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Adaptations of cognitive remediation therapy for adolescents with anorexia nervosa for delivery via telehealth.

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Title: Adaptations of cognitive remediation therapy for adolescents with anorexia nervosa for delivery via telehealth.
Authors: Orloff, Natalia C., McGinley, Kate, Lenz, Katrina, Mack, Amy S., Timko, C. Alix
Source: International Journal of Eating Disorders. Jan2023, Vol. 56 Issue 1, p72-79. 8p. 2 Charts.
Subjects: Anorexia nervosa treatment, Telepsychiatry, Health services accessibility, Continuum of care, Treatment effectiveness, Research funding, Cognitive remediation, Anorexia nervosa, COVID-19 pandemic, Adolescence
Geographic Terms: United States
Abstract: Objective: The COVID‐19 pandemic hastened a transition to treatment delivery via telehealth. While barriers still exist, the increased uptake of telehealth has the potential to increase access to mental health treatment for all diagnoses, including eating disorders. Delivery of evidence‐based treatment as well as adjunctive treatments, including those that are hard to find in‐person, have been modified to virtual format to increase accessibility and allow for continuity of care for adolescents with anorexia nervosa. Method: We describe how to modify and deliver Cognitive Remediation Therapy for youth with anorexia nervosa (CRT‐AN) via a telehealth platform. Preliminary and practical guidance for best practice for both group and individual delivery is established. Results: With minimal modifications, CRT‐AN can be delivered via telehealth for both individual and group delivery. More disengagement in group delivery was noted; however, overall application of the treatment via a remote platform was observed. Discussion: As more treatment moves to a telehealth format, highlighting how an adjunctive treatment like CRT‐AN can combined with other treatments in a telehealth format has the potential to increase research in its implementation and furthermore increase its dissemination. Public Significance: Cognitive Remediation Therapy for Anorexia Nervosa (CRT‐AN) requires significant manipulation of materials and supplementary human guidance. Suggestions for how to modify CRT‐AN for remote delivery via telehealth are provided. Modifications grew out of immediate changes made during the beginning of the COVID‐19 pandemic and can be used to inform changes therapists and programs can make to continue to or begin to use CRT‐AN in a remote fashion. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Adaptations of cognitive remediation therapy for adolescents with anorexia nervosa for delivery via telehealth.
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  Data: Objective: The COVID‐19 pandemic hastened a transition to treatment delivery via telehealth. While barriers still exist, the increased uptake of telehealth has the potential to increase access to mental health treatment for all diagnoses, including eating disorders. Delivery of evidence‐based treatment as well as adjunctive treatments, including those that are hard to find in‐person, have been modified to virtual format to increase accessibility and allow for continuity of care for adolescents with anorexia nervosa. Method: We describe how to modify and deliver Cognitive Remediation Therapy for youth with anorexia nervosa (CRT‐AN) via a telehealth platform. Preliminary and practical guidance for best practice for both group and individual delivery is established. Results: With minimal modifications, CRT‐AN can be delivered via telehealth for both individual and group delivery. More disengagement in group delivery was noted; however, overall application of the treatment via a remote platform was observed. Discussion: As more treatment moves to a telehealth format, highlighting how an adjunctive treatment like CRT‐AN can combined with other treatments in a telehealth format has the potential to increase research in its implementation and furthermore increase its dissemination. Public Significance: Cognitive Remediation Therapy for Anorexia Nervosa (CRT‐AN) requires significant manipulation of materials and supplementary human guidance. Suggestions for how to modify CRT‐AN for remote delivery via telehealth are provided. Modifications grew out of immediate changes made during the beginning of the COVID‐19 pandemic and can be used to inform changes therapists and programs can make to continue to or begin to use CRT‐AN in a remote fashion. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=161395271
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        Value: 10.1002/eat.23850
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        Text: English
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      – SubjectFull: Anorexia nervosa treatment
        Type: general
      – SubjectFull: Telepsychiatry
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Continuum of care
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Research funding
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      – SubjectFull: Cognitive remediation
        Type: general
      – SubjectFull: Anorexia nervosa
        Type: general
      – SubjectFull: COVID-19 pandemic
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      – SubjectFull: Adolescence
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      – SubjectFull: United States
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      – TitleFull: Adaptations of cognitive remediation therapy for adolescents with anorexia nervosa for delivery via telehealth.
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              M: 01
              Text: Jan2023
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              Y: 2023
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