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

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Helping Participants Change Amy Culp, RD,
LDamyculprd_at_sCULPturetexas.com512-517-7624
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What is Our Overall Goal at WIC?

• Help grow healthy families.
• This often means making behavior changes for our
  participants.

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Think about change

• How do you feel?
• What are you thinking?

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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?

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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

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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

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Identifying WIC Participants Readiness to Change

• Handouts
• Handout 3 Assessing Importance and
  Confidence

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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?

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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.
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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

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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.

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Stages of Change

• Exercises
• Exercise 3 Case Studies