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Helping Participants Change. Amy Culp, RD, LD. amyculprd ... Source: Miller R, Rollnick S. Motivational Interviewing: Preparing People for Change. ... – PowerPoint PPT presentation

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Title: Helping Participants Change Amy Culp, RD, LD amyculprdsCULPturetexas'com 5125177624


1
Helping Participants Change Amy Culp, RD,
LDamyculprd_at_sCULPturetexas.com512-517-7624
2
What is Our Overall Goal at WIC?
  • Help grow healthy families.
  • This often means making behavior changes for our
    participants.

3
Think about change
  • How do you feel?
  • What are you thinking?

4
We 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?

5
Determine 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

6
Determine 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

7
Identifying WIC Participants Readiness to Change
  • Handouts
  • Handout 3 Assessing Importance and
    Confidence

8
Determine 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?

9
How 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.
10
Determine 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

11
Helping 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.

12
Stages of Change
  • Exercises
  • Exercise 3 Case Studies
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