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Comparing Outcomes for Telehealth Versus In-Person Family-Based Treatment: A Retrospective Chart Review.

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Telehealth family-based treatment (FBT) for adolescents with eating disorders shows similar weight restoration and completion rates to in-person FBT. This approach enhances treatment accessibility and scalability for restrictive eating disorders.

Keywords:
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Area of Science:

  • Clinical Psychology
  • Child and Adolescent Psychiatry
  • Telemedicine

Background:

  • Telehealth has become integrated into eating disorder (ED) treatment settings.
  • Effectiveness of family-based treatment (FBT) delivered via telehealth remains under-examined.
  • Previous research has not extensively compared in-person versus telehealth FBT outcomes.

Purpose of the Study:

  • To compare the effectiveness of in-person versus telehealth family-based treatment (FBT) for adolescents with restrictive eating disorders.
  • To examine differences in weight restoration, treatment completion, and progress metrics between FBT formats.
  • To explore potential moderators of treatment outcomes in different FBT delivery modalities.

Main Methods:

  • Retrospective chart review of 169 adolescents (10-18 years) with restrictive EDs.
  • Comparison of patients receiving in-person FBT (n=92) pre-pandemic versus telehealth FBT (n=77) during the pandemic.
  • Regression models analyzed FBT format effects, controlling for baseline % expected body weight (%EBW); geospatial analyses assessed reach.

Main Results:

  • Treatment format did not significantly predict weight restoration (≥95% EBW) or treatment completion.
  • Telehealth FBT patients were less likely to be early responders (OR=0.33).
  • No significant differences were found in sessions to 95% EBW, hospitalization frequency, or geographic reach between formats.

Conclusions:

  • Telehealth FBT demonstrates comparable efficacy to in-person FBT for weight restoration and hospitalization prevention in adolescents with restrictive EDs.
  • Findings support the continued use of telehealth FBT to improve treatment accessibility and scalability.
  • Further research with randomized designs and psychopathology measures is recommended.