Phase 2
Phase 2 focuses on two aspects: (1) having the patients take back responsibility for eating and exercising; and (2) normalising everyday life in terms of school, recreation, peer relationships and other age-specific activities. Patients felt support through the use of an individual action plan. The plan, which included repeated moments of evalu- ation, contained specific details of which responsibilities were given back to the patients and at which stage. For instance, in the first week, patients were asked to prepare their own between-meal snacks under the guidance of a nurse. If they managed this assignment well, they were made responsible for choosing their own sandwich toppings during lunch. The respondents indicated that preparing the plan in collabora- tion with the nurses had a very encouraging effect. It allowed them to show what they had learned. They had regained the power to direct their own eating and exercise pattern under the supervision of a nurse and felt the hope that they might actually be able to regain the trust and confidence of their family and friends