Promoting dietary change.
The discouraging failure rate of counselling patients for dietary change suggests that traditional methods require some reconsideration. These have been frequently based on generalized assumptions regarding patients' health values, their need for knowledge, level of literacy, and ability to translate abstract concepts into daily food. Similarly, both patient and counsellor often insufficiently examine the environmental context of the dietary changes to determine whether or not they are feasible. This brief overview examines ways in which nutrition counselling can be enhanced to ensure that patients are enabled to develop a heart-healthy diet through active problem solving and directed development of self-efficacy in the skills they will need for lasting change.
Crawford
S
S
Institute of Health Promotion Research, University of British Columbia, Vancouver.
D003376:Counseling; D004036:Diet, Atherogenic; D005247:Feeding Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009747:Nutritional Physiological Phenomena; D010353:Patient Education as Topic; D011340:Problem Solving