Stage 2 Of Change Algorithm ( Nutrition Counseling)

Table of Contents

Nutrition Counseling

Develop a Stage of Change Algorithm for a specific dietary behavior.  The purpose of the algorithm is to determine which stage of change (Transtheoretical Model) an individual is in.  Complete the algorithm with 2 people.

Save Time On Research and Writing
Hire a Pro to Write You a 100% Plagiarism-Free Paper.
Get My Paper
Nutrition Counseling

Submit the algorithm and a brief summary of your experience using it with other people.  Include the stage of change you identified for each of the 2 people.

Refer to the “Meeting your Client Ch 4 Lecture” under Modules for an example.

you have to follow similar 5 quistion ( the questions i uplod ) and do it for two patient 

9/17/2016

Save Time On Research and Writing
Hire a Pro to Write You a 100% Plagiarism-Free Paper.
Get My Paper

1

MEETING YOUR CLIENT:

T H E C O U N S E L I N G I N T E R V I E W

H N D S 4 5 0 / 5 9 0 N U T R I T I O N C O U N S E L I N G & C O M M U N I C AT I O N

P R O F E S S O R D O O L E Y F A L L 2 0 1 6

MOTIVATIONAL NUTRITION COUNSELING ALGORITHM

• Directs the flow of a nutrition counseling session – 4 phases: involving, exploration/education, resolving, & closing

• Incorporates – TTM

– MI

– Solution-focused therapy

– Self-efficacy

• Motivation is the underlying force for behavior change – 3 levels of motivation

9/17/2016

2

S TA G E 1 : I N V O LV I N G

9/17/2016

3

INVOLVING PHASE COMPONENTS

1. Greeting, Comfort, Small Talk

2. Opening

3. Identify Client’s General Goals

4. Explain the Counseling Process (first session)

5. Discuss Monitoring

6. Setting the Agenda for the Session

7. Transition to the Next Phase

10-15 minutes

INVOLVING PHASE • First stage of the session used to build the relationship 1. Greeting, comfort, small talk

Nutrition Counseling
Dietitian writing diet plan, view from above on the table with different healthy products and drawings on the topic of healthy eating

2. Opening with an open-ended question – Focus is on specific counseling responses

• Relationship-building: empathizing, legitimation, respect

• Reflective listening

• Paraphrasing, summarizing, clarifying, open-ended questions

9/17/2016

4

INVOLVING PHASE, CONTINUED 3. I.D. Client’s LT Behavior Change Objectives

– While discussing needs and expectations of the client

– Goal can be general in nature (i.e. to improve quality of diet)

4. Explain Counseling Process – Describe what will basically happen throughout the

counseling program

– Review Informed Consent Form (obtain signature)

– See p.84 for example explanation

INVOLVING PHASE, CONTINUED 5. Discuss Weight Monitoring

– Let client make decisions about weighing

– Weighing in works for some but not for others • Who performs the weigh-in? Where? When? How often?

6. Setting the Agenda – First Session: Explain the flow of the session

9/17/2016

5

INVOLVING PHASE, CONTINUED 6. Setting the Agenda

– Other Sessions: come to an agreement with the client after • Asking the client about any issues they want to address

• Explaining your intentions for the session (education, exploration, etc.)

• Sharing any additional assessment data that might bring up other issues

7. Transitioning into the Next Phase – Proper facilitation includes

voicing direction of the session • Make a statement indicating that you

both are moving on

S TA G E 2 : E X P LO R I N G & E D U C AT I N G

9/17/2016

6

EXPLORATION-EDUCATION PHASE 1. Education

2. Assessment

3. Providing Nonjudgmental Feedback

4. Client’s Thoughts on Assessment vs. Standards

5. Summarize

6. Assess Readiness to Make a Change

EXPLORATION-EDUCATION PHASE 1. Education

– Main focus: address health risks associated with your client’s eating pattern

2. Assessment – Some of the basic assessment techniques are discussed in Ch. 5

– Have client fill out assessment forms prior to session

• Have client discuss how they felt when filling them out and what they think about them

