title: Review of staff and client experiences of a motivational group intervention: meeting the needs of contemplators.
abstract: This descriptive article outlines the processes undertaken by the STEPS Unit when designing a new group for people with anorexia nervosa, bulimia nervosa, and EDNOS. The group was designed to help clients explore their eating disorders in an environment where change was not required. A retrospective follow-up of the clients' treatment pathway, and the experiences of the facilitators and clients, is presented. Each group ran for 12 weeks, with 16 different groups of people. A total of 101 clients completed the 12 week program. A follow-up of the clients showed that 41% of those who completed the group moved from a contemplative stage into therapy involving behavioural change. The results are promising and of clinical relevance. This work adds to the existing literature in this field in that it includes a paradoxical emphasis on the positives of the eating disorder unlike traditional motivational interviewing techniques, resulting in a deeper commitment to change.
authors.affiliation: The STEPS Unit Eating Disorder Service, Southmead Hospital, Bristol, UK. Angie.Jakubowska@awp.nhs.uk
authors.forename: Angie
authors.initials: A
authors.lastname: Jakubowska
authors.forename: Melanie J
authors.initials: MJ
authors.lastname: Woolgar
authors.forename: Polly A
authors.initials: PA
authors.lastname: Haselton
authors.forename: Alysun
authors.initials: A
authors.lastname: Jones
mesh_terms: D000293:Adolescent; D000328:Adult; D001068:Feeding and Eating Disorders / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010348:Patient Care Team / Q000458:organization & administration; D011615:Psychotherapy, Group / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult