0 stringlengths 12 494 | embeddings listlengths 384 384 |
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Client:\tI\tjust\tfeel\tthat\tmy\tlevel\tof\tenthusiasm\tfor\tmaking\tthese\tchanges\tis\tlow.\tIt\tall\tseems\tlike\ntoo\tmuch\teffort.\nNutrition\tCounselor:\tI\tappreciate\tyour\tconcerns.\tMany\tpeople\tfeel\tfrustrated\twhen\tthey\ttry\tto\nmake\tdietary\tchanges.\tTell\tme\tmore\tabout\tyour\tconcerns\tand\tfeeli... | [
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Belief\tin\tone’s\town\tcapability\tto\n\tchange,\tor\t\nself-efficacy\n,\tis\tan\timportant\tmotivator.\tThe\tclient\tis\nresponsible\tfor\tchoosing\tand\tcarrying\tout\tpersonal\tchange.\tThe\tnutrition\tcounselor\tcan\trespect\tthe\nclient’s\tautonomy\tand\tsupport\tself-efficacy\tby\toffering\tto\tpractice\tbehavio... | [
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skills\twhile\tthe\tcounselor\tis\tavailable\tto\thelp.\nClient:\tI\tjust\tdon’t\tknow\twhat\tto\tbuy\tonce\tI\tget\tto\tthe\tgrocery\tstore.\tI\tend\n\tup\twith\thamburgers\nand\tpotato\tchips.\nNutrition\tCounselor:\tLet’s\tthink\tof\tone\tday’s\tmeals\tright\tnow.\tThen\twe\tcan\tmake\ta\tgrocery\tlist\nfrom\tthat.\... | [
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Models\tfor\teducational\tprogram\tdevelopment\nThe\t\nPRECEDE-PROCEED\tmodel\n\tis\ta\tparticipatory\thealth\tprogram\tplanning\tmodel\tthat\thas\tbeen\nused\tin\ta\tvariety\tof\thealth\ttopics\tand\tcommunities\tto\tsystematically\tplan\tand\tevaluate\tbehavior\nchange\tprograms.\n\tPRECEDE\tconsists\tof\tfour\tplann... | [
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P\nredisposing,\t\nR\neinforcing,\t\nE\nnabling,\t\nC\nonstructs\tin\t\nE\nducation/\nE\ncological\t\nD\niagnosis\tand\t\nE\nvaluation.\nThis\treflects\tthe\tneeds\tassessment\tand\tparticipatory\tplanning\tof\tthe\teducational\tprogram.\nPROCEED’s\tacronym\tstands\tfor\t\nP\nolicy,\t\nR\negulatory,\tand\t\nO\nrganizat... | [
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and\t\nE\nnvironmental\t\nD\nevelopment\tand\tprovides\n\ta\tframework\tfor\tprogram\timplementation\tand\nevaluation\t(\nGreen\tet\tal,\t1980\n).\tThis\tmodel\thas\tbeen\tapplied\tto\tdevelop\ta\tnumber\tof\tnutrition\neducation\tprograms\t(\nWalsh\tet\tal,\t2014\n;\t\nKattelmann\tet\tal,\t2014\n).\nThe\tBehavior\tCha... | [
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0.04590795561671257,
0.08171476423740387,
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0.08058928698301315,
0.01647395... |
behavior\tthat\tconsists\tof\tthree\tsteps—define\tthe\tbehavior\tand\tunderstand\tits\tdeterminants\t(i.e.,\nability,\n\topportunity,\tand\tmotivation);\tidentify\tintervention\toptions\tsuitable\tto\taddress\tbehavioral\ndeterminants\t(e.g.,\teducation,\tpersuasion,\tskill-building,\tmodeling);\tand\tdevise\tcontent\... | [
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0.0409... |
implementation\tstrategy\t(i.e.,\teducational\ttechniques\tand\tmode\tof\tdelivery).\tIt\talso\tconsiders\tpolicy\ncategories\tto\tleverage\tfor\tthe\tprogram\timplementation\t(\nAtkins\tand\tMichie,\t2015\n).\nSkills\tand\tattributes\tof\n\tthe\tnutrition\teducator\tor\tcounselor\nCultural\tcompetency | [
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0.027... |
the\tnutrition\teducator\tor\tcounselor\nCultural\tcompetency\nThe\tability\tto\tproductively\tengage\tclients\tfrom\tdifferent\tcultural\tbackgrounds\tis\ta\tdistinctive\tmark\tof\neffective\tnutrition\teducators\tand\tcounselors\t(\nBruening\tet\tal,\t2015\n).\tCulture\tit\tis\tthe\tframework\nthrough\twhich\tpeople\... | [
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0.0143741... |
expressions\ton\teating\tchoices\tis\tfundamental\tto\tproviding\n\tmeaningful\tguidance.\tCultural\tidentity\ncomprises\ta\tcombination\tof\tpermanent\t(e.g.,\tage,\tethnicity/race,\tlanguage,\tsexual\torientation),\nmodifiable\t(e.g.,\teducational\tstatus,\tsocioeconomic\tstatus,\toccupation,\treligion,\tgeographic | [
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residence,\tfood\tchoices),\tand\tcontextual\t(e.g.,\thistorical,\tsocial,\tpolitical\tforces)\tfactors.\tRefer\tto\nChapter\t10\n:\tPlanning\tthe\tDiet\twith\tCultural\tCompetency.\nEducating\n\tor\tcounseling\twith\t\ncultural\tcompetency\n\trequires\tacknowledging\tboth\tsurface\tand\ndeep\tstructure\tfactors\taffec... | [
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0.02774... |
deep\tstructure\tfactors\taffecting\teating\tchoices.\t\nSurface\tstructure\n\trefers\tto\tattributes\tthat\tare\neasily\tobservable,\tsuch\tas\tfood\tpreferences,\ttraditions,\tand\tlanguage.\tSurface\tstructures\tallow\tfirst-\nhand\tcontact;\thowever,\tthey\tare\toften\tsources\tof\tstereotypes\tand\tcan\tcreate\tco... | [
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... |
interference.\tFor\tinstance,\n\tlanguage\tis\toften\tthe\tprimary\tsurface\tstructure\tissue\tthat\tis\taddressed.\nAlthough\tknowing\tseveral\tlanguages\tis\tan\tasset,\tmany\trely\ton\tinterpreters.\tRelying\ton\tunofficial\ninterpreters,\tsuch\tas\tfamily\tor\tfriends,\tis\trarely\ta\tgood\tchoice\tbecause\tof\ta\t... | [
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nutrition\tand\thealth\tconcepts.\tUsing\tprofessional\tinterpreters\tis\talso\tnot\twithout\tlimitations\tin\tthat\nthe\teducator\tneeds\tto\tunderstand\n\tnot\tonly\tthe\tclient\tbut\talso\tthe\tinterpreter.\tThe\teducator\tshould\nmaintain\tcontact\twith\tthe\tclient\tand\texplain\tthe\trole\tof\tthe\tinterpreter\t(... | [
