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PCS Champions

PCS Champions . GTHM: Behavior Change Territory. The Behavior Change We Want. What motivates change?. Primarily logic Primarily emotions Combination of logic and emotions I feel choices a-c are too limiting. What motivates change?. Q: What do you call a sleeping bull ?

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PCS Champions

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  1. PCS Champions GTHM: Behavior Change Territory

  2. The Behavior Change We Want

  3. What motivates change? • Primarily logic • Primarily emotions • Combination of logic and emotions • I feel choices a-c are too limiting

  4. What motivates change? Q: What do you call a sleeping bull? Happiness and surprise are the emotional states that lead to behavior change. When children learn language, they love to learn unexpected answers to logical questions!

  5. Q: What do you call a sleeping bull? A: A bull-dozer

  6. What’s the most important thing about preparing family meals? • Provide good nutrition • Are affordable • Enjoyed by everyone • Preparation time

  7. Maybe there’s more to the story?

  8. Q: What has four legs and goes “Oom, Oom”?

  9. Q: What has four legs and goes “Oom, Oom”?A: A cow walking backwards!

  10. Motivational Interviewing • People are motivated to change when they see a difference between where they are and where they want to be • Counselors can help clients examine this discrepancy by comparing their current circumstances and their future goals

  11. We don’t have time to discuss everything! • We don’t need to discuss everything. • Their big concerns (How do you feel..?) • What’s high on the list? • Our items to cover (ABCDE) • What is the next step for them? • Snapshots in time

  12. Behavior Change. How? Lessons from Motivational Interviewing: • True power for change rests within the client. • Counselors reinforce that there is no single “right way” to change and that there are multiple ways change can occur.

  13. WHAT is important to participants? • Just ask them! • Why not? • People say what you want to hear. • People say the “right” answer. • Withhold the truth to avoid being judged. “The mind uses logic, the heart just doesn't understand stuff like that.” T Jay Taylor

  14. Q: Why do fish live in salt water?

  15. Q: Why do fish live in salt water? A: Because pepper makes them sneeze!

  16. Pregnant Mom: “I love vegetables!”

  17. “What do you know?” “How do you feel?” • Logical questions narrow responses to logical, factual responses. • Logical/fact-based questions threaten to expose what participants don’t know. • Projective questions invite participants to discuss what only they know – they become the expert

  18. “What is your goal?” • “My Goal? Ummmm…” • Lasting change is more likely when participants discover their own reasons and determination to change. • Counselor’s role is to “draw out” the person’s own motivations and skills to change • “What if I don’t know what I want to change?”

  19. Fezzik: What do I do? • Vizzini: Finish him, finish him - your way. • Fezzik: Oh, good. My way. Thank you Vizzini. Which way's my way? • Vizzini: Pick up one of those rocks, get behind the boulder. In a few minutes, the man in black will come running around the bend. The minute his head is in view, HIT IT WITH THE ROCK! • Fezzik: My way is not very sportsmanlike.

  20. What is my way?

  21. How do you feel about “x”? • Good/Bad/Not sure. • “Tell me more” • Well, … (unprocessed details + unconscious factors)

  22. Q: What do you call a cow in a tornado?

  23. Q: What do you call a cow in a tornado? A: A milkshake!

  24. Nutrition Assessment • Learning the participant’s story • There’s always more to the story! • Get to the important part – the heart • For example, “The Three Little Pigs” • Start asking questions!

  25. The Three Little Pigs Storybook pigs: • Are they baby pigs? • What do they look like? • Do they live on a farm? • Males, females? • Siblings? • Poor appetites? Growing child: • Does she have a good appetite? • Drinks water? • Eats vegetables? Fruits? • How much juice? Milk? • Fast food? • Sweets, candy?

  26. The Three Little Pigs • There’s a wolf • If you’re lazy and build a flimsy house the wolf will destroy it. • Working hard to build a solid brick house will save you from the wolf

  27. Why are we talking about fairy tales? • Three pigs – three approaches to making choices • Wolf – any threat to healthy growth and development • WIC Counselor? • Listen and share about today’s concerns • Anticipatory guidance • What changes can keep you clear of the wolf?

  28. What helps WIC staff learn to use open-ended questions? • Memorizing open-ended questions. • Feedback after observations • Observing experienced counselors. • Taking an online course like WIC Listens.

  29. “Provide a concise diet report about yourself/your infant, your child, please.” • Pick a picture…how you feel about… • Pick a color…how you feel about… • Pick a texture…how you feel about… • If you could change something… • What changes in your eating or activity that will help you reach your hopes and dreams?

  30. How you feel about (child invites)… • What foods your child eats • Your child’s appetite • The variety of foods • Your child’s acceptance of new foods • Your child’s attention at mealtime • Others?

  31. Q: What do you call a cow that eats your grass?

  32. Q: What do you call a cow that eats your grass? • A: A lawn moo-er.

  33. How you feel about (infant invite)… • Nursing your baby • Your baby’s appetite • Feeding your baby • Recognizing baby’s hunger cues • Your baby’s signals for hunger and fullness • Others?

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