The handbook of the DUNDRUM toolkit [ 10] emphasises the importance of motivation for change and fulfilment of personal needs, as well as working alliance and interpersonal trust in clinicians [ 28].
Providers may also misinterpret the signs of a challenging re-adjustment as opposition to treatment, lack of motivation to change or reintegrate, proof of individual pathology, or indications of a serious mental illness (Rotter et al. 2005).
The reasons for not attending the Go4it sessions included lack of motivation to change dietary habits, lack of belief of parents in their child's potential success to lose weight, previous unsuccessful dieting experiences, travel distance and the limited time of working parents and schoolchildren.
At the appointment, the patient will receive a face-to-face brief motivational interview with the following components: (1) assessment of the motivation to change; (2) assessment of the stage of change; (3) advice on changing drinking pattern; (4) empathy; and (5) capacity building.
Contrary to expectations we did not find an association with BMI, severity of ED symptoms, low level of motivation to change ED features, or level of education.
The storyteller explained the sources of the patients' motivation for change of lifestyle, and gave background information about the patients' experiences and identity beyond the medical problem in question.
Several barriers to accessing treatment exist, such as waiting lists, lack of motivation for change, negative perception of psychological and/or drug treatments, costs, and personal difficulty such as stigma; each can play an important role in choosing to seek diagnosis and treatment [ 22, 23].
All of them report on a global score of stages of change as an indicator of motivation to change and identified this global score as a positive predictor of weight gain, improvement of eating disorder pathology, and composite improvement outcome at discharge [ 17, 18] as well as of weight maintenance after discharge [ 16].
Genetic risk is correctly perceived as unmodifiable, and for some patients this persistent risk provides ongoing motivation independent of changes or fluctuations in their modifiable risk factors.
It occurs during the motivating interview, which is designed to strengthen a patient's involvement in making significant life changes and facilitate the discovery of intrinsic motivation for changes.
Adolescents who reported higher discharge levels of motivation to change also reported greater levels of social integration at discharge.
