{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T18:17:47Z","timestamp":1788200267861,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Alcohol\u2010associated liver disease (ALD) has become the leading indication for liver transplantation (LT) in the United States. Contemporary practice has shifted toward broader LT access for medically urgent patients with limited pretransplant abstinence or alcohol use disorder (AUD) treatment experience. These patients require AUD treatment post\u2010LT; however, standardized treatment protocols in this setting remain limited. In response to this need, our center implemented a virtual monthly group\u2010based relapse prevention program (RPP) for liver transplant recipients (LTRs) transplanted for ALD. The aim of this quality improvement initiative was to examine the feasibility and acceptability of our program. Sessions were administered virtually by a licensed clinical addiction specialist. We collected data from the electronic health record, patient survey data, and qualitative feedback via a focus group at program completion. Of 46 patients contacted, 41% (\n                    <jats:italic>n<\/jats:italic>\n                    = 19) completed initial enrollment, and 30% (\n                    <jats:italic>n<\/jats:italic>\n                    = 14) attended at least one session. The majority of patients (61%) were male and those who enrolled were transplanted more recently (15 versus 26 months post\u2010LT). Attendance was higher in patients with private insurance and a diagnosis of alcohol\u2010associated hepatitis. Our program was well\u2010received overall by participants, as seen in both patient satisfaction scores and qualitative feedback. Although focus group participants felt the program was not essential for maintaining abstinence, largely due to an already established commitment to abstinence, they valued the sense of community and purpose it provided. With rising ALD burden and broader access to urgent LT, structured and accessible posttransplant AUD interventions remain an important and unmet need.\n                  <\/jats:p>","DOI":"10.1111\/ctr.70667","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T17:30:38Z","timestamp":1788197438000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and Acceptability of a Group\u2010Based Relapse Prevention Program for Liver Transplant Recipients With Alcohol\u2010Associated Liver"],"prefix":"10.1111","volume":"40","author":[{"given":"Sasha","family":"Deutsch\u2010Link","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology UNC School of Medicine  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Hurr","sequence":"additional","affiliation":[{"name":"UNC School of Medicine  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Gallagher","sequence":"additional","affiliation":[{"name":"Department of Psychiatry UNC School of Medicine  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen W.","family":"Green","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology UNC School of Medicine  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian S.","family":"Hendershot","sequence":"additional","affiliation":[{"name":"Department of Population and Public Health Sciences  \u00a0 USA"},{"name":"Institute For Addiction Science University of Southern California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie\u2010Josee","family":"Lynch","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Velez","sequence":"additional","affiliation":[{"name":"Department of Psychiatry UNC School of Medicine  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hersh","family":"Shroff","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology UNC School of Medicine  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20101253(19)30349\u20108"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2023.0527"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000001863"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2023.02.006"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2025.01.022"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.21278"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2023.03.007"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41575\u2010021\u201000527\u20100"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000001766"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/frtra.2025.1577086"},{"key":"e_1_2_9_12_1","unstructured":"Trillium Gift of Life Network.Relapse Prevention Manual for Those With Alcohol\u2010Associated Liver Disease (ALD).2025. Accessed February 15 2026 https:\/\/www.giftoflife.on.ca\/resources\/pdf\/transplant\/ALD_Relapse_Prevention_Manual.pdf."},{"key":"e_1_2_9_13_1","volume-title":"Relapse Prevention\u00a0: Maintenance Strategies in the Treatment of Addictive Behaviors","author":"Marlatt G. A.","year":"2005"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1747\u2010597X\u20106\u201017"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0090198"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1994.55.141"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.16.1789"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.conctc.2017.03.008"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/jncimonographs\/lgu032"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1258\/135763303321159693"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006X.68.5.810"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.15569"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/LVT.0000000000000362"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2022.08.001"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/HC9.0000000000000805"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000001084"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000000617"},{"key":"e_1_2_9_28_1","unstructured":"ASAM Guideline on Engagement and Retention of Nonabstinent Patients in Substance use Treatment. Default. Accessed May 25 2026 https:\/\/www.asam.org\/quality\u2010care\/clinical\u2010recommendations\/asam\u2010clinical\u2010considerations\u2010for\u2010engagement\u2010and\u2010retention\u2010of\u2010non\u2010abstinent\u2010patients\u2010in\u2010treatment."},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.15381"},{"key":"e_1_2_9_30_1","doi-asserted-by":"crossref","unstructured":"Matching Alcoholism Treatments to Client Heterogeneity: Project MATCH Posttreatment Drinking Outcomes. Journal of Studies on Alcohol1997;58(1):7\u201329 https:\/\/doi.org\/10.15288\/jsa.1997.58.7.","DOI":"10.15288\/jsa.1997.58.7"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.1.102803.143833"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.70667","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ctr.70667","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.70667","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T17:30:40Z","timestamp":1788197440000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.70667"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":30,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/ctr.70667"],"URL":"https:\/\/doi.org\/10.1111\/ctr.70667","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"value":"0902-0063","type":"print"},{"value":"1399-0012","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]},"assertion":[{"value":"2026-03-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70667"}}