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Draft:Motivational interviewing

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Applying Motivation in Nutrition counseling. This type of interviewing is a client-centered counseling style that enhance the patient ability to change behaviors. To enhance the patient’s motivation by identifying and addressing ambivalence between their current behavior and their goals.

Based on Teixeira, P. J. (2012) some Benefits identify by using this technique are:

  • Empowers the client to active participate or control in their own behavior change
  • Allows the client to identify their motivation and goals
  • It is collaboration between client and RD
  • It can be use in a diverse population

There are some weaknesses identified while using this type of counseling as: a) May not be recommended for clients that are not ready to change. b) It can be time consuming in compare to other methods of counseling and it may requires a lot of training to master this type of counseling.

According to Beto, J.A. (2023) this strategy can be used by a a Registered Dietitian to help clients to identify their own motivation to change any eating habits. The RD should include active listening, asking open-ended questions, assuring the client effort and efficacy, paraphrasing client’s statements and reinforcing their motivations to change. This self-efficacy and motivations are key points for the patients who wants to achieve their goals.

Some examples of how Registered Dietitians/Nutritionists can use this theory/strategy in healthcare and nutrition counseling/education can be used in clients who want to lose weight, but feels overwhelmed by the changes required to get their goals. The RD will help the client to identify those eating behaviors cue for their condition and help them to overcome those behaviors to achieve desirable goals.

References

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  • Teixeira, P. J., Silva, M. N., Mata, J., Palmeira, A. L., & Markland, D. (2012). Motivation, self-determination, and long-term weight control. The International Journal of Behavioral Nutrition and Physical Activity, 9(1), 22–22. https://doi.org/10.1186/1479-5868-9-22
  • Hohman, M. (2024). Motivational Interviewing: Helping People Change and Grow (4th edition). William R. Miller and Stephen Rollnick [Review of Motivational Interviewing: Helping People Change and Grow (4th edition). William R. Miller and Stephen Rollnick]. Social Work, 69(4), 406–407. Oxford University Press. https://doi.org/10.1093/sw/swae040
  • Beto, J. A., Holli, B. B., & Preceptors, N. a. D. E. A. (2023). Nutrition Counseling and Education Skills: a Practical guide. Jones & Bartlett Learning