– Do not be redundant

• Client Assessment Questionnaire (LMF 5.1 on pp. 402-404)

• Food Frequency Questionnaire (LMF 5.4 on p. 408)

• Medical Release Form if necessary for weight loss (LMF 8.5 on p. 432)

– See example phrasing on p. 86

9/17/2016

7

• Use assessment and discussion to determine which topics to explore

• Assessment can also include the description of a typical day

– Refer to Exhibit 4.2 on p. 87

– A typical day of your life and mention where food fits in

EXPLORATION-EDUCATION PHASE

PRACTICE – TYPICAL DAY STRATEGY

• Partner up with someone • One person is the client and one is the counselor

– Counselor – request the typical day information

• Make note of important concepts (not every detail)

• Simple, open questions – “And then what?” “How did you feel then?”

• Avoid providing hypotheses, ideas, or intricate questions

• Listen and get an idea of what this person goes through everyday

– Client – comply and provide typical day routine

• Discuss daily routines, encounters, and mention foods as part of it

– Typically takes 10-20 minutes

• Switch roles if time permits

9/17/2016

8

TYPICAL DAY STRATEGY • Explain the overall information that you obtained as

the counselor. – Outside of diet, how did you learn about this person’s life?

Personal interactions? Routines? Stresses? Attitude? Schedule?

• Give specific examples

• Compare this assessment technique to a standard dietary recall.

– How are these two different in terms of what you learn about the client? Would you use one over the other? Why?

– How would you use this strategy in your counseling sessions?

3. Nonjudgmental Feedback – Assessments need to be reviewed point-by-point in a neutral

manner

– “Just the facts, ma’am!”

– Provide the standard norms for comparison

4. Client’s Thoughts about Assessment vs. Standards – Encourage exploration of the results

– Do not use “you” when clarifying the information • “People with high cholesterol levels are at higher risk for CVD.”

EXPLORATION-EDUCATION PHASE

9/17/2016

9

5. Summarize • What is the client doing well?

• What problems were identified in the assessment?

• If any, what were the self-motivational statements made by the client?

• Where there any ideas of change that the client stated?

– Does the client have anything to add or clarify?

– How would the client like to proceed?

6. Assess Readiness to Change – If your client would like to start making changes, then

• What stage of the TTM would they be found in?

EXPLORATION-EDUCATION PHASE

ASSESSING READINESS TO CHANGE • Stage of Change Algorithm

– Readiness-to-change open ended questions

• How ready to you feel to make a change in this behavior?

• Readiness-to-change scale question • On a scale from 1 (not at all) to 10 (very ready)

• Readiness-to-change graphic

9/17/2016

10

STAGE OF CHANGE ALGORITHM Can be modified to assess stages for other dietary factors Purpose: Determine TTM stage Assignment: select another lifestyle behavior and use it in algorithm • Complete with 2

people

EXAMPLE STAGE OF CHANGE ALGORITHM

1. What level of fiber would you say is in your overall diet? – Low, Very low, In the middle, High, Very High

– Go to #2 How long have you followed a diet high in fiber? • < 1 month to 5 months = ACTION

• 6 months to > 1 year = MAINTENANCE

2. In the past 6 months, have you tried to eat more fiber? – Yes How successful were you? No Go to #3

• Very and somewhat successful = PREPARATION • Not successful Go to #4

3. Are you seriously thinking about eating more fiber in the next 6 months?

• Yes Go to #5 No = PRECONTEMPLATION

9/17/2016

11

EXAMPLE CONTINUED

4. Do you plan to continue try to eat more fiber in the next 6 months? • Yes = PREPARATION No = CONTEMPLATION

5. How confident are you that you can change your diet to eat more fiber? • Very and Somewhat confident = PREPARATION

• Not very and Don’t know = CONTEMPLATION

RESOLVING PHASE • The two previous phases focused on

– Clarifying the problem & identifying the strengths within themselves

• The focus of this phase is dependent on the motivation level of the client

– Level 1: Not ready to change (precontemplative)

