title: Restoring normal eating behaviour in adolescents with anorexia nervosa: A video analysis of nursing interventions.
abstract: An important part of inpatient treatment for adolescents with anorexia nervosa is to restore normal eating behaviour. Health-care professionals play a significant role in this process, but little is known about their interventions during patients' meals. The purpose of the present study was to describe nursing interventions aimed at restoring normal eating behaviour in patients with anorexia nervosa. The main research question was: 'Which interventions aimed at restoring normal eating behaviour do health-care professionals in a specialist eating disorder centre use during meal times for adolescents diagnosed with anorexia nervosa? The present study was a qualitative, descriptive study that used video recordings made during mealtimes. Thematic data analysis was applied. Four categories of interventions emerged from the data: (i) monitoring and instructing; (ii) encouraging and motivating; (iii) supporting and understanding; and (iv) educating. The data revealed a directive attitude aimed at promoting behavioural change, but always in combination with empathy and understanding. In the first stage of clinical treatment, health-care professionals focus primarily on changing patients' eating behaviour. However, they also address the psychosocial needs that become visible in patients as they struggle to restore normal eating behaviour. The findings of the present study can be used to assist health-care professionals, and improve multidisciplinary guidelines and health-care professionals' training programmes.
authors.affiliation: Triversum Centre for Child and Adolescent Psychiatry, Alkmaar.|Mental Health Nursing Research Group, Inholland University of Applied Sciences, Amsterdam.
authors.forename: Laura
authors.initials: L
authors.lastname: Beukers
authors.affiliation: Mental Health Nursing Research Group, Inholland University of Applied Sciences, Amsterdam.|Rintveld Centre for Eating Disorders, Altrecht Institute for Mental Health Care, Zeist.
authors.forename: Tamara
authors.initials: T
authors.lastname: Berends
authors.affiliation: Department of Nursing Science, Programme in Clinical Health Sciences, University Medical Center, Utrecht.|Department of Rehabilitation, Nursing Science and Sport, University Medical Center, Utrecht.
authors.forename: Janneke M
authors.initials: JM
authors.lastname: de Man-van Ginkel
authors.affiliation: Rintveld Centre for Eating Disorders, Altrecht Institute for Mental Health Care, Zeist.|Department of Social Sciences, University Medical Center, Utrecht.
authors.forename: Annemarie A
authors.initials: AA
authors.lastname: van Elburg
authors.affiliation: Mental Health Nursing Research Group, Inholland University of Applied Sciences, Amsterdam.|Parnassia Psychiatric Institute, The Hague, the Netherlands.
authors.forename: Berno
authors.initials: B
authors.lastname: van Meijel
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000451:nursing / Q000628:therapy*; D001291:Attitude of Health Personnel; D005247:Feeding Behavior / Q000523:psychology; D006801:Humans; D009042:Motivation; D010353:Patient Education as Topic; D011568:Psychiatric Nursing / Q000379:methods; D014741:Video Recording
keywords: adolescent; anorexia nervosa; eating behaviour; nursing intervention; video analysis