{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T23:47:41Z","timestamp":1791848861810,"version":"4.3.4"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alcohol\u2010associated liver disease (ALD) is a leading indication for liver transplant (LT) in the United States. Rates of early liver transplant (ELT) with less than 6 months of sobriety have increased substantially. Patients who receive ELT commonly have alcohol\u2010associated hepatitis (AH) and are often too ill to complete an intensive outpatient program (IOP) for alcohol use disorder (AUD) prior to LT. ELT recipients feel alienated from traditional IOPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We implemented Total Recovery\u2010LT, a tailored virtual outpatient IOP specific for patients under evaluation or waitlisted for LT who were too ill to attend community\u2010based alcohol treatment programs. The 12\u2010week program consisted of weekly group and individual counseling delivered by a master's level Certified Addiction Counselor trained in the basics of LT.\u00a0\u00a0Treatment consisted of 12\u2010Step Facilitation, Motivational Interviewing, and Cognitive Behavioral Therapy. We report on program design, implementation, feasibility and early outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From March 2021 to September 2022, 42 patients (36% female, 23 in LT evaluation, 19 post\u2010transplant) enrolled across five cohorts with 76% (32\/42) completing the program. Alcohol relapse was more common among noncompleters versus those who completed the program (8\/10, 80%\u00a0vs. 7\/32, 22%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.002). History of trauma or post\u2010traumatic stress symptoms were associated with lower likelihood of completion. Patients\u2019 desire for continued engagement after completion led to the creation of a monthly alumni group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our integrated IOP model for patients with high\u2010risk AUD in LT evaluation or post\u2010transplant is well\u2010received by patients and could be considered a model for LT programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.15381","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T06:14:50Z","timestamp":1719555290000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["A Tailored Virtual Program for Alcohol Use Disorder Treatment Among Liver Transplant Candidates and Recipients Is Feasible and Associated With Lower Post\u2010Transplant Relapse"],"prefix":"10.1111","volume":"38","author":[{"given":"Arpita","family":"Goswami","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Pennsylvania Perelman School of Medicine  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Weinberg","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology School of Medicine University of Pennsylvania Perelman  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynda","family":"Coraluzzi","sequence":"additional","affiliation":[{"name":"Penn Presbyterian Medical Center  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Therese","family":"Bittermann","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology School of Medicine University of Pennsylvania Perelman  Philadelphia Pennsylvania USA"},{"name":"Center for Clinical Epidemiology and Biostatistics School of Medicine University of Pennsylvania Perelman  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Nahas","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology School of Medicine University of Pennsylvania Perelman  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senayish","family":"Addis","sequence":"additional","affiliation":[{"name":"Penn Transplant Institute Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Weinrieb","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pennsylvania Perelman School of Medicine  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4899-2160","authenticated-orcid":false,"given":"Marina","family":"Serper","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology School of Medicine University of Pennsylvania Perelman  Philadelphia Pennsylvania USA"},{"name":"Leonard Davis Institute of Health Economics University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,28]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"National Institute on Alcohol Abuse and Alcoholism.Alcohol and the Human Body(2023) accessed June 22 2024 https:\/\/www.niaaa.nih.gov\/alcohols\u2010effects\u2010health\/alcohol\u2010topics\/alcohol\u2010facts\u2010and\u2010statistics\/alcohol\u2010and\u2010human\u2010body."},{"issue":"7","key":"e_1_2_9_3_1","article-title":"Rising Alcohol\u2010Associated Liver 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