Assessing motivation to change in eating disorders: A systematic review

DC FieldValueLanguage
dc.contributor.authorHötzel, K.
dc.contributor.authorvon Brachel, R.
dc.contributor.authorSchlossmacher, L.
dc.contributor.authorVocks, S.
dc.date.accessioned2021-12-23T16:30:26Z-
dc.date.available2021-12-23T16:30:26Z-
dc.date.issued2013
dc.identifier.issn20502974
dc.identifier.urihttps://osnascholar.ub.uni-osnabrueck.de/handle/unios/16579-
dc.description.abstractBackground: Patients with anorexia and bulimia nervosa are often ambivalent about their eating disorder symptoms. Therefore, a lack of motivation to change is a frequent problem in the treatment of eating disorders. This is of high relevance, as a low motivation to change is a predictor of an unfavourable treatment outcome and high treatment dropout rates. In order to quantify the degree of motivation to change, valid and reliable instruments are required in research and practice. The transtheoretical model of behaviour change (TTM) offers a framework for these measurements. Objective: This paper reviews existing instruments assessing motivation to change in eating disorders. Method: We screened N = 119 studies from the databases Medline and Psycinfo found by combinations of the search keywords 'eating disorder', 'anorexia nervosa', 'bulimia nervosa', 'motivation', 'readiness to change', 'assessment', 'measurement', and 'questionnaire'. Results: Ultimately, n = 15 studies investigating psychometric properties of different assessment tools of motivation to change in eating disorders were identified. Reviewed instruments can be divided into those assessing the stages of change according to the TTM (6 instruments) and those capturing decisional balance (3 instruments). Overall, the psychometric properties of these instruments are satisfactory to good.Discussion: Advantages, disadvantages, and limitations of the reviewed assessment tools are discussed. So far, the TTM provides the only framework to assess motivation to change in eating disorders. © 2013 Hötzel et al.; licensee BioMed Central Ltd.
dc.description.sponsorshipDeutsche ForschungsgemeinschaftDeutsche Forschungsgemeinschaft,DFG,VO1750/1-1; This work was supported by the German Research Foundation (DFG), Grant No. VO1750/1-1.
dc.language.isoen
dc.publisherBioMed Central Ltd.
dc.relation.ispartofJournal of Eating Disorders
dc.subjectAnorexia nervosa
dc.subjectAnorexia Nervosa Stages of Change Questionnaire
dc.subjectAssessment
dc.subjectBulimia nervosa
dc.subjectbulimia nervosa stages of change questionnaire
dc.subjectclinical assessment tool
dc.subjectclinical evaluation
dc.subjectdecisional balance scale for anorexia nervosa
dc.subjecteating disorder
dc.subjecteating disorders stage of change questionnaire
dc.subjecthuman
dc.subjectInterview
dc.subjectmotivation
dc.subjectMotivation to change
dc.subjectmotivational stages of change for adolescents recovering from an eating disorder questionnaire
dc.subjectpriority journal
dc.subjectpros and cons of anorexia nervosa scale
dc.subjectpros and cons of eating disorders scale
dc.subjectpsychometry
dc.subjectQuestionnaire
dc.subjectreadiness and motivation interview
dc.subjectreadiness and motivation questionnaire
dc.subjectreliability
dc.subjectreview
dc.subjectscoring system
dc.subjectsystematic review
dc.subjectvalidity
dc.titleAssessing motivation to change in eating disorders: A systematic review
dc.typereview
dc.identifier.doi10.1186/2050-2974-1-38
dc.identifier.scopus2-s2.0-84930169694
dc.identifier.urlhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84930169694&doi=10.1186%2f2050-2974-1-38&partnerID=40&md5=af0df9dd4ab3339ded5b84d856dc9b1f
dc.description.volume1
dc.description.issue1
dcterms.isPartOf.abbreviationJ. Eating Disord.
crisitem.author.orcid0000-0001-8498-9466-
crisitem.author.netidVoSi856-
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