1. Behavior Change “Kill”

2. “I did then what I knew how to do. Now that I know better, I do better.” ― Maya Angelou

3. Not actually a kill or negative • Nutrition Education • A Behavior Change Kill = The Moment You Inspire Change

4. Building up For the “Kill”

6. Step 1: What do I Have on Hand?

7. Step 2: What Will They Eat?

8. Step 3: What You Serve

9. Family Meal • A combination of food you’d like to see your family eatwith what they would like to see on their plate The Behavior Change Kill = The right nutrition education message said in an influential way

10. Step 1: WIC Assessment • Eligibility • What do they have access to • ABCDE Guide • Concerns with growth? • Health concerns? • WIC Codes? • Environmental Concerns? • What Do WE see that we can do? • Tips or Suggestions aka Nutrition Education • Referrals

11. How is their weight? • At risk for anemia? • Medical History? Meds? • Pregnancy History? Codes? • What is going on with their Diet? • WIC Diet Codes? • What is going on at home

12. Step 2: What do THEY Want? • Projective Tools • Magic Wand, Faces, Metaphor Images, Doors, Fabric, Paint Chips and Card Sort • Their concerns, interests, desire to change • This Step lets you know where THEY are coming from

13. What are their concerns? • How do they feel about diet? • What are their hopes and dreams? • What are their needs?

14. Step 3: The Behavior Change Kill • An Individualized Message or The Right Nutrition Education Message delivered in The Right Way

15. The Right Nutrition Education Message… • WIC Codes… • What information can you offer on the topic? • Mom’s Questions or Concerns… • How can you answer? • Anticipatory Guidance • What might she need to know before her next appointment?

16. How do I know what the messages are? • WIC Works • My personal favs: • California • Ellen Satter • Touching Hearts Touching Minds • My Plate • www.choosemyplate.gov

17. My Plate 10 Tips

18. …In an Influential Way • Giving the message • Don’t be this guy:

19. Make It Influential • Asking Permission • Now is the time • Give it Consensus • “Other Moms” • Give it a boost • Affirmations! • Give it Authority…but be careful • “Some doctors say…” • Don’t Dump • Limit the message(s) • Give it Consistency • “Would that work for you?” • “What would you change?”

20. Jacob – 2 years old

21. Jacob is growing at the 7 5th Percentile BMI Hemoglobin is normal • No medical conditions Immunizations up to date No medications Takes a gummy vitamin No concerns

22. Mom states his eating is like a roller coaster. He is very picky and wont eat new foods. When she offers a new food he wont eat it. He only likes chicken nuggets, milk and PB & J’s. Mom wishes he would eat more healthy foods, especially meat and veggies. • Drinks skim milk – 3, 6 oz glasses a day. • Has regular snacks and meals. (snacks are mostly PB & J’s) • Drinks juice 1 x day. • Rarely has sweet drinks. • Uses a cup

23. Finish Him!!

24. The Right Message… A B C D E F

25. In the Right Way • Asking Permission • Now is the time • Give it Consensus • “Other Moms” • Give it a boost • Affirmations! • Give it Authority…but be careful • “Some doctors say…” • Don’t Dump • Limit the message(s) • Give it Consistency • “Would that work for you?” • “What would you change?”

26. Finish Him!!

27. Putting it in the Note • T: Metaphors. Mom says Jacob is picky and wishes he would eat new healthy foods. • G: To offer new foods many times and not just once. • I: Discussed picky eaters and offering new foods multiple times. Gave kid friendly recipes. 401, no other codes at this time. • F: Ask about recipes and picky eating

28. EZ-TGIF EZ-TGIF 1)      = T Used _________ tool. 2)      = G Family/Mom will__________ 3)      = I Discussed ____________.     Assigned Codes_________due to___________    *PG: Pregnancy #_______BF Feelings:_________    *Infants: # of feedings per day_______oz formula/day________  *Food Package Changes (IPN Tailoring)_________Because___________ 4)      = F Referrals made: __________ Ask about_______ Next appointment remember to:_________

29. Questions?