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Box\t13.1)\n.\tUsing\tcommon\nterms,\tavoiding\tslang\tand\twords\twith\tmultiple\tmeanings,\tis\ta\tpractice\trecommended\twhen\tworking\nwith\tclients\twho\thave\tlimited\tlanguage\tskills.\tAlways\tspeak\tdirectly\tto\tthe\tclient,\teven\twhen\tusing\tan\ninterpreter,\tand\twatch\tthe\tclient\n\tfor\tnonverbal\tresp... | [
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for\tnonverbal\tresponses\tduring\tthe\ttranslation.\tMovements\tsuch\tas\ngestures,\tfacial\texpressions,\tand\tpostures\tare\toften\tthe\tcause\tof\tconfusion\tand\tmisinterpretations\tin\nintercultural\tcommunication.\tRules\tregarding\teye\tcontact\tare\tusually\tcomplex\tand\tvary\taccording\tto\nattributes\tsuch\... | [
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0.03... |
attributes\tsuch\tas\tgender,\tphysical\tdistance,\tand\tsocial\tstatus\t(see\t\nClinical\tInsight:\n\tBody\tLanguage\nand\tCommunication\tSkills\n).\nBox\t13.1\nFederal\tRegulations\tfor\tTranslation\tand\tInterpreting\tin\tMedical\nSettings\nAs\tpart\tof\tthe\tregulations\tfor\tnondiscrimination\tadministered\tby\tth... | [
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0.018249... |
Human\tServices,\tadditional\tprovisions\twere\tadded\tto\tSection\t1557\tof\tthe\tAffordable\tCare\tAct\tin\n2016\tconcerning\tsupport\tfor\tthose\twith\tlimited\tEnglish\tproficiency.\tReasonable\tlanguage\nassistance\tis\trequired\tin\tthe\tform\n\tof\tan\tinterpreter\tor\ttranslator.\tHowever,\tvideo\tremote | [
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of\tan\tinterpreter\tor\ttranslator.\tHowever,\tvideo\tremote\ninterpreting\tmay\tbe\tallowed.\tIn\taddition,\tacceptance\tof\tlanguage\tassistance\tfrom\tthe\tclient\tis\tnot\nrequired.\nDeep\tstructure\n\tculture\tincludes\tpsychosocial\tfactors\tthat\tare\tnot\treadily\tapparent,\tsuch\tas | [
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beliefs,\tvalues,\tattitudes,\tnorms,\tand\tstressors\taffecting\teating\tchoices,\tas\twell\tas\tthe\tpersonal\tand\ninterpersonal\tcontext\tof\tthe\tintervention.\n\tBecause\tculture\tis\tcomplex,\tshape-shifting,\tand\tultimately\ninseparable\tfrom\tits\tsocial\tand\teconomic\tcontext,\tit\tis\timpossible\tto\tconsi... | [
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static\tphenomenon.\tAny\tunderstanding\tof\ta\tparticular\tcultural\tcontext\tis\talways\tincompletely\ttrue,\nalways\tsomewhat\tout\tof\tdate\tand\tpartial\t(\nGregg\tet\tal,\t2006\n).\tThe\tculturally\tcompetent\tnutrition\npractitioner\tfacilitates\tthe\tconsideration\n\tof\tindividual-\tor\tgroup-specific\tdeep\ts... | [
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of\tindividual-\tor\tgroup-specific\tdeep\tstructure\tfactors\tin\tall\nsteps\tof\tthe\tnutrition\tcare\tprocess.\tThe\tfollowing\tare\tprinciples\tcommon\tto\tthe\tseveral\tproposed\nmodels\tof\tcultural\tcompetency:\nCultural\tawareness\nCulturally\tcompetent\tnutrition\tpractitioners\tassess\ttheir\town\tsurface\tan... | [
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0.0390... |
makeup\tto\tidentify\tpersonal\tand\tprofessional\tassumptions,\tbeliefs,\tand\tattitudes\tthat\n\tmay\taffect\ntheir\tability\tto\teffectively\tconnect\twith\tthe\tclient\t(\nCampinha-Bacote,\t2002\n;\t\nJongen\tet\tal,\t2018\n;\nWright\tand\tLundy,\t2014\n).\tHeightening\tawareness\tof\tpersonal\tbiases\tand\tbecomin... | [
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0.006... |
cultural\tdifferences\t(see\t\nClinical\tInsight:\n\tThe\tCounselor\tLooks\tWithin\n)\tallows\tthe\tcounselor\tto\tbe\nmore\teffective\tin\tunderstanding\twhat\tthe\tclient\tmay\tneed\tto\tmove\tforward.\nCLINICAL\tINSIGHT\nThe\tCounselor\tLooks\tWithin\nBefore\tentering\ta\tcounseling\trelationship\tand\tafter\treflec... | [
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look\tinward\tand\tconsider\tany\tfactors\tthat\taffect\ttheir\town\tthinking\tand\thow\tthey\tmight\taffect\tthe\nclient.\tThe\tnutritionist\tshould\treflect\ton\tethical\tissues,\tsuch\tas\tthe\tautonomy\tof\tthe\tclient,\tand\nbeneficence\n\t(good)\tversus\t\nmaleficence\n\t(harm).\tAn\texample\tmay\tbe\twhen\ta\n\t... | [
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0.0196... |
maleficence\n\t(harm).\tAn\texample\tmay\tbe\twhen\ta\n\tclient\tdecides\tnot\tto\nset\tgoals\tfor\tblood\tglucose\tlevels\tand\tnot\tto\tlearn\tthe\tamounts\tof\tcarbohydrates\tin\tfoods\n(autonomy).\tThese\tchoices\tserve\tas\tbarriers\tto\tthe\tbenefit\tthe\tcounselor\twould\tmake\tin\tteaching\nthese\t\nself-manage... | [
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tools\t(beneficence)\tand\tthe\tneed\tfor\tnonmaleficence\t(do\tno\tharm).\nWhenever\tclients\tdecide\ta\tbehavior\tchange\tis\tnot\tright\tfor\tthem,\tthe\tcounselor’s\trole\tis\tnot\tto\nforce\n\tthe\tissue\tbut\tto\tencourage\tits\tfuture\tconsideration.\nClient’s\tperspective\nCulturally\tcompetent\tcommunication\t... | [
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individual\twithin\ta\tgroup,\tand\twhy\tcertain\tfoods\tare\tprepared\tand\tpreferred\t(\nBroyles\tet\tal,\t2011\n).\nThe\tculturally\tcompetent\tnutrition\tpractitioner\texplores\thow\tclients\tperceive\ttheir\town\tnutritional\nstatus,\tincluding\ttheir\n\tunderstanding\tof\tthe\tcauses\tand\tconsequences;\tprevious... | [
