Many who suffer with anorexia nervosa (AN) lack the motivation to change, partly explaining why it is difficult to engage them with psychological services. This thesis explores whether it is possible to increase motivation to change and improve engagement with services, and how this might be achieved. More specifically, chapter one is a meta-analysis which attempts to identify whether interventions were effective at increasing motivation and readiness to change and whether there is a difference between certain treatment approaches in terms of this. Comparison between approaches other than treatment as usual (TAU) and motivational interviewing (MI) was not possible given the available evidence. Analysis showed that motivation to change significantly improved in the TAU and MI groups. This increased most in the MI group, but further research would be needed to establish whether any difference between treatments was significant. Chapter two describes a qualitative, grounded theory study, whereby the thoughts and opinions of eight participants across two inpatient units were sought about factors that help or hinder engagement with services. A dynamic model was developed to reflect some of the intra and inter-personal factors that participants described as influencing the process of engagement with services. The model included eight categories, namely: opportunity; self-awareness; self-efficacy; expectations; self-esteem; distress; safety and security of AN; and service. Within the service category, participants described various actions that teams could take to facilitate engagement with services, including involving other patients, demonstrating genuine interest, providing plenty of information and various types of support, as well as promoting the empowerment of service users. This manner of working should ideally impact on each of the factors that participants described as being important to engagement. The third chapter provides some of the author’s reflections on the process of knowledge accumulation, and limitations of research, including some of the political and contextual considerations that are likely to influence what is studied and reported.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:629096 |
| Date | January 2013 |
| Creators | Glover, Louise |
| Publisher | University of Warwick |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Source | http://wrap.warwick.ac.uk/63768/ |
Page generated in 0.0022 seconds