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Rapid Intervention to Support Eating Issues (RISE) Program: Using Quality Improvement to Reduce Medical Hospitalization in Malnourished Youth.

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Title: Rapid Intervention to Support Eating Issues (RISE) Program: Using Quality Improvement to Reduce Medical Hospitalization in Malnourished Youth.
Authors: Calderoni, Michele (AUTHOR), Turner, Samantha (AUTHOR), Heckert, Kerri (AUTHOR), Snyder, Carrie (AUTHOR), Cifra, Nicole (AUTHOR), Peebles, Rebecka (AUTHOR), Foy, Karen (AUTHOR), Walsh, Jonathan (AUTHOR), Widders, Amanda O. (AUTHOR), Timko, C. Alix (AUTHOR)
Source: International Journal of Eating Disorders. Mar2026, Vol. 59 Issue 3, p501-509. 9p.
Subjects: Malnutrition treatment, Treatment of eating disorders, Prevention of malnutrition, Bulimia, Weight loss, Early medical intervention, Human services programs, Data analysis, T-test (Statistics), Body mass index, Patients, Hospital care, Evaluation of human services programs, Questionnaires, Hospital admission & discharge, Regulation of body weight, Descriptive statistics, Odds ratio, Anorexia nervosa, Quality assurance, Anthropometry, Data analysis software, Confidence intervals
Geographic Terms: United States
Abstract: Objective: Program‐led and focused models may overcome structural barriers to accessing ED care, such as limited availability, for youth with EDs by prioritizing strategic, evidence‐based care delivered through a structured approach. The Rapid Intervention to Support Eating Issues (RISE) pilot aimed to promote weight restoration and prevent hospitalization among malnourished adolescents at risk for hospitalization. We used a "home hospital" approach, integrating medical oversight, family‐based treatment principles, and nutritional support via structured outpatient care. Methods: Participants completed 4–5 visits with adolescent medicine and nutrition over 8 weeks. They received psychoeducation and support in implementing home hospital. Vital signs, anthropometrics, dietary intake, ED behaviors, and cognitions were assessed. Results: A total of 27 patients participated. Patients experienced low hospitalization rates (n = 1 throughout; 3.7%) and significant weight gain (Mend of treatment = +2.7 kg from baseline, 95% CI: 2.6–4.7). There were statistically significant increases in calorie intake (Mbaseline = 43.3% of recommendation; Mend of treatment = 76.0% of recommendation; dz = 0.98, 95% CI: 0.45–1.50) and decreases in the report of disordered weight control behaviors (n reporting at baseline = 10 [37%], n reporting at end of treatment = 3 [11.1%]; paired RD = −1.00, 95% CI: −1.00–−0.33). Discussion: This program‐led and focused intervention produced meaningful outcomes and circumvented hospitalization for youth at high risk in a short time frame. This approach offers promise for scalable, early ED care that leverages programmatic expertise, consistent with evolving models of mental health service delivery. [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: Rapid Intervention to Support Eating Issues (RISE) Program: Using Quality Improvement to Reduce Medical Hospitalization in Malnourished Youth.
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  Data: <searchLink fieldCode="AR" term="%22Calderoni%2C+Michele%22">Calderoni, Michele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Turner%2C+Samantha%22">Turner, Samantha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heckert%2C+Kerri%22">Heckert, Kerri</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Snyder%2C+Carrie%22">Snyder, Carrie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cifra%2C+Nicole%22">Cifra, Nicole</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Peebles%2C+Rebecka%22">Peebles, Rebecka</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Foy%2C+Karen%22">Foy, Karen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Walsh%2C+Jonathan%22">Walsh, Jonathan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Widders%2C+Amanda+O%2E%22">Widders, Amanda O.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Timko%2C+C%2E+Alix%22">Timko, C. Alix</searchLink> (AUTHOR)
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  Data: Objective: Program‐led and focused models may overcome structural barriers to accessing ED care, such as limited availability, for youth with EDs by prioritizing strategic, evidence‐based care delivered through a structured approach. The Rapid Intervention to Support Eating Issues (RISE) pilot aimed to promote weight restoration and prevent hospitalization among malnourished adolescents at risk for hospitalization. We used a "home hospital" approach, integrating medical oversight, family‐based treatment principles, and nutritional support via structured outpatient care. Methods: Participants completed 4–5 visits with adolescent medicine and nutrition over 8 weeks. They received psychoeducation and support in implementing home hospital. Vital signs, anthropometrics, dietary intake, ED behaviors, and cognitions were assessed. Results: A total of 27 patients participated. Patients experienced low hospitalization rates (n = 1 throughout; 3.7%) and significant weight gain (Mend of treatment = +2.7 kg from baseline, 95% CI: 2.6–4.7). There were statistically significant increases in calorie intake (Mbaseline = 43.3% of recommendation; Mend of treatment = 76.0% of recommendation; dz = 0.98, 95% CI: 0.45–1.50) and decreases in the report of disordered weight control behaviors (n reporting at baseline = 10 [37%], n reporting at end of treatment = 3 [11.1%]; paired RD = −1.00, 95% CI: −1.00–−0.33). Discussion: This program‐led and focused intervention produced meaningful outcomes and circumvented hospitalization for youth at high risk in a short time frame. This approach offers promise for scalable, early ED care that leverages programmatic expertise, consistent with evolving models of mental health service delivery. [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=194014149
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/eat.70004
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 9
        StartPage: 501
    Subjects:
      – SubjectFull: Malnutrition treatment
        Type: general
      – SubjectFull: Treatment of eating disorders
        Type: general
      – SubjectFull: Prevention of malnutrition
        Type: general
      – SubjectFull: Bulimia
        Type: general
      – SubjectFull: Weight loss
        Type: general
      – SubjectFull: Early medical intervention
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Body mass index
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Evaluation of human services programs
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      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Hospital admission & discharge
        Type: general
      – SubjectFull: Regulation of body weight
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Anorexia nervosa
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      – SubjectFull: Quality assurance
        Type: general
      – SubjectFull: Anthropometry
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      – SubjectFull: Data analysis software
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      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: United States
        Type: general
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      – TitleFull: Rapid Intervention to Support Eating Issues (RISE) Program: Using Quality Improvement to Reduce Medical Hospitalization in Malnourished Youth.
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              Text: Mar2026
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