 Effective nutrition educators use a variety of methods to deliver their message › Face-to-Face—either individual or in group › Electronic—web-based, kiosk, or computer- based › Telephone

 May be individual or in group setting  Considered the optimal way to provide nutrition education  Allows for personalized interactions

 Establish Rapport › Helps client feel safe and welcome to share information and talk › Use positive non-verbal communication; greet client by name; make general comments  Example: “Good morning, Mrs. Gonzales. My name is Melissa. How are you today? How is your baby? She looks like she is really growing.”

 Set the Stage › Let the client know what will be discussed › Give a brief overview of the topics to be covered during this visit  Example: “Today we are going to see how Janie is growing and talk about any concerns you may have.”

 Paraphrase › Shows that you understand what the client has said › Restates the basic ideas and facts that you hear in your own words  Example: “So it sounds like you are having trouble getting David to eat. Is that right?”

 Ask Open-Ended Questions › Conveys interest and encourages the client to keep talking › Use questions that start with “What”, “When”, “Who”, “How” or “Tell me about”.  Example: “What are your thoughts about breastfeeding?”

 Reflect Feelings › Shows understanding of how client feels › Helps client evaluate her/his feelings  Example: “You feel that others are judging you because Missy is overweight.”

 Validate Feelings › Acknowledge the worthiness of the other person › Identifies feelings as okay or normal  Example: “I have heard that from a lot of parents.”

 Summarize › Sum up the conversation and clarify › Restate the facts. Ask about next steps/goals  Example: “We talked about fixing healthy snacks. What do you think you will do at home?”

 Address the Client’s Concerns › Get client’s involvement or buy-in › Answer client’s questions  Example: “What questions do you have about feeding your new infant?”

 Web-based, computer or kiosk › Provides client flexibility › Fun for some clients; may intimidate others › Should lead client through information to goal setting › May require additional steps to document in KWIC › Follow-up happens at next scheduled visit

 To work well: › Get client buy-in for new technology › Prepare client for what to expect › Assist client to log-in first time if needed › Work out how education will be documented in KWIC client record › Plan to follow up on learning/goal at next certification visit

 Not routinely used in Kansas  Breastfeeding Peer Counselors use for ongoing education and support  Can be used for nutrition education rarely for clients with limited ability to come to clinic (e.g. homebound health condition)

 Telephone Counseling Tips › Prepare for call in advance › Reduce/eliminate distractions › Review client information › Determine any specific information to share › Ask permission to talk to client at this time › Listen actively to client’s words and message

 During and after call: › Ask open-ended questions › Use language that is easily understood › Verify understanding and answer questions › Congratulate and praise for small steps taken › Allow for pauses and silences › Summarize main points of conversation › Document call in KWIC client record