Client-centred nutrition counselling: do we know what this means?

Area of Science:

• Dietetics
• Nutrition Counselling
• Health Professional Standards

Background:

• Canadian dietitians are professionally mandated to employ a client-centred approach in nutrition counselling.
• The practical application of this client-centred approach in daily dietetic practice remains unclear.
• Existing literature suggests a lack of consistent understanding and implementation.

Purpose of the Study:

• To investigate the origins and evolution of the client-centred approach in dietetic counselling.
• To analyze the diverse interpretations and meanings attributed to this approach within the profession.
• To identify current ambiguities and the necessity for further scholarly investigation.

Main Methods:

• A historical literature review was conducted.
• Selected dietetic literature was critically examined to trace the term's development.
• Analysis focused on the evolution of meaning and application.

Main Results:

• The term "client-centred approach" has evolved significantly over time.
• Multiple, often ambiguous, meanings are associated with the client-centred approach in dietetics.
• Current dietetic practice exhibits ambiguity regarding the consistent application of this approach.

Conclusions:

• The historical trajectory reveals a complex and evolving understanding of the client-centred approach.
• Further research is essential to clarify the concept and ensure its effective implementation in nutrition counselling.
• Standardizing the interpretation and application of the client-centred approach is crucial for dietetic practice.