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remedies,\tcare,\tand\tinformation\tsources;\tthe\tlevel\tof\tcognitive\tor\temotional\tattachment\tto\nintegrative\ttreatments;\tand\tthe\texpectations\taround\tthe\timpending\tdietary\ttreatment.\tIt\tis\talso\nimportant\tto\tprompt\tclients\tto\tdescribe\thow\ttheir\tnutritional\tissue\taffects\tand\tis\taffected\tb... | [
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social\tenvironment,\tas\tpotential\tbarriers\n\tor\tfacilitators\tto\tchange.\nInformed\tnegotiation\nDeveloping\ta\tculturally\trelevant\tintervention\tplan\tis\ta\tcollaborative\teffort\tbetween\tthe\tclient\tand\tthe\npractitioner.\tIt\trequires\tsummarizing\tdeep\tstructure\tattributes\tthat\tinfluence\tthe\tclien... | [
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choices,\tcommunicating\tthe\trationale\tbehind\tproposed\tevidence-based\tnutrition\tprescriptions,\tand\nreaching\tconsensus\tfor\ta\tmeaningful\tintegration\n\tof\tboth.\t\nCognitive\tdissonance\n\tmay\tarise\twhen\tthe\nclient\texpresses\topinions,\tworldviews,\tor\tvalues\tdifferent\tfrom\tthe\tones\theld\tby\tthe... | [
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educator\tor\tcounselor.\tAcknowledging\topposing\tviews,\tinstead\tof\tdebating\tthem,\tcan\thelp\tmaintain\nopen\tand\tproductive\tcommunication.\tThe\tclient\tmay\tshow\thesitation\tor\tlack\tof\tconfidence\tto\tadopt\ncertain\tdietary\tprescriptions\tor\texpress\ta\tdesire\tfor\tretaining\n\ttraditional\tor\tnonevi... | [
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traditional\tor\tnonevidence-based\npractices.\tAllowing\tthe\tclient\tto\tactively\tparticipate\tin\tsetting\ttheir\town\tnutritional\tgoals\tcan\nincrease\townership\tand\taccountability,\tconvey\trespect\tfor\tthe\tclient’s\tvalues,\tand\tincrease\tthe\tlevel\nof\ttrust.\nEmpathy\tand\trapport | [
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of\ttrust.\nEmpathy\tand\trapport\nCultural\tawareness\tand\tunderstanding\tof\tthe\tclient’s\tperspectives\tabout\ttheir\tnutritional\tstatus\tis\nnecessary\tfor\tthe\tnutrition\tpractitioner\n\tto\tgain\tempathy\tand\testablish\trapport\twith\tthe\tclient.\tIn\nturn,\tthis\tcan\timprove\tthe\tquality\tof\tthe\tcommun... | [
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a\tsound\taction\tplan\t(\nDiaz\tRios\tand\tChapman-Novakofski,\t2018\n).\nCLINICAL\tINSIGHT\nBody\tLanguage\tand\tCommunication\tSkills\nActive\tlistening\tforms\tthe\tbasis\tfor\teffective\tnutrition\tcounseling.\tThere\tare\ttwo\taspects\tto\neffective\tlistening:\n\tnonverbal\tand\tverbal.\tNonverbal\tlistening\tsk... | [
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attentive\tbody\tlanguage,\ta\trespectful\tbut\tclose\tspace,\tadequate\tsilence,\tand\tencouragers.\tEye\ncontact\tis\tdirect\tyet\tvaried.\tLack\tof\teye\tcontact\timplies\tthat\tthe\tcounselor\tis\ttoo\tbusy\tto\tspend\ntime\twith\tthe\tclient.\tWhen\tthe\tcounselor\tleans\tforward\tslightly\tand\thas\ta\trelaxed\tp... | [
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avoids\tfidgeting\tand\tgesturing,\n\tthe\tclient\twill\tbe\tmore\tat\tease.\tSilence\tcan\tgive\tthe\tclient\ttime\tto\nthink\tand\tprovide\ttime\tfor\tthe\tcounselor\tto\tcontemplate\twhat\tthe\tclient\thas\tsaid.\tShaking\tone’s\nhead\tin\tagreement\tcan\tbe\ta\tpositive\tencourager,\tleading\tto\tmore\tconversation... | [
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slightly\ttoward\tthe\tclient\tis\tan\tencourager\tthat\tallows\tfor\tmore\tpositive\tinteraction.\nLearning\tthe\tskills\tto\telicit\tthe\tclient’s\tindividual\n\tbeliefs\tand\tinterpretations\tand\tto\tnegotiate\nconflicting\tbeliefs\tis\timportant\tto\tproper\tcare,\tregardless\tof\tthe\tsocial\tor\tcultural\tbackgr... | [
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client\t(\nConstantinou\tet\tal,\t2018\n).\tWhen\tdeveloping\tculturally\tsensitive\tinterventions,\tthe\tPRECEDE-\nPROCEED\tmodel\tcan\tprovide\tthe\tframework\tto\tguide\tappreciation\tfor\tthe\ttarget\taudience’s\tsurface\nand\tdeep\tcultural\tstructures\t(\nCuy\tCastellanos\tet\tal,\t2013\n;\t\nDePue\tet\tal,\t2010... | [
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Cuy\tCastellanos\tet\tal,\t2013\n;\t\nDePue\tet\tal,\t2010\n).\nAsking\tquestions\nInformation\tgathering\tis\tan\tinstrumental\tquality\tof\teffective\tcounselors\tand\teducators\tas\tthey\nconsistently\task\topen-ended\tquestions\tthat\tprompt\tfruitful\tdiscussions.\tData\tquestions\tcan\tprovide | [
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valuable\tinformation\tbut\trarely\tlead\tto\teffective\tdiscussion\t(e.g.,\t“What\tdid\tyou\teat?”),\tand\nknowledge\tquestions\tcan\tsometimes\telicit\ta\tdefensive\tresponse\tdepending\n\ton\tthe\tcontext\tin\twhich\nthey\tare\tasked\t(e.g.,\t“Can\tyou\ttell\tme\twhat\tyou\tknow\tabout\tsodium?”). | [
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they\tare\tasked\t(e.g.,\t“Can\tyou\ttell\tme\twhat\tyou\tknow\tabout\tsodium?”).\nOpen-ended\tquestions\tallow\tthe\tclient\tto\texpress\ta\twider\trange\tof\tideas,\twhereas\tclosed\tquestions\n(e.g.,\tdata\tquestions\tor\tyes/no\tquestions)\tcan\thelp\tin\ttargeting\tconcepts\tand\teliminating\ttangential | [
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discussions.\tFor\tthe\tperson\twho\tis\tnot\tready\tto\tchange,\ttargeted\tdiscussions\taround\tdifficult\ttopics\ncan\n\thelp\tfocus\tthe\tsession.\tThe\tnutritionist\tasks\tquestions\tthat\tmust\tbe\tanswered\tby\texplaining\tand\ndiscussing,\tnot\tby\tone-word\tanswers.\tThis\tis\tparticularly\timportant\tfor\tsome... | [
