{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T13:38:37Z","timestamp":1791639517633,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Access to follow\u2010up 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\u2010week outpatient group therapy program following inpatient care. A secondary aim explored the outpatient program's impact on self\u2010reported anxiety, disordered eating, and depression symptoms, and readmission rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A retrospective chart review study compared 68 adolescents (aged 11\u201318) with AN enrolled in an 8\u2010week group therapy program (Recovery and Prevention Program [RAPP]) to 64 adolescents who were not enrolled in RAPP (historical cohort). \u201cRAPP completers\u201d were defined as having attended 75% of their scheduled virtual therapy appointments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      RAPP demonstrated strong feasibility and acceptability, with a weekly attendance averaging 80%, and high participant satisfaction ratings (4.2 out of 5). Within\u2010group comparisons of RAPP participants found that greater attendance was associated with decreased anxiety (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01) and ED symptoms (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Compared to females in the historical cohort, female RAPP completers had lower readmission rates within 6\u2009months of discharge (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This is the first study to demonstrate feasibility, acceptability, and preliminary changes over time in appointment attendance and self\u2010reported mental health symptoms among adolescents with AN discharging from an inpatient ED program participating in a supplemental virtual group therapy program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Public Significance<\/jats:title>\n                    <jats:p>This study demonstrated that an 8\u2010week virtual group therapy program (RAPP) is feasible and acceptable to adolescents with AN post\u2010inpatient treatment and could serve as a promising supplement to family\u2010based treatment to improve access to necessary follow\u2010up care, including publicly insured patients from primarily Spanish\u2010speaking families.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24534","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T05:36:11Z","timestamp":1755840971000},"page":"2203-2213","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A Historical Cohort Comparison After Inpatient Admission for Adolescents With Anorexia Nervosa: Feasibility of Virtual Group Therapy"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0623-1232","authenticated-orcid":false,"given":"Elizabeth V.","family":"Franklin","sequence":"first","affiliation":[{"name":"Department of Pediatrics Baylor College of Medicine  Houston 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