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Record W4412617383 · doi:10.1080/10640266.2025.2534803

From stopgap to opportunity: outcomes across age groups in an intentionally designed, remote eating disorder treatment program

2025· article· en· W4412617383 on OpenAlexaff
Caitlin Shepherd, Hannah Wolfe, Rebecca G. Boswell, Jessica Genet, Wendy Oliver-Pyatt

Bibliographic record

VenueEating Disorders · 2025
Typearticle
Languageen
FieldPsychology
TopicEating Disorders and Behaviors
Canadian institutionsSKiN Health
Fundersnot available
KeywordsPsychologyMedicinePsychiatryClinical psychology

Abstract

fetched live from OpenAlex

Telehealth-based intermediate level of care programs for eating disorders largely yield comparable outcomes to in-person settings. However, extant research is primarily based on programs that transitioned to virtual formats in response to the COVID-19 pandemic, rather than those intentionally designed for remote delivery. Additional research is needed to evaluate programs specifically created for telehealth environments (i.e. intentionally-remote) and to understand how outcomes vary across age groups. In this retrospective chart review, clinical outcomes at end-of-treatment for 116 patients enrolled in an intentionally-remote eating disorder treatment program were analyzed, including eating disorder symptomatology, quality of life impairment, depressive symptoms, trait anxiety, body mass index, and percentage of ideal body weight. Mixed ANOVAs revealed significant improvements (ps < .001) from admission to discharge across all outcomes with large effects and no interaction by age, suggesting similar effectiveness across groups. By discharge, mean eating disorder symptomatology scores were below the clinical cut-off, quality of life impairment was within the minor to moderate range, depressive symptoms were mild, and weight restoration benchmarks were achieved for all age groups. While these findings support the potential of remote care as an accessible means of offering effective eating disorder treatment, further research is needed to determine generalizability to diverse populations, assess the impact of program features, and examine longitudinal outcomes.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.372
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.044
GPT teacher head0.397
Teacher spread0.353 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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