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change\tbecause\tit\topens\tthe\tdiscussion\tto\tdiscover\tproblem\tareas\tthat\tkeep\tthe\tclient\tfrom\tbeing\nready.\tThe\tfollowing\tstatements\tand\tquestions\tare\texamples\tthat\tcreate\tan\tatmosphere\tfor\ndiscussion:\n•\t\n“We\tare\there\tto\ttalk\tabout\tyour\tdietary\tchange\texperiences\tto\tthis\tpoint.\t... | [
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the\tbeginning\tand\ttell\tme\thow\tit\thas\tbeen\tfor\tyou?”\n•\t\n“What\tare\tsome\tthings\tyou\twould\tlike\tto\tdiscuss\tabout\tyour\tdietary\tchanges\tso\tfar?\tWhat\tdo\nyou\tlike\tabout\tthem?\tWhat\tdon’t\tyou\tlike\tabout\tthem?”\nFraming\tthe\toptimal\tdiscussion\tquestion\tis\tnot\teasy\tand\trequires\tthe\t... | [
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on\twhich\tquestions\twere\tsuccessful.\tTeaching\tcounseling\tskills\thas\tincluded\tsimulated\tpatient–\ncounselor\tscenarios\twith\ta\tstandardized\tpatient\t(\nTada\tet\tal,\t2018\n);\ta\ttool\thas\tbeen\tdeveloped\tto\nevaluate\tthese\tskills\tcalled\tthe\tFeedback\ton\tCounseling\tUsing\tSimulation\t(FOCUS)\t(\nH... | [
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Henry\tand\nSmith,\t2010\n).\tVerbal\tand\tnonverbal\tcommunication\tis\timportant;\tfor\tthe\tlatter,\tmaintaining\tan\nappropriate\tfacial\n\texpression\tand\tusing\taffirmative\tgestures\tare\timportant\t(\nCollins\tet\tal,\t2011\n).\nBuilding\trapport\nThe\tability\tto\tbuild\trapport\tis\tone\tof\tthe\tmost\tusefu... | [
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can\talso\tbe\ta\tchallenging\tskill\tto\tdevelop.\tA\tclient\twho\tappears\thostile,\tunusually\tquiet,\tor\tdismissive\nmay\thave\tmore\tsuccess\twith\tsomeone\twith\ta\tsimilar\tbackground\tor\texperience.\tIn\tthose\tcases,\nworking\twith\ta\tpeer\teducator\tmay\tbe\tmost\teffective.\tThe\t\npeer\teducator\n\tshoul... | [
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peer\teducator\n\tshould\tideally\tshare\nsimilarities\twith\tthe\ttarget\tclientele\tin\tterms\tof\tage\tor\tethnicity,\tand\thave\tprimary\texperience\tin\tthe\nnutrition\ttopic\t(e.g.,\tbreastfeeding)\t(\nJain,\t2014\n;\t\nPerez-Escamilla\tet\tal,\t2008\n).\tPeer\teducators\tare\nusually\tcommunity\thealth\tworkers\... | [
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Program\n\t(EFNEP)\thas\tdemonstrated\tthe\teffectiveness\tand\tcost\tefficiency\tof\tpeer\teducators\t(\nBaral\tet\nal,\t2013\n).\tIn\tperinatal\tand\tSpecial\tSupplemental\tNutrition\tProgram\tfor\tWomen,\tInfants,\tand\nChildren\t(WIC)\tclinics,\tbreastfeeding\tpeer\tcounselors\tare\toften\thighly\teffective\tin\the... | [
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mothers\twith\ttheir\tquestions\tand\tconcerns\t(\nBartholomew\tet\tal,\t2017\n).\nReflective\tlistening\nNutrition\tcounselors\tnot\n\tonly\tlisten\tbut\talso\ttry\tto\ttag\tthe\tfeelings\tthat\tsurface\tas\ta\tclient\tis\ndescribing\tdifficulties\twith\tan\teating\tpattern.\tListening\tis\tnot\tsimply\thearing\tthe\t... | [
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the\tclient\tand\tparaphrasing\tthem\tback.\t\nFig.\t13.3\n\tshows\ta\tnutrition\tcounselor\tlistening\treflectively\tto\na\tclient.\nFIG.\t13.3\nThis\tnutrition\tcounselor\tis\teffectively\tusing\tverbal\tand\tnonverbal\tcommunication\tskills,\tincluding\teye\ncontact\tand\tleaning\tin,\tto\tbuild\trapport\twith\ta\tc... | [
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0.12918388843536377,
-0.020278768613934517,
-0.030360497534275055,
-0.0072415112517774105,
0.13270702958106995,
-0.011558545753359795,
0.03935576230287552,
... |
Source:\tFrom\t\t\nwww.istockphoto.com\n.\nReflective\tlistening\n\tinvolves\ta\tguess\tat\twhat\tthe\tperson\tfeels\tand\tis\tphrased\tas\ta\tstatement,\tnot\na\tquestion.\tBy\tstating\ta\tfeeling,\tthe\tnutrition\tcounselor\tcommunicates\tunderstanding.\tThe\n\tfollowing\nare\tthree\texamples\tof\tlistening\treflecti... | [
-0.020730609074234962,
-0.0687466487288475,
0.0648951604962349,
-0.007573124952614307,
-0.023784799501299858,
0.01150594837963581,
0.09571508318185806,
-0.035186659544706345,
0.034729842096567154,
0.0026572481729090214,
0.12338727712631226,
0.009430588223040104,
0.06490147113800049,
-0.020... |
following\nare\tthree\texamples\tof\tlistening\treflectively:\nClient:\tI\treally\tdo\ttry,\tbut\tI\tam\tretired\tand\tmy\thusband\talways\twants\tto\teat\tout.\tHow\tcan\tI\nstay\ton\tthe\tright\tpath\twhen\tthat\thappens?\nNutrition\tCounselor:\tYou\tfeel\tfrustrated\tbecause\tyou\twant\tto\tmake\tdietary\tchanges,\t... | [
0.0067496770061552525,
-0.07149344682693481,
0.06337635219097137,
-0.046198662370443344,
-0.1168673038482666,
0.02443709410727024,
0.1298103630542755,
-0.0005891133332625031,
-0.018257614225149155,
0.03679211065173149,
0.06369222700595856,
-0.013260490261018276,
0.08978743106126785,
0.0137... |
same\ttime\tyou\twant\tto\tbe\tspontaneous\twith\tyour\thusband.\tIs\tthis\tcorrect?\t\n(reflective\nlistening;\tTPB,\tsubjective\n\tnorms;\tHBM,\tbarriers;\tSCT,\tpersonal\tfactors)\nClient:\tI\tfeel\tlike\tI\tlet\tyou\tdown\tevery\ttime\tI\tcome\tin\tto\tsee\tyou.\tWe\talways\tdiscuss\tplans\tand\tI\nnever\tfollow\tt... | [
-0.01326234731823206,
-0.07136816531419754,
0.0701880231499672,
-0.05354636535048485,
-0.10267291963100433,
-0.020905187353491783,
0.0955200120806694,
-0.03576572611927986,
-0.003160241059958935,
0.06634704023599625,
0.06734927743673325,
-0.033842943608760834,
0.05862551927566528,
0.036092... |
