在涉及和咨询客户之间进行导航:分析营养师在共享决策过程中的咨询实践
Alyanne Barkmeijer1,2,3, Joyce Lamerichs4, Hedwig Te Molder1
1Faculty of Humanities: Language, Literature, and Communication, Vrije Universiteit Amsterdam.
Health communication
|March 9, 2026
概括
营养学家可以通过更好地让客户参与共享决策来改善营养不良治疗. 了解交互时间有助于客户表达关切,从而导致更有效的饮食建议和干预措施.
科学领域:
- 饮食咨询 饮食咨询
- 谈话分析对话分析
- 分享决策的共同决策
背景情况:
- 营养不良是初级保健中的一个重要问题.
- 有效的饮食干预需要客户参与.
- 当前的营养师与客户的互动可能会限制客户的参与.
研究的目的:
- 调查如何在共享决策框架内提供饮食建议.
- 分析客户参与营养学家主导的关于营养不良的对话.
- 确定影响客户接受饮食建议的交互模式.
主要方法:
- 在初级保健中分析了40个荷兰营养师与客户的对话.
- 使用对话分析来检查交互实践.
- 专注于提供有关营养不良的饮食建议.
主要成果:
- 营养师鼓励客户投入,但可以无意中限制它.
- 客户参与咨询制定可能会阻碍异议或替代方案.
- 营养师追求承诺导致客户对齐,而不是共享决策.
结论:
- 在饮食咨询中,客户参与的时机至关重要.
- 提高营养师对互动动态的认识,可以提高客户的参与度.
- 加强客户参与可以提高营养不良干预措施的有效性.
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