may reveal whether and to which extent this novel intervention can support symptom stabilization after inpatient treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23357","type":"journal-article","created":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T10:17:35Z","timestamp":1596190655000},"page":"1739-1745","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Therapist\u2010guided <scp>smartphone<\/scp>\u2010based aftercare for inpatients with severe <scp>anorexia<\/scp> nervosa (SMART\u2010AN): Study protocol of a randomized controlled trial"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1791-7379","authenticated-orcid":false,"given":"Sandra","family":"Schlegl","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, University Hospital of Munich (LMU)  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Neumayr","sequence":"additional","affiliation":[{"name":"Schoen Clinic Roseneck Prien am Chiemsee  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0261-3145","authenticated-orcid":false,"given":"Ulrich","family":"Voderholzer","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, University Hospital of Munich (LMU)  Munich Germany"},{"name":"Schoen Clinic Roseneck Prien am Chiemsee  Germany"},{"name":"Department of Psychiatry and Psychotherapy University Hospital of Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-016-0673-6"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2016.09.004"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23286"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2609"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.2196\/12920"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pst.1548"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"issue":"1","key":"e_1_2_7_9_1","first-page":"e7","article-title":"Mental health smartphone apps: Review and evidence\u2010based recommendations for future developments","volume":"3","author":"Bakker D.","year":"2016","journal-title":"Journal of Medical Internet Research: Mental Health"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23164"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-016-9556-9"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000453"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3768\/rtipress.2009.mr.0009.0903"},{"key":"e_1_2_7_14_1","volume-title":"Cognitive behavior therapy and eating disorders","author":"Dalle Grave R.","year":"2008"},{"key":"e_1_2_7_15_1","article-title":"Can smartphones be used to improve eating disorder symptoms? 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