never\tfollow\tthem.\tI\talmost\thate\tto\tcome\tin.\nNutrition\tCounselor:\tYou\tare\tfeeling\tlike\tgiving\tup.\tYou\thaven’t\tbeen\table\tto\tmodify\tyour\tdiet,\nand\tit\tis\tdifficult\tfor\tyou\tto\tcome\tinto\tour\tvisits\twhen\tyou\thaven’t\tmet\tthe\tgoals\twe\tset.\tIs\nthis\thow\tyou\tare\n\tfeeling?\t\n(refl... | [
0.014374160207808018,
-0.03999440744519234,
0.10088206082582474,
-0.03419690951704979,
-0.1048891618847847,
-0.013230775482952595,
0.07515902072191238,
-0.0347885899245739,
0.013296257704496384,
0.03805520385503769,
0.08673850446939468,
-0.021067775785923004,
0.08232700824737549,
0.0062152... |
Can\tyou\tthink\tof\ta\tspecific\ttime\twhen\tyou\tfeel\nthat\tyou\thad\tan\topportunity\tto\tachieve\tyour\tplan,\tbut\tdidn’t?\t\n(HBM,\tbarriers)\nClient:\tSome\tdays\tI\tjust\tgive\tup.\tIt\tis\ton\tthose\tdays\tthat\tI\tjust\teat\twhatever\tI\twant\tand\tI\tcan’t\nmake\tgood\tdecisions\tabout\twhat\tto\teat. | [
0.009144979529082775,
-0.046602241694927216,
0.04451408609747887,
-0.10506295412778854,
-0.09560226649045944,
0.04158436506986618,
0.10621253401041031,
0.03613835573196411,
-0.02467269077897072,
0.019293559715151787,
0.07956914603710175,
0.04935816302895546,
0.06083642691373825,
-0.0101808... |
make\tgood\tdecisions\tabout\twhat\tto\teat.\nNutrition\tCounselor:\tYou\tjust\tlose\tthe\tdesire\tto\ttry\tto\teat\twell\ton\tsome\tdays\tand\tthat\tis\tvery | [
0.042359523475170135,
-0.004495740868151188,
0.09997066855430603,
-0.052920710295438766,
-0.10020315647125244,
0.02733287587761879,
0.14844156801700592,
0.018410196527838707,
-0.018041836097836494,
0.03167339414358139,
0.046042002737522125,
-0.0307014137506485,
0.040396858006715775,
0.0158... |
depressing\n\tfor\tyou.\tDo\tI\thave\tthat\tright?\t\n(rephrasing)\n\tAre\tthose\tdays\twhen\tsomething\tin\nparticular\thas\thappened?”\t\n(HBM,\tbarriers)\nAffirming\nCounselors\toften\tunderstand\tthe\tidea\tof\tsupporting\ta\tclient’s\tefforts\tto\tfollow\ta\tnew\teating\tstyle\tbut\ndo\tnot\tput\tthose\tthoughts\t... | [
-0.016902081668376923,
-0.0383305549621582,
0.046203676611185074,
-0.0386800542473793,
-0.06103414297103882,
0.01865479163825512,
0.0764344334602356,
0.015806566923856735,
0.010999963618814945,
0.06761776655912399,
0.07907003164291382,
0.02425742894411087,
0.09254682809114456,
-0.024513753... |
normalization\tof\tthe\tclient’s\tissues.\tIn\t\nalignment\n\tthe\tcounselor\n\texpresses\tunderstanding\tabout\tthe\ndifficult\ttimes.\t\nNormalization\n\tmeans\ttelling\tclients\tthey\tare\twithin\treason\tand\tthat\tit\tis\tnormal\tto\nhave\tsuch\treactions\tand\tfeelings.\tThe\tfollowing\tstatements\tindicate\taffi... | [
0.025248054414987564,
-0.03772810101509094,
0.05775773525238037,
-0.04350173845887184,
-0.07441163063049316,
-0.0044434769079089165,
0.06163105368614197,
-0.004459673538804054,
-0.016199886798858643,
0.09608813375234604,
0.10486844182014465,
0.014719940721988678,
0.030179617926478386,
0.07... |
•\t\n“I\tknow\tthat\tit\tis\thard\tfor\tyou\tto\ttell\tme\tthis.\tBut\tthank\tyou.”\n•\t\n“You\thave\thad\tamazing\tcompeting\tpriorities.\tI\tfeel\tthat\tyou\thave\tdone\textremely\twell,\tgiven\nyour\tcircumstances.”\n•\t\n“Many\tpeople\tI\ttalk\twith\texpress\tthe\tsame\tproblems.\tI\tcan\tunderstand\twhy\tyou\tare\... | [
0.021213078871369362,
0.026053598150610924,
0.0719224065542221,
-0.03130846843123436,
-0.035212647169828415,
0.009771480225026608,
0.08018669486045837,
-0.012755319476127625,
0.010669860988855362,
0.01315399631857872,
0.10754594206809998,
-0.012209071777760983,
0.08023379743099213,
0.01130... |
difficulty.”\nSummarizing\nThe\tnutrition\tcounselor\tperiodically\tsummarizes\tthe\tcontent\tof\twhat\tthe\tclient\thas\tsaid\tby\tcovering\nall\tthe\tkey\tpoints.\tSimple\tand\tstraightforward\tstatements\tare\tmost\teffective,\teven\tif\tthey\tinvolve\nnegative\tfeelings.\tIf\tconflicting\tideas\tarise,\tthe\tcounse... | [
0.05901230126619339,
-0.02430942840874195,
0.0660289078950882,
-0.04095069319009781,
-0.08809532970190048,
0.009082969278097153,
0.03338846191763878,
0.0033238057512789965,
-0.027466749772429466,
0.06141871586441994,
0.029336927458643913,
-0.04852806776762009,
0.05845366045832634,
0.030246... |
exemplified\tby\tthe\nstatement,\t“On\tthe\tone\thand\tyou\twant\tto\tchange,\tbut\tyou\tstill\tfeel\tattached\tto\tthe\tway\tyou\thave\nbeen\teating.”\tThis\thelps\tthe\tclient\trecognize\tthe\tambivalence\tin\tthinking\tthat\toften\tprevents\nbehavior\tchange.\nAssessment\tresults:\tChoosing\tfocus\tareas\nHealth\tan... | [
0.022067023441195488,
-0.036725714802742004,
0.07300817221403122,
-0.07150206714868546,
-0.10554058104753494,
0.05560574308037758,
0.07725965231657028,
-0.005429981276392937,
-0.03348322585225105,
0.026740945875644684,
0.10521427541971207,
-0.007421393878757954,
0.045167114585638046,
0.009... |
Health\tand\tnutrition\tliteracy\nLow\t\nhealth\tliteracy\n\tis\tcommon\tamong\tolder\tadults,\tminorities,\tand\tthose\twho\tare\tmedically\nunderserved\n\tor\thave\ta\tlow\tsocioeconomic\tstatus\t(\nHealth\tResources\tand\tServices\tAdministration,\n2017\n).\tHealth\tliteracy\tis\tthe\tdegree\tto\twhich\tan\tindividu... | [
0.001612821244634688,
0.013069916516542435,
0.07099177688360214,
0.005871200934052467,
-0.024312525987625122,
0.042562905699014664,
0.09048863500356674,
-0.007235366385430098,
-0.03944051265716553,
0.052142199128866196,
0.1146966889500618,
-0.011945484206080437,
0.006592810619622469,
0.006... |
process,\tand\tunderstand\tbasic\thealth\tinformation\tand\tservices\tneeded\tto\tmake\tappropriate\thealth\ndecisions\t(Patient\tProtection\tand\tAffordable\tCare\tAct\tof\t2010,\tTitle\tV).\tThe\tproblem\tof\tlow\thealth\nliteracy\tcan\tlead\n\tto\tpoor\tmanagement\tof\tchronic\thealth\tconditions,\tas\twell\tas\tlow... | [
