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  • Title: Evaluation of dietetic students' and interns' application of a lifestyle-oriented nutrition-counseling model.
    Author: Horacek TM, Salomón JE, Nelsen EK.
    Journal: Patient Educ Couns; 2007 Oct; 68(2):113-20. PubMed ID: 17524592.
    Abstract:
    OBJECTIVE: To assess dietetic students' and interns' skills to effectively apply a lifestyle-oriented nutrition-counseling model. METHODS: Between 1999 and 2004, 121 dietetics students and interns (82% retained) were trained to provide nutrition counseling and certified using a standardized patient evaluation format. Supervising registered dietitians and students evaluated transcripts of their counseling sessions using a modified version of the Dietitian's Interviewing Rating Scale (DIRS). Clients evaluated their counselor's skills. t-Tests determined differences between the supervisor and student's DIRS evaluation, and from an acceptable score of "4". ANOVA distinguished differences by student academic category and client group. RESULTS: The student counselors scored >or=4 for five of the six skills sets, but significantly below 4 for "transitions" (the internal summaries between sections). The students rated themselves significantly higher than their supervisor did on rapport building, questioning skills, and approach to plan. CONCLUSION: The student counselors effectively applied the skills of a lifestyle-oriented nutrition-counseling model, and can benefit from supervisor-provided feedback. PRACTICE IMPLICATIONS: Nutrition counseling training/practice through various dietetic curriculums can provide future dietitians with the skills and the confidence they need to successfully assist their clients to make lifestyle behavior changes.
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