Facilitating dietary change: the patient-centered counseling model

Milagros C. Rosal, University of Massachusetts Medical School
Cara B. Ebbeling
Ingrid Lofgren
Judith K. Ockene, University of Massachusetts Medical School
Ira S. Ockene, University of Massachusetts Medical School
James R. Hebert

Abstract

Recent data indicate that the patient-centered counseling model enhances long-term dietary adherence. This model facilitates change by assessing patient needs and subsequently tailoring the intervention to the patient's stage in the process of change, personal goals, and unique challenges. This article describes this model, including its theoretical foundations, a 4-step counseling process, and applications. This behavioral counseling model can help nutrition professionals enhance patient adherence to nutrition care plans and dietary guidelines.