Behavior Change “Kill”

“I did then what I knew how to do. Now that I know better, I do better.”

― Maya Angelou

• Not actually a kill or negative

• Nutrition Education• A Behavior Change Kill = The Moment You

Inspire Change

Building up For the “Kill”

Step 1: What do I Have on Hand?

Step 2: What Will They Eat?

Step 3: What You Serve

Family Meal

• A combination of food you’d like to see your family eat with what they would like to see on their plate

The Behavior Change Kill = The right nutrition education message said in an influential way

Step 1: WIC Assessment

• Eligibility– What do they have access to

• ABCDE Guide– Concerns with growth?– Health concerns?– WIC Codes?– Environmental Concerns?

What Do WE see that we can do?

- Tips or Suggestions aka Nutrition Education

- Referrals

• How is their weight?• At risk for anemia?• Medical History? Meds?• Pregnancy History? Codes?• What is going on with their

Diet?• WIC Diet Codes?• What is going on at home

Step 2: What do THEY Want?

• Projective Tools– Magic Wand, Faces, Metaphor Images, Doors,

Fabric, Paint Chips and Card Sort

• Their concerns, interests, desire to change– This Step lets you know where THEY are coming

from

• What are their concerns?

• How do they feel about diet?

• What are their hopes and dreams?

• What are their needs?

Step 3: The Behavior Change Kill

• An Individualized Message or The Right Nutrition Education Message delivered in The Right Way

The Right Nutrition Education Message…

• WIC Codes…– What information can you offer on the topic?

• Mom’s Questions or Concerns…– How can you answer?

• Anticipatory Guidance– What might she need to know before her next

appointment?

How do I know what the messages are?

• WIC Works– My personal favs:• California• Ellen Satter• Touching Hearts Touching Minds

• My Plate– www.choosemyplate.gov

My Plate 10 Tips

…In an Influential Way

• Giving the message– Don’t be this guy:

Make It Influential• Asking Permission

– Now is the time• Give it Consensus

– “Other Moms”• Give it a boost

– Affirmations! • Give it Authority…but be careful

– “Some doctors say…”• Don’t Dump

– Limit the message(s)• Give it Consistency

– “Would that work for you?”– “What would you change?”

Jacob – 2 years old

• Jacob is growing at the 7 5th Percentile BMI

Hemoglobin is normal

• No medical conditions Immunizations up to date

No medications Takes a gummy vitamin

No concerns

• Mom states his eating is like a roller coaster. He is very picky and wont eat new foods. When she offers a new food he wont eat it. He only likes chicken nuggets, milk and PB & J’s. Mom wishes he would eat more healthy foods, especially meat and veggies.

• Drinks skim milk – 3, 6 oz glasses a day.

• Has regular snacks and meals. (snacks are mostly PB & J’s)

• Drinks juice 1 x day.• Rarely has sweet drinks. • Uses a cup

Finish Him!!

The Right Message…

A B C D E F

In the Right Way• Asking Permission

– Now is the time• Give it Consensus

– “Other Moms”• Give it a boost

– Affirmations! • Give it Authority…but be careful

– “Some doctors say…”• Don’t Dump

– Limit the message(s)• Give it Consistency

– “Would that work for you?”– “What would you change?”

Finish Him!!

Putting it in the Note

• T: Metaphors. Mom says Jacob is picky and wishes he would eat new healthy foods.

• G: To offer new foods many times and not just once.

• I: Discussed picky eaters and offering new foods multiple times. Gave kid friendly recipes. 401, no other codes at this time.

• F: Ask about recipes and picky eating

EZ-TGIF EZ-TGIF 1) = T Used _________ tool.2) = G Family/Mom will__________3) = I Discussed ____________. Assigned Codes_________due to___________ *PG: Pregnancy #_______BF Feelings:_________ *Infants: # of feedings per day_______oz formula/day________ *Food Package Changes (IPN Tailoring)_________Because___________4) = F Referrals made: __________ Ask about_______ Next appointment remember to:_________

Questions?