-0.0011773639125749469,
-0.028156455606222153,
0.006372006610035896,
-0.08841200917959213,
-0.10112344473600388,
-0.0032907661516219378,
0.09999752789735794,
0.0396001935005188,
0.013082155026495457,
0.05719287693500519,
0.08312982320785522,
-0.008833481930196285,
0.06626035273075104,
0.05... |
recommendations.\tUseful\tresources\tavailable\tfrom\tthe\tAgency\ton\tHealthcare\tResearch\tand\tQuality\n(AHRQ)\tare\t\nRapid\tEstimate\tof\tAdult\tHealth\tLiteracy\tin\tMedicine\t(REALM)\n\tand\t\nShort\tAssessment\tof\nHealth\tLiteracy\tfor\tSpanish\tAdults\t(SAHLSA-50)\n\t(\nAHQR,\t2016\n).\tAdditional\tnutrition-... | [
-0.024177752435207367,
0.00438561849296093,
0.03711383417248726,
0.0037846118211746216,
-0.08679001033306122,
0.020930031314492226,
0.04183996096253395,
0.044489555060863495,
-0.04666813835501671,
-0.00742707122117281,
0.09277456253767014,
-0.04310249909758568,
-0.021262258291244507,
0.058... |
evaluation\tmeasures\tinclude\tthe\tNewest\n\tVital\tSign\twhich\tfocuses\ton\ta\tnutrition\tfacts\tlabel\n(\nRowlands\tet\tal,\t2013\n)\tand\tthe\tNutrition\tLiteracy\tAssessment\tInstrument,\twhich\tevaluates\tseveral\ncomponents\tincluding\tunderstanding\tof\tnutrition\tand\thealth,\tmacronutrients,\thousehold\tfood... | [
-0.013690037652850151,
-0.006085881032049656,
-0.012323031201958656,
-0.012851650826632977,
-0.04446418583393097,
-0.02174229547381401,
0.09486228227615356,
0.012224553152918816,
0.0056379628367722034,
0.020797833800315857,
0.11061325669288635,
-0.0511043556034565,
0.05510707572102547,
0.0... |
measurement,\tfood\tlabels\tand\tnumeracy,\tand\tfood\tgroups\t(\nGibbs\tand\tChapman-Novakofski,\t2013\n).\nAlthough\tthere\tare\tsome\tareas\tof\toverlap\twhen\tdiscussing\tnutrition\n\tliteracy\tand\tfood\tliteracy,\nspecific\tguidelines\tor\tdefinitions\tare\tlacking\t(\nVelardo,\t2015\n).\tOften,\trelying\ton\tthe... | [
-0.03960083797574043,
-0.014279539696872234,
-0.006074593402445316,
-0.023056594654917717,
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0.10708450525999069,
0.020618563517928123,
0.006468590814620256,
0.003952916245907545,
0.09414626657962799,
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0.032486915588378906,
0.... |
Velardo,\t2015\n).\tOften,\trelying\ton\tthe\tclient’s\neducational\tattainment\tprovides\tsome\tguidance\tabout\tcapacity\tto\tunderstand\tdirections,\ninformation,\tor\tskills,\tbut\tasking\tthe\tclients\tto\trepeat\texplanations\tin\ttheir\town\twords\tcan\talso\thelp\nthe\tnutrition\teducator\tevaluate\tthe\tclient... | [
0.01584990881383419,
-0.05437115579843521,
0.05430071800947189,
-0.029484190046787262,
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0.014107774943113327,
0.06760190427303314,
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0.007101836614310741,
0.09532567113637924,
0.0016580071533098817,
0.040803540498018265,
0.001... |
Assessing\n\treadiness\tto\tchange\nOne\tpurpose\tof\tassessment\tis\tto\tidentify\tthe\tclient’s\tstage\tof\tchange\tand\tto\tprovide\tappropriate\thelp\nin\tfacilitating\tchange.\tThe\tassessment\tshould\tbe\tcompleted\tin\tthe\tfirst\tvisit\tif\tpossible.\tIf\tthe\nconversation\textends\tbeyond\tthe\tdesignated\ttim... | [
0.045495711266994476,
-0.02944149263203144,
0.03862742707133293,
0.010517964139580727,
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0.02620486542582512,
0.05918502062559128,
-0.010510080493986607,
0.01719219796359539,
0.05438873916864395,
0.06519010663032532,
-0.024274930357933044,
0.05699910223484039,
0.0451987... |
completed\tat\tthe\tnext\tsession.\tThe\tnutritional\tassessment\trequires\tgathering\tthe\n\tappropriate\nanthropometric,\tbiochemical,\tclinical,\tdietary,\tand\tsocioeconomic\tdata\trelating\tto\tthe\tclient’s\ncondition.\tThe\tnutritional\tdiagnosis\tthen\tfocuses\ton\tany\tproblems\trelated\tto\tfood\tor\tnutrient... | [
0.012966332025825977,
-0.04287528991699219,
0.05626384913921356,
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0.014991790056228638,
0.07602120190858841,
0.0375913567841053,
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0.04908715933561325,
0.10966090112924576,
-0.01697644032537937,
0.00588368671014905,
-0.003590... |
Determining\tpresent\teating\thabits\tprovides\tideas\ton\thow\tto\tchange\tin\tthe\tfuture.\tA\treflective\nreview\tof\tthe\tclient’s\teating\tbehavior\twill\tidentify\tareas\tneeding\tchange,\tand\thelp\tthe\tclient\n\tcreate\ngoals\tthat\twill\thave\tthe\tmost\tpositive\teffect\ton\thealth.\tFor\texample,\tif\tthe\t... | [
-0.01259048655629158,
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0.0840960443019867,
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0.07065656036138535,
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0.012703104875981808,
0.06032409146428108,
0.059016358107328415,
-0.09356214851140976,
0.0672285333275795,
0.0100735... |
excessive\tfat\tintake\t(nutrient\tintake),\tinappropriate\tintake\tof\tfood\tfats,\texcessive\tenergy\tintake,\ninadequate\tpotassium\tintake,\tfood-\tand\tnutrition-related\tknowledge\tdeficit\t(nutrition\tbehavior),\tand\nimpaired\tability\tto\tprepare\tfoods\tor\tmeals,\tthe\tcounselor\tmay\tneed\tto\tfocus\ton\tth... | [
0.01759514957666397,
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0.05763392895460129,
0.020455453544855118,
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0.11178073287010193,
0.08178289234638214,
