Commentary highlights strategies to maintain treatment fidelity in eating disorder care, suggesting artificial intelligence and expanded virtual training can close the community treatment gap.
Lock and colleagues showed promising effects for asynchronous virtual training in family-based treatment for anorexia nervosa paired with expert case-based consultation to promote fidelity. In this commentary, we present two promising directions by which to extend these early findings: (1) using AI to scale fidelity monitoring and prevent clinician drift over time; (2) broadening the reach of virtual training models beyond private practice settings to improve the quality of eating disorders services delivered in community settings and narrow the treatment gap.
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Goldschmidt et al. (2026) studied this question.
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