{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:13:12Z","timestamp":1788347592201,"version":"build-2803163510"},"reference-count":47,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K24MH135189"],"award-info":[{"award-number":["K24MH135189"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Cognitive\u2010Behavioral Therapy for Avoidant\/Restrictive Food Intake Disorder (CBT\u2010AR) is an emerging treatment for ARFID, but to date, it has only been delivered by mental health clinicians. Given the relevance of nutrition to treatment goals, we adapted the treatment to be dietetic\u2010led (D\u2010CBT\u2010AR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We conducted a pilot trial of D\u2010CBT\u2010AR. Participants self\u2010referred to a multidisciplinary eating\u2010disorder clinic in Brisbane, Australia, and attended in person or virtually. Participants rated D\u2010CBT\u2010AR on acceptability and feasibility. We also measured changes in ARFID psychopathology, Body Mass Index, and co\u2010morbid psychopathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 12 participants offered D\u2010CBT\u2010AR, 92% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911) took up the treatment, and 72% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098) completed, with a median treatment length of 33\u2009weeks. The majority of completers rated D\u2010CBT\u2010AR above benchmarks on feasibility (89%) and acceptability (78%). Using intent\u2010to\u2010treat analyses, participants reported large and significant improvements in ARFID psychopathology on all subscales of the Pica, ARFID and Rumination Disorder Interview. They incorporated a median of 26 new foods. For those who were weight\u2010suppressed, Body Mass Index increased by 1.5 bands from pre\u2010 to post\u2010treatment, though effects were non\u2010significant. Participants also reported large and significant reductions in clinical impairment, depression, and stress. Additionally, at 6\u2010months post\u2010treatment, five participants met remission criteria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The trial shows proof\u2010of\u2010concept for the feasibility and acceptability of D\u2010CBT\u2010AR. Although requiring replication in larger and randomized controlled trials, our findings highlight the potential of D\u2010CBT\u2010AR to expand the types of professionals who could effectively deliver CBT\u2010AR, thereby increasing access to care for individuals living with ARFID.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70126","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T09:07:20Z","timestamp":1779354440000},"page":"2013-2024","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dietetic\u2010Led Cognitive\u2010Behavioral Therapy for Avoidant\/Restrictive Food Intake Disorder: Feasibility, Acceptability, and Proof\u2010of\u2010Concept"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9132-1982","authenticated-orcid":false,"given":"Copeland G.","family":"Winten","sequence":"first","affiliation":[{"name":"School of Exercise and Nutrition Sciences, Queensland University of Technology  Kelvin Grove Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7149-6395","authenticated-orcid":false,"given":"Esben","family":"Strodl","sequence":"additional","affiliation":[{"name":"School of Psychology and Counselling, Queensland University of Technology  Kelvin Grove Queensland Australia"},{"name":"Queensland University of Technology Eating Disorders Clinic  Kelvin Grove Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6257-6828","authenticated-orcid":false,"given":"Gabriella","family":"Heruc","sequence":"additional","affiliation":[{"name":"Eating Disorders and Nutrition Research Group, Translational Health Research Institute School of Medicine, Western Sydney University  New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8526-1642","authenticated-orcid":false,"given":"Joanne","family":"Avery","sequence":"additional","affiliation":[{"name":"School of Exercise and Nutrition Sciences, Queensland University of Technology  Kelvin Grove Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1586-0930","authenticated-orcid":false,"given":"Kamryn T.","family":"Eddy","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2947-4130","authenticated-orcid":false,"given":"Lynda J.","family":"Ross","sequence":"additional","affiliation":[{"name":"School of Exercise and Nutrition Sciences, Queensland University of Technology  Kelvin Grove Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2601-581X","authenticated-orcid":false,"given":"Jennifer J.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2011.11.003"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0149\u20107189(82)90074\u2010X"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.06.012"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010023\u201000743\u2010w"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbct.2020.11.001"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22958"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010022\u201000706\u20107"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23761"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23874"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203771587"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23239"},{"key":"e_1_2_13_14_1","volume-title":"Enhanced Cognitive Behavioural Therapy","author":"Fairburn C. 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