Comparing Outcomes for Telehealth Versus In‐Person Family‐Based Treatment: A Retrospective Chart Review.
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| Title: | Comparing Outcomes for Telehealth Versus In‐Person Family‐Based Treatment: A Retrospective Chart Review. |
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| Authors: | Drury, Catherine R. (AUTHOR), Singh, Simar (AUTHOR), Manzano, Michael (AUTHOR), Gorrell, Sasha (AUTHOR), Reilly, Erin E. (AUTHOR), Odette, Michelle (AUTHOR), Accurso, Erin C. (AUTHOR), Brosof, Leigh (AUTHOR), Bruett, Lindsey (AUTHOR), Forsberg, Sarah (AUTHOR), Haas, Verena (AUTHOR), Hail, Lisa (AUTHOR), Huryk, Kathryn M. (AUTHOR), Keyser, Jessica (AUTHOR), Kramer, Rachel (AUTHOR), Lynch, Naomi (AUTHOR), Murray, Stuart B. (AUTHOR), Radin, Rachel M. (AUTHOR), Underhill, Justine (AUTHOR), Zucker, Kianna (AUTHOR) |
| Source: | International Journal of Eating Disorders. Nov2025, Vol. 58 Issue 11, p2090-2104. 15p. |
| Subjects: | Treatment of eating disorders, Family psychotherapy, Research funding, Logistic regression analysis, Treatment effectiveness, Retrospective studies, Descriptive statistics, Telemedicine, Odds ratio, Medical appointments, Medical records, Acquisition of data, Research, Data analysis software, Confidence intervals, Weight gain, Regression analysis |
| Abstract: | Objective: Telehealth services have become part of many eating disorder (ED) treatment settings; yet, few studies have examined the effectiveness of family‐based treatment (FBT) delivered via telehealth. This study compared in‐person and telehealth FBT in rates of weight restoration, treatment completion, and metrics of treatment progress, and explored potential moderators of these outcomes. Method: Retrospective chart review identified 169 adolescents (10–18 years) with restrictive EDs who received FBT in person before the COVID‐19 pandemic (n = 92) or via telehealth during the pandemic (n = 77). Regression models examined the effect of FBT format, controlling for baseline percent of expected body weight (%EBW). Zip code‐based geospatial analyses compared the distance each format reached. Results: Treatment format (in‐person versus telehealth) did not predict whether patients were weight restored to ≥ 95% of EBW at the end of treatment (OR = 0.74) or completed treatment (ORs = 0.53–1.74). Older age predicted lower odds of treatment completion among in‐person but not telehealth patients; there was no moderating effect of age on weight restoration or of baseline %EBW on either outcome. Patients who received FBT via telehealth were less likely to be early responders (i.e., gained 2.3 kg by session four; OR = 0.33). FBT format did not predict the number of sessions to 95% EBW (f2 = 0.01), hospitalization frequency, or distance reached (d = 0.27). Discussion: Results suggest no significant differences between telehealth and in‐person FBT in restoring weight or preventing hospitalization for adolescents with restrictive EDs, and support continued use of telehealth FBT to improve treatment accessibility and scalability. Additional research using a randomized design and ED psychopathology measures is needed. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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