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-0.009506848640739918,
0.09370055794715881,
-0.07685910910367966,
0.03938549384474754,
0.01721... |
last\tdiagnosis\nbefore\tthe\tothers.\tIf\tall\tother\tdiagnoses\tare\tpresent\texcept\timpaired\tability\tto\tprepare\tfoods\tor\nmeals,\tthe\tnutritionist\tmay\twant\tto\thave\ta\tdiscussion\tabout\twhether\texcessive\tfat\tintake,\ninappropriate\tintake\tof\ttypes\tof\tfood\tfats,\tor\texcessive\tenergy\tintake\tare... | [
0.004822285380214453,
-0.07896967977285385,
0.051042329519987106,
0.0031700588297098875,
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0.08209332078695297,
0.045261677354574203,
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0.018568994477391243,
0.11063425242900848,
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0.046897176653146744,
0.0... |
and\twhich\tof\tthem\tis\tmore\tappealing\tor\tpossible\tfor\tthe\tclient\tto\tfocus\ton\tfirst.\nOnce\tthe\n\tnutrition\tdiagnosis\tis\tselected\tfor\tintervention,\tit\tis\timportant\tto\tassess\treadiness\tfor\nchange.\tUsing\ta\truler\tthat\tallows\tthe\tclient\tto\tselect\ttheir\tlevel\tof\tintention\tto\tchange\t... | [
0.03419235721230507,
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0.04522956907749176,
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0.09468185901641846,
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0.0021610823459923267,
0.055505797266960144,
0.10895281285047531,
-0.022201301530003548,
0.07224833965301514,
0.00918... |
of\tallowing\tclient\tparticipation\tin\tthe\tdiscussion.\tThe\tcounselor\tasks\tthe\tclient,\t“On\ta\tscale\tof\t1\tto\n10,\thow\tready\tare\tyou\tright\tnow\tto\tmake\tany\tnew\tchanges\tto\teat\tless\tfat?\t(1\t=\tnot\tready\tto\tchange;\n10\n\t=\tvery\tready\tto\tchange).”\tThe\tdietitian\tnutritionist\tmay\tuse\tt... | [
-0.00039833056507632136,
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0.08267737179994583,
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0.07067904621362686,
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0.0008724538492970169,
0.030307147651910782,
0.08754008263349533,
-0.022008785977959633,
0.057965319603681564,
... |
diagnosis\tto\thelp\tthe\tclient\tdecide\twhere\tto\tfocus\tfirst.\nThree\tpossibilities\tfor\treadiness\texist:\t(1)\tnot\tready\tto\tchange;\t(2)\tunsure\tabout\tchange;\t(3)\tready\nto\tchange.\tThese\tthree\tconcepts\tof\treadiness\thave\tcondensed\tthe\tsix\tdistinct\tstages\tof\tchange\ndescribed\tin\tthis\tchapt... | [
-0.022939687594771385,
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0.04781342297792435,
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0.0914299339056015,
0.022830165922641754,
0.01252136193215847,
0.006538867950439453,
0.09306056797504425,
-0.034144774079322815,
0.0834515169262886,
0.0210954... |
described\tin\tthis\tchapter\tto\tassist\tthe\tcounselor\n\tin\tdetermining\tthe\tlevel\tof\tclient\treadiness.\tThere | [
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should\treturn\tand\task\tabout\treadiness\tto\tchange.\tIf\treadiness\n\thas\tlessened,\ttailoring\tthe\nintervention\tis\tnecessary.\tNot\tevery\tcounseling\tsession\thas\tto\tend\twith\tthe\tclient’s\tagreement\tto\nchange;\teven\tthe\tdecision\tto\tthink\tabout\tchange\tcan\tbe\ta\tuseful\tconclusion.\nCounseling\t... | [
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Not-ready-to-change\tcounseling\tsessions\nIn\tapproaching\tthe\t“not-ready-to-change”\tstage\tof\tintervention,\tthere\tare\tthree\tgoals:\t(1)\tfacilitate\nthe\n\tclient’s\tability\tto\tconsider\tchange,\t(2)\tidentify\tand\treduce\tthe\tclient’s\tresistance\tand\tbarriers\tto\nchange,\tand\t(3)\tidentify\tbehavioral... | [
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this\tstage,\tidentifying\tbarriers\t(HBM),\tthe\tinfluence\tof\tsubjective\tnorms\tand\tattitudes\t(TPB),\tor\npersonal\tand\tenvironmental\tfactors\t(SCT)\tthat\tmay\thave\tnegative\tinfluences\ton\tthe\tintention\tto\nchange\n\tcan\tbe\thelpful.\tTo\tachieve\tthese\tgoals,\tseveral\tcommunication\tskills\tare\timpor... | [
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asking\topen-ended\tquestions,\tlistening\treflectively,\taffirming\tthe\tpatient’s\tstatements,\tsummarizing\nthe\tpatient’s\tstatements,\tand\teliciting\tself-motivational\tstatements.\nThe\tfour\tcommunication\tstrategies\t(asking\topen-ended\tquestions,\tlistening\treflectively,\taffirming,\nand\tsummarizing)\tare\... | [
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and\tsummarizing)\tare\timportant\n\twhen\teliciting\tself-motivational\tstatements.\tThe\tgoals\tare\tfor\tthe\nclient\tto\trealize\tthat\ta\tproblem\texists,\tdevelop\tconcern,\tand\tacknowledge\tthe\tpositive\tsteps\tin\tthe\nfuture\tthat\tcan\tbe\ttaken\tto\tcorrect\tthe\tproblem.\tThese\trealizations\tset\tthe\tst... | [
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dietary\tchange.\tExamples\tof\tquestions\tto\tuse\tin\teliciting\tself-motivational\tfeeling\tstatements\tfollow.\nProblem\trecognition\n•\t\n“What\tthings\tmake\tyou\tthink\tthat\teating\tout\tis\ta\tproblem?”\n•\t\n“In\twhat\tways\thas\tfollowing\tthis\teating\tpattern\tbeen\ta\tproblem?”\nConcern\n•\t\n“How\tdo\tyo... | [
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•\t\n“In\twhat\tways\tdoes\tnot\tbeing\table\tto\tfollow\tyour\tdietary\trecommendations\tconcern\tyou?”\n•\t\n“What\tdo\tyou\tthink\twill\thappen\tif\tyou\tdon’t\tmake\ta\tchange?”\nIntention\tto\tchange\n•\t\n“The\tfact\tthat\tyou’re\there\tindicates\tthat\tat\tleast\ta\tpart\tof\tyou\tthinks\tit’s\ttime\tto\tdo\nsom... | [
