Title: Helping Participants Change Amy Culp, RD, LD amyculprdsCULPturetexas'com 5125177624
1Helping Participants Change Amy Culp, RD,
LDamyculprd_at_sCULPturetexas.com512-517-7624
2What is Our Overall Goal at WIC?
- Help grow healthy families.
- This often means making behavior changes for our
participants.
3Think about change
- How do you feel?
- What are you thinking?
4We change when
- We want to or when it matters
- We know how
- We believe we can
- So where do you fit in helping your participants
make changes?
5Determine Readiness
- Consider the stages of change
- 1. Pre-contemplation
- - Change has not been made yet as participant
has not identified a need to change - 2. Contemplation
- - No change has taken place but participant
explores the possibility of change - Preparation
- - Small changes may have been made and
participant will learn techniques to promote
change
6Determine Readiness
- Consider the stages of change
- Action
- - Participant has made a change that may be a
small or significant change. - Maintenance
- - Change has been established and is continuing
- Refer to Handout 1 Stages of Change
Opportunities for Intervention Chart - Exercise 1 Identify Stage of Change
7Identifying WIC Participants Readiness to Change
- Handouts
-
- Handout 3 Assessing Importance and
Confidence
8Determine importance and confidence counseling
tools
- Assessment Ruler
- Assessing Importance and Confidence
- ?How important would you say it is for you to
_______________? On a scale from 0 to 10, where
0 is Not at All Important and 10 is Extremely
Important, where would you say you are? - 0 1 2 3 4
5 6 7 8
9 10 - Not at all
Extremely - Important Important
- ?And how confident would you say you are that if
you decided to ___________, you could do it? On
the same scale from 0 to 10, where 0 is Not at
All Confident and 10 is Extremely Confident,
where would you say you are?
9How importance and confidence affects change.
- Four Participant Profiles
Source Miller R, Rollnick S. Motivational
Interviewing Preparing People for Change. New
York The Guilford Press, 2002.
10Determine importance and confidence counseling
tools
- After the client identifies the level of
importance or confidence, explore this further to
find out how you can help. - Handout 3
- Exercise 2
11Helping Participants Change
- Goal Importance Assessment
- Assessing the strength of a persons goal
commitment is affected by - the value the person places on the activity
- perceived attainability of the goals
- binding pledges made to others.
- Inquire about
- Do you think you can do it?
- How important is it to you?
- Is there someone else with whom you can share
your plans? - Is there someone who will support you in your
desire to change? - Source Holli B., Calabrese R., Maillet J.
Communication and Education Skills for Dietetics
Professionals, 4th ed. Baltimore, Lippincott
Williams Wilkens, 2003.
12Stages of Change
- Exercises
- Exercise 3 Case Studies