A nutrition counseling workshop: Integrating counseling psychology into nutrition practice

Isselmann, M.Carroll; Deubner, Linda S; Hartman, Maryanne

doi:10.1016/0002-8223(93)91560-d

Cited by 15 publications

(12 citation statements)

References 9 publications

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“…Following a survey of dietetic practice, Gilboy (1994) observed that whilst dietitians have adopted some counselling strategies, they still lag behind in the use of adherence‐enhancing strategies recommended for behaviour change. Increasingly dietitians themselves have reported the need for counselling skills training ( Isselman et al ., 1993 ). Adopting a counselling approach and utilizing counselling skills provides the fundamentals of a process to help a person to identify problems, assess needs and promote dietary change.…”

Section: Introductionmentioning

confidence: 99%

Do dietitians feel that they have had adequate training in behaviour change methods?

Rapoport

Perry

2000

J Human Nutrition Diet

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Aim To investigate dietitians’ perceived adequacy of pre‐ and postregistration training in a range of behaviour change techniques, current main approach to dietary treatment and perceived usefulness of future training in five core behaviour change modalities. Method A questionnaire was designed and distributed to all dietitians registered in the BDA membership base (n = 4202). Results Three hundred and ninety‐four questionnaires were returned. The majority of these respondents had obtained their degree since 1982 (77%), since when courses were more likely to have contained a psychological component. Despite the fact that facilitating dietary behaviour change is a key dietetic role, respondents felt that they had not received adequate training in behaviour change skills in their dietetic training. Training was perceived to be most satisfactory in active listening skills, but this was perceived as barely adequate. Training was perceived as particularly poor in: applying theories of cognitive and behavioural therapy (CBT); motivational techniques; group work skills; and in both theory and skills of relapse prevention. Although 40% of respondents reported receiving explicitly psychologically based training, skills‐based training (mainly counselling) was reported by only 25% and was limited by being mainly short 1‐ or 2‐day courses. Overall, where further training was obtained it was perceived to be more adequate than that reported within preregistration dietetic training. Conclusion Respondents felt that they had not received adequate training in behaviour change skills in their dietetic training. The application of CBT, motivational techniques and relapse prevention was perceived as particularly deficient in training and the majority of respondents felt that future training would be useful or very useful. In the current health service climate, where evidence‐based practice is crucial for all practitioners with the emphasis on improved quality of care with measurable outcomes, research must be funded and undertaken to support attempts to improve dietitians’ effectiveness as behaviour change agents.

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Section: Introductionmentioning

confidence: 99%

Do dietitians feel that they have had adequate training in behaviour change methods?

Rapoport

Perry

2000

J Human Nutrition Diet

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“…Many authors have described the need for counselling skills in dietitians ( Isselmann et al ., 1993 ). In view of the successful use of CBT techniques by a variety of professions, their wider employment by dietitians has been advocated ( Long et al ., 1983 ).…”

Section: Introductionmentioning

confidence: 83%

Integrating cognitive behavioural therapy into dietetic practice: a challenge for dietitians

Rapoport

1998

J Human Nutrition Diet

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Historically, State Registered Dietitians have not received in‐depth training in behaviour change skills. Training in this area has been viewed as peripheral rather than fundamental. Whilst a permanent long‐term cure for obesity remains elusive, cognitive behavioural therapy is state of the art in the treatment of obesity. It reliably achieves 10% pretreatment body weight loss in the short‐term. Interesting new developments are occurring in this field which may affect long‐term outcome favourably. This paper examines what can be achieved with traditional dietary therapy in the treatment of obesity, what can be achieved with cognitive behavioural therapy and considers whether dietitians should receive further training in key behaviour change theory and skills. It is recommended that the integration of the fields of nutrition and behavioural psychology is placed centrally on the agenda of State Registered Dietitians.

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Section: Skills and Competenciesmentioning

confidence: 99%

“…This was echoed in a UK dietetic survey where cognitive behavioural therapy skills were highlighted as requiring further attention (Rapoport, 1998). There have been calls for interpersonal skills to become a central aspect of dietetic practice, (Rapoport, 1998;Isselmann et al, 1993;Long et al, 1983) with an associated need for high-quality training. Unfortunately, there is a lack of research comparing weight loss outcomes achieved by practitioners using traditional practice compared to those using behavioural approaches, and this gap needs to be addressed.…”

Section: Skills and Competenciesmentioning

confidence: 99%

A review of one-to-one dietetic obesity management in adults

Grace

2011

Journal of Human Nutrition and Dietetics

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This review outlines the evidence and proposed professional consensus on one-to-one dietetic weight management for UK adults. New opportunities and challenges are arising for dietitians as the status afforded to obesity management increases. It is timely therefore to reflect on dietetic practice and consider the associated evidence. Despite a long standing history of working in obesity, little is known about the specific nature of UK dietetic practice, making it difficult to determine whether services are evolving and meeting recommended guidelines. It is essential that an evaluation of dietetic practice is undertaken and, importantly, that findings are published and disseminated to the profession. Assessment is the foundation of good weight management. However, given the complexity of obesity, the practice of completing both an assessment and instigating treatment during a brief consultation may not be feasible. The practitioner's interpersonal skills are central to treatment outcomes and merit regular review and comprehensive training. The ability to express empathy is a key skill, which is particularly important given the widespread weight bias in healthcare. Evidence supports multicomponent interventions combining diet, physical activity and behaviour modification. Following stabilisation of eating, as well as improvements to diet quality, the evidence supports the 600-kcal deficit, meal replacements and, in carefully selected individuals, very low energy diets. A weight maintenance component to management is linked with reduced weight regain, although the optimal frequency, duration and content of sessions are unclear. For many services, this higher intensity provision will likely require a multidisciplinary, multi-agency approach.

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A nutrition counseling workshop: Integrating counseling psychology into nutrition practice

Cited by 15 publications

References 9 publications

Do dietitians feel that they have had adequate training in behaviour change methods?

Do dietitians feel that they have had adequate training in behaviour change methods?

Integrating cognitive behavioural therapy into dietetic practice: a challenge for dietitians

A review of one-to-one dietetic obesity management in adults

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