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0.01844... |
something.\tWhat\tare\tthe\treasons\tyou\tsee\tfor\tmaking\ta\tchange?”\n•\t\n“If\tyou\twere\t100%\tsuccessful\tand\tthings\tworked\tout\texactly\tas\tyou\twould\tlike,\twhat\twould\nbe\tdifferent?”\n•\t\n“What\tthings\tmake\tyou\tthink\tthat\tyou\tshould\tkeep\ton\teating\tthe\tway\tyou\thave\tbeen?”\tAnd\nin\tthe\top... | [
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think\tit\tis\ttime\tfor\ta\tchange?”\nOptimism\n•\t\n“What\tencourages\tyou\tthat\tyou\tcan\tchange\tif\tyou\twant\tto?”\n•\t\n“What\tdo\tyou\tthink\twould\twork\tfor\tyou\tif\tyou\tdecided\tto\tchange?”\nClients\tin\tthis\t“not-ready-to-change”\tcategory\thave\talready\ttold\tthe\tcounselor\tthey\tare\tnot\tdoing | [
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well\tat\tmaking\tchanges.\tUsually\tif\ta\ttentative\tapproach\tis\tused\tthat\tasks\tpermission\tto\tdiscuss\tthe\nproblem,\tthe\tclient\n\twill\tnot\trefuse.\tOne\tasks\tpermission\tby\tsaying,\t“Would\tyou\tbe\twilling\tto\tcontinue\nour\tdiscussion\tand\ttalk\tabout\tthe\tpossibility\tof\tchange?”\tAt\tthis\tpoint... | [
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thoughts\tand\tfeelings\tabout\tthe\tcurrent\tstatus\tof\tdietary\tchange\tby\tasking\topen-ended\tquestions:\n•\t\n“Tell\tme\twhy\tyou\tpicked\t_________\ton\tthe\truler.”\t(Refer\tto\tprevious\tdiscussion\ton\tthe\tuse\tof\ta\nruler.)\n•\t\n“What\twould\n\thave\tto\thappen\tfor\tyou\tto\tmove\tfrom\ta\t_________\tto\... | [
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number\ton\tthe\truler)?\tHow\tcould\tI\thelp\tget\tyou\tthere?”\n•\t\n“If\tyou\tdid\tstart\tto\tthink\tabout\tchanging,\twhat\twould\tbe\tyour\tmain\tconcern?”\nTo\tshow\treal\tunderstanding\tabout\twhat\tclients\tare\tsaying,\tit\tis\tbeneficial\tto\tsummarize\tthe\nstatements\tabout\ttheir\tprogress,\tdifficulties,\... | [
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to\tbe\ndifferent\tto\tmove\tforward.\tThis\tparaphrasing\tallows\tclients\tto\trethink\ttheir\treasoning\tabout\nreadiness\tto\tchange.\tThe\tmental\tprocessing\tprovides\tnew\tideas\tthat\tcan\tpromote\tactual\tchange.\nEnding\tthe\tsession\nCounselors\toften\texpect\tthe\tclient\tto\tbe\tready\tto\tdecide\tto\tmake\... | [
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is\timportant\tin\tthis\tstage\tto\trealize\tthat\ttraditional\tgoal\tsetting\twill\tresult\n\tin\tfeelings\tof\tfailure\ton\nboth\tthe\tpart\tof\tthe\tclient\tand\tthe\tnutritionist.\tIf\tthe\tclient\tis\tnot\tready\tto\tchange,\trespectful\nacknowledgment\tof\tthis\tdecision\tis\timportant.\tThe\tcounselor\tmight\tsa... | [
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0.020616548... |
making\ta\tchange\tright\tnow\twould\tbe\tvery\thard\tfor\tyou.\tThe\tfact\tthat\tyou\tare\table\tto\tindicate\tthis\tas\na\tproblem\tis\tvery\timportant,\tand\tI\trespect\tyour\tdecision.\tOur\tlives\tdo\tchange,\tand,\n\tif\tyou\tfeel\ndifferently\tlater\ton,\tI\twill\talways\tbe\tavailable\tto\ttalk\twith\tyou.\tI\t... | [
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you\tto\tmake\ta\tchange,\tyou\twill\tfind\ta\tway\tto\tdo\tit.”\tWhen\tthe\tsession\tends,\tthe\tcounselor\twill\tlet\nclients\tknow\tthat\tthe\tissues\twill\tbe\trevisited\tafter\tthey\thave\thad\ttime\tto\tthink.\tExpression\tof\thope\nand\tconfidence\tin\tthe\tclient’s\tability\tto\tmake\tchanges\tin\tthe\tfuture,\... | [
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0.03701298... |
time\tis\tright,\twill\tbe\nbeneficial.\tArrangements\tfor\tfollow-up\tcontact\tcan\tbe\tmade\tat\tthis\ttime.\nWith\ta\tclient\twho\tis\tnot\tready\tto\tchange\tit\tis\teasy\tto\tbecome\tdefensive\tand\tauthoritarian.\tAt\tthis\npoint,\tit\tis\timportant\tto\tavoid\tpushing,\tpersuading,\tconfronting,\tcoaxing,\tor\tt... | [
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do.\tIt\tis\treassuring\tto\ta\tnutritionist\tto\tknow\tthat\tchange\tat\tthis\tlevel\twill\toften\toccur\toutside\n\tthe\noffice.\tThe\tclient\tis\tnot\texpected\tto\tbe\tready\tto\tdo\tsomething\tduring\tthe\tvisit.\nUnsure-about-change\tcounseling\tsessions\nThe\tonly\tgoal\tin\tthe\t“unsure-about-change”\tsession\t... | [
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at\twhich\tchanges\tin\teating\tbehavior\tcan\tescalate.\tThis\t“unsure”\tstage\tis\ta\ttransition\tfrom\tnot\tbeing\nready\tto\tdeal\twith\ta\tproblem\teating\tbehavior\tto\tpreparing\tto\tcontinue\n\tthe\tchange.\tIt\tinvolves\nsummarizing\tthe\tclient’s\tperceptions\tof\tthe\tbarriers\tto\ta\thealthy\teating\tstyle\... | [
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eliminated\tor\tcircumvented\tto\tachieve\tchange.\tHeightened\tself-efficacy\tmay\tprovide\tconfidence\tthat\ngoals\tcan\tbe\tachieved.\tA\trestatement\tof\tthe\tclient’s\tself-motivational\tstatements\tassists\tin\tsetting\nthe\tstage\tfor\tsuccess.\tThe\tclient’s\tambivalence\tis\tdiscussed,\tlisting\n\tthe\tpositiv... | [
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the\tpositive\tand\tnegative\taspects\nof\tchange.\tThe\tnutritionist\tcan\trestate\tany\tstatements\tthat\tthe\tclient\thas\tmade\tabout\tintentions\tor\nplans\tto\tchange\tor\tto\tdo\tbetter\tin\tthe\tfuture.\nOne\tcrucial\taspect\tof\tthis\tstage\tis\tthe\tprocess\tof\tdiscussing\tthoughts\tand\tfeelings\tabout\tcur... | [
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0.0104534... |
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