2.  No one method fits all clients  Individuals vary in how they learn, process and use information  Clients are at varying stages of readiness to change behaviors  Interaction that engages the client is most effective

3.  Engages the client  Provides opportunity for questions and feedback  May be individual or group sessions  Helps client identify individual goals or important issues

4.  Individual participant-centered nutrition counseling must be used at: › Certifications and Mid-Certifications › High-Risk Counseling with RD

5.  Client-centered nutrition education  Motivational interviewing

6.  Group education techniques may be used for low-risk contacts at follow-up visits

7.  Facilitated Group Discussion  Interactive Nutrition Activities  Demonstrations  Group Classes

8.  Client-centered nutrition education › Involves participant in decision making and problem solving › Focuses on the client’s needs › Uses the Stages of Change model for behavior change › Requires time to establish rapport with client › Most effective when discussions with client are ongoing

9.  Pre-contemplation › Unaware of problem or unwilling/discouraged when it comes to changing  Contemplation › Acknowledges there is a problem but not quite ready to make a commitment to change

10.  Preparation › Ready to change in the near future. Needs to develop a plan to succeed

11.  Action › Actively engaged in change › Requires great commitment of time and energy

12.  Maintenance › Reviews progress made during action phase › Struggles to prevent relapses › Needs to identify problem areas and obtain support

13.  Motivational Interviewing: › Helps client explore and resolve uncertainty › Focuses on the client’s needs › Uses the Stages of Change model for behavior change › Focuses on areas of conflict between values and actions › Requires time to establish rapport with client › Most effective when interactions with client is ongoing

14.  Facilitated Discussion › Discuss a specific topic, share questions and knowledge with others › Focuses on client’s needs › Develops relationships between clients › Clients learn from one another › Requires members to be familiar with topic › Requires skill development of staff › Group may get “side-tracked”

15.  Breastfeeding Support Groups  New Parents Group  Mothers of Toddlers Group  New Mothers-to-Be Group

16.  Engages client in activities such as: › Games › Art projects with nutrition theme › Word Puzzles › Storytelling › Find the answer quiz

17.  Address multiple learning styles  Develop skills  Fun  Some clients may not feel comfortable interacting in group

18.  Involve clients in actions that reinforce new skills  Attracts and holds attention  Easily understood  Convincing  Clients must be present to benefit from experience  Mishaps may occur

19.  How to mix formula  How to use/clean a breast pump  Using a specific food  Cooking demonstrations

20.  Focuses on a specific topic  Led by a qualified staff person  Clients participate in set activities during class  Time for questions and answers included  May be uncomfortable for some clients  Less flexibility

21.  The importance of Vitamin D  Developmental stages of infant feeding  Menu planning  Shopping on a budget  Choosing healthy snacks

22.  Can be designed to meet most components of effective nutrition education  Used for secondary low risk nutrition education  Market as event, not a class  Reduces staff burnout

23.  Baby Shower –for pregnant women and breastfeeding promotion  Kicking It with WIC—Physical activity  Fruit and Vegetable Parade  Brushing Buddies  Pyramid Circus