– Level 2: Unsure, low confidence (contemplative to preparation)

– Level 3: Motivated, confident, and ready (preparation to action)

• Refer to Table 4.2 on p. 89

9/17/2016

12

CLOSING PHASE • Review the session

– Summary of the issues

– Identification of the strengths

– Clear restatement of the goals

• Express optimism about the future

• Statement of appreciation – enhance self-efficacy – For any obstacles overcome

CHAPTER 4 CASE STUDY • Nancy was just recently diagnosed with HTN

– 26 y.o.f., overweight

– Lives with her 3 small children, husband, and mother

– Works nights

• Read this example (pp.96-98) – To prepare you for typical counseling sessions

9/17/2016

13

NUTRITION RESOURCES • Healthy Dietary Information

– www.choosemyplate.gov

• Healthy Weight Management – http://www.eatright.org/Public/landing.aspx?TaxID=6442451978

• Food and Nutrition Handouts – http://www.eatright.org/HealthProfessionals/content.aspx?id=2

50

CHAPTER 14 GUIDED COUNSELING

• Preparation for Session 1 – See checklist on p. 355

• Informed consent (instead of LMF 14.1 and 14.2)

• Client Assessment Questionnaire (LMF 5.1)

• Food Frequency Questionnaire (LMF 5.4)

• Medical Release (LMF 8.5) – if client is at risk of health condition

– Contacting the client before session 1 • Email or phone call

– See example on p. 352

– Provide the above forms to be completed prior to the session

– Schedule the session date, time, and place

– Provide contact information – in case change of planshttp://www.choosemyplate.gov/http://www.eatright.org/Public/landing.aspx?TaxID=6442451978http://www.eatright.org/HealthProfessionals/content.aspx?id=250http://www.eatright.org/HealthProfessionals/content.aspx?id=250

9/17/2016

14

PRACTICING YOUR FIRST COUNSELING SESSION

• Write your 1st contact statement – See example on p. 352 and make appropriate adjustments

– Obtain the forms you need from Canvas and make adjustments as needed

• Complete the Assessment Forms for yourself as practice

9/17/2016

15

9/17/2016

16

PRACTICE – MOCK SESSION 1 • Write a mock dialog of your first session

– Follow the Interview Checklist

– Include actual statements that you and the client would make

– Following the involving, exploration, resolving, & closing phases in succession

• Explain when and how you would use attending and relationship-building skills in this session

• You may want to use a class partner to act as your client • You may want to complete the Typical Day Strategy &

Stage of Change Algorithm activities at the same time

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Scholary Essays
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Business Studies
This is fantastic! Thank you so much for your hard work!
Customer 453131, November 16th, 2022
Computer science
Thank You
Customer 453099, August 28th, 2022
Nursing
n/a
Customer 452725, April 23rd, 2021
Humanities
Best Serivces
Customer 452995, January 24th, 2022
English 101
well written excellent job, thank you!!
Customer 452989, December 2nd, 2021
Psychology
Thank you very much! I will be using your service again soon.
Customer 452665, March 18th, 2021
Sociology
Thank you, this is an 8-week course, so I will be needing your assistance.
Customer 452919, January 20th, 2023
Sociology
Thank you, I have been averaging 16/20 points for the past discussions 1-4). Unsure why, but I will know how this one goes in a few days. Thank you for your assistance.
Customer 452919, February 16th, 2023
Business Studies
Thank you sincerely great paper and content
Customer 452793, June 22nd, 2021
Marketing
Thank you so much!
Customer 453015, December 13th, 2021
Ethics
I Thank the entire team.
Customer 452919, January 25th, 2022
Health Care
Thank you for getting this paper done in a timely manner
Customer 452641, February 20th, 2021
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live Chat+1(978) 822-0999EmailWhatsApp

Order your essay today and save 30% with the discount code ESSAYHELP