Use of the transtheoretical model of behavior change in an eating disorders support group

Eating disorders are common, demanding and severe. Despite significant morbidity and mortality, treatment is often limited by ability to pay and desire to change. One economical option for those in southeast Michigan is the Eating Disorders and Education Network (EDEN), which offers a 21-week, nontherapeutic, peer-led support group to complement other treatment modalities. An effective survey instrument to screen potential participants would assist EDEN in assessing readiness to change, predicting subsequent program success for individuals, and improving credibility.; This qualitative case study used a pre- and postsurvey instrument, based on Prochaska's Transtheoretical Model of Behavioral Change, to evaluate eight support group participants. Stage of Change was determined from the survey responses by the principal investigator on the basis of professional experience and interpretation of Prochaska's model. Results suggested most were ready to change, yet recidivism was a problem. Results could be useful in future studies.