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ntdt330 counseling for behavioral change

Terms in this set (23)

Comparison of Food Management Tools
-List of "Better and Not so Often Foods"
-Detailed menus/meal plan
-Exchange lists
-Carb Counting
-MyPlate
-DASH Food Plan
-Goal Setting
the goal is
self mgmt
Goal is to not just pour educational tips on your client...need to address
psychosocial concerns and initiate BEHAVIOR CHANGE.
Adults as Learners
-View themselves as self-directed learners
-Bring experience into the learning environment
-Readiness to learn depends on acceptance of the necessity to learn
-Present-centered and problem-centered
-Intrinsically motivated
Benefits of the Inter-active Approach
Holli and Calabrese found people remember what they:
Read 10%
Hear 20%
See 30%
Both See and Hear 50%
Say 70%
Both Say and Do 90%
Ideas for Interactive Educational Experiences
-Interpret food label—compare two products
-Practice selecting items from a menu
-More ideas
Benefits of Using Graphic Aids in Instruction
-Area of Compliance with and Without Graphic Aids
-Kept appointments
-Lowered fat intake
-Scheduled meals at regular intervals
-Controlled portion sizes
-Improved eating habits
-Monitored blood glucose
-Monthly weight loss
-90 day weight loss
Juanita comes home from work hungry. She walks into the kitchen to cook dinner and sees chips on the counter. She tells herself she will eat a few. She eats a few and leaves the bag open on the counter while she cooks. She ends up eating the whole bag. She is frustrated and stuffed.
-What behaviors do you see?
-What in the environment/situation is encouraging the behavior?
-What in the environment could change?
...
Behavior Modification
-Classical Conditioning--Pavlov
-Operant Conditioning--Thorndike
-Modeling—Bandura
A B C s of Eating Behaviors
-Antecedents
-Behavior
-Consequences
The Behavior Chain
antecedent -> behavior -> consequence
See page 148-149 for chart showing Stimuli/Cues and Solutions.
...
What are the antecedents, behaviors and consequences?
-antecedents, behaviors, consequences
Sam oversleeps and runs out the door without breakfast. He gets to work and heads to a staff meeting where there are donuts at the center of the table. He chooses his favorite and eats it quickly. Later, he is stressed as his work load increases and he grabs another donut. He thinks to himself 'I've blown the day, this is a good day for McDonalds.' He is depressed and discouraged by his high calorie intake
*antecedents:
Oversleeps
In hurry
Sees donuts
Stressed
Negative thinking
*behaviors:
No Breakfast
Chooses donut
Eats quickly
Grabs another
Heads to McD
*consequences
-feels guilty and stuffed
Regardless of hunger, people typically overeat when offered the abundance and variety of an "all you can eat" buffet.
...
Reinforcers
-Nutrition Counselor provides reinforcement
-Social Reinforcement
-Self-reinforcement
---Encourage positive self-talk
---Encourage tangible rewards
---Make a list of positive consequences and read daily
From Bauer Book.
What is the antecedent, behavior and consequence?
Juanita comes home from work hungry. She walks into the kitchen to cook dinner and sees chips on the counter. She tells herself she will eat a few. She eats a few and leaves the bag open on the counter while she cooks. She ends up eating the whole bag. She is frustrated and stuffed.
...
Help the Client make a Commitment
...
Use of Contracts
*Most effective when developed by client and reflect their goals
*Steps
-Identify a specific behavior to change
-Set a long term goal
-Set a timetable
-Determine a positive consequence
-Determine a negative consequence
-Sign the contract
-Get social support
Tracking Methods
*Food Diary or Journaling
-Record foods consumed
-Amount/portion
-Kcalories/fat g
-Time
-Place
-Alone/others
-Mood
-Hunger Level
-Other activities
-Goals
-Water consumed
-Physical Activity

*Counselor should provide nonjudgmental feedback.

*How much and how prepared!
Provide a Variety of Record Keeping Options
-App
-SuperTracker
-Printed diary
-Small notebook
-Pocket Calendar
-Computer
-PDA
-Phone
other tracking options
-checking off
-Hand held voice activated recorders
-Leave messages on confidential voicemail
-Use art—circle pictures
-Encourage client to develop own system
the goal is
self mgmt
Interventions next stage of the NCP
A. Multivitamin/mineral supplement (ND-3.2.1)
B. RD goal: meet 100% RDA for vit/min
SMART: Begin daily Multivitamin supplement which I will take at breakfast daily for the next two weeks.
-Modify distribution of foods (ND 1.2)
-RD goal: increase protein intake to meat goal of .8 g pro/kg healthy weight
SMART: Eat at least 1 oz of protein rich food at all meals at least 5 days/week for the next week.
*Specific foods/beverages (ND-1.3)
*RD goal: decrease sugar intake to 10% or less of total kcal
SMART: Drink diet coke instead of regular coke 100% of the time for the next month.
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