The St George's Eating Disorders Service Meal Preparation Group for Inpatients and Day Patients Pursuing Full Recovery: A Pilot Study

Authors

  • Laura Lock,

    Corresponding author
    • Eating Disorders Service, South West London and St George's Mental Health NHS Trust, Springfield University Hospital, London, UK
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  • Hilary Williams,

    1. South London and Maudsley NHS Foundation Trust, Occupational Therapy Research and Development Department, Maudsley Hospital, London, UK
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  • Bryony Bamford,

    1. Eating Disorders Service, South West London and St George's Mental Health NHS Trust, Springfield University Hospital, London, UK
    2. Eating Disorders Research Team, Division of Psychological Medicine, St George's, University of London, London, UK
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  • J. Hubert Lacey

    1. Eating Disorders Service, South West London and St George's Mental Health NHS Trust, Springfield University Hospital, London, UK
    2. Eating Disorders Research Team, Division of Psychological Medicine, St George's, University of London, London, UK
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Laura Lock, South West London and St George's Mental Health NHS Trust, St George's Eating Disorders Service, National Inpatient Unit, Avalon Ward, Building 1, Springfield University Hospital, Glenburnie Road, London SW17 7DJ, UK. Tel: +44 0208 682 6468; Fax: +44 0208 682 6105.

Email: laura.lock@swlstg-tr.nhs.uk

Abstract

This naturalistic cohort study evaluates a meal cookery group-based occupational therapy intervention for adult inpatients and day patients with severe eating disorders. It also evaluates the Eating and Meal Preparation Skills Assessment (EMPSA) as an outcome measure, allowing clients pursuing recovery to rate ability and motivation to perform tasks related to preparing and eating ‘normal’ meals. Twenty-seven participants completed EMPSAs at their first, 10th and final sessions, plus 1 year later. The Ability subscale of EMPSA indicated significant improvements (p < 0.001) by the 10th session, which was maintained 1 year later. The Motivation subscale of EMPSA indicated no significant changes at the 10th session but highly significant improvements (p < 0.001) between the 10th and final session, which was maintained 1 year later. Internal consistency for EMPSA was demonstrated by Cronbach's alpha of 0.71 for Ability subscale and 0.95 for Motivation subscale. We conclude that the meal preparation group is effective and durable. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.

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