POCKET GUIDE - Bright Futures - American Academy of Pediatrics

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Nutrition Tools 64 Bright FUTURES ■■ sTraTegies for healTh Professionals To PromoTe healThy eaTing behaViors sTraTegies aPPliCaTions/QuesTions Communication Factors Promote positive, nonjudgmental strategies to help the child or adolescent adopt healthy eating behaviors. Encourage the child’s or adolescent’s active participation in changing eating behaviors. Reinforce positive aspects of the child’s or adolescent’s eating behaviors. Help the child or adolescent identify barriers that make it difficult to change eating behaviors, and develop a plan of action for adopting new behaviors. Provide concrete learning situations. Use charts, food models, and videotapes to reinforce verbal information and instructions. Focus on the short-term benefits of healthy eating behaviors. Understand and respect the child’s or adolescent’s cultural eating behaviors. Emphasize that healthy eating behaviors will make the child or adolescent feel good and have more energy. Help the child or adolescent integrate cultural eating behaviors with dietary recommendations. Use simple terminology. Avoid using the term “diet” with the child or adolescent because it tends to be associated with weight loss and may be confusing.
■■ sTraTegies for healTh Professionals To PromoTe healThy eaTing behaViors, ConTinued sTraTegies Communication environmental Factors aPPliCaTions/QuesTions Promote Create an positive, office or nonjudgmental clinic environment strategies oriented to help to children the Reinforce Use posters positive and materials aspects written of the child’s for children or adolescent’s or child or adolescents. or adolescent adopt healthy eating behaviors. eating adolescents. behaviors. Encourage Communicate the developmentally child’s or adolescent’s appropriate active participation Help Use posters the child and or materials adolescent that identify highlight barriers the importance that make it in health changing messages. eating behaviors. difficult of healthy to eating change behaviors. eating behaviors, and develop a plan Encourage health professionals and staff to become role of action for adopting new behaviors. Have health professionals and staff model healthy Provide models concrete for healthy learning eating situations. behaviors. Use eating charts, behaviors. food models, and videotapes to reinforce verbal information and instructions. readiness to Change Focus on the short-term benefits of healthy eating Identify behaviors. the child’s or adolescent’s stage of behavior change and readiness to change based on the Stages of Change Understand model (Tool and F in respect Bright the Futures: child’s Nutrition or adolescent’s manual). cultural eating behaviors. Emphasize that healthy eating behaviors will make the “Do child you or want adolescent to change feel the good way and you have eat?” more energy. “Are you thinking about changing the way you eat?” Help “Are the you child ready or to adolescent change the integrate way you cultural eat?” eating “Are behaviors you changing with dietary the way recommendations. you eat?” Use simple terminology. Avoid “Are you using trying the to term keep “diet” eating with the the way child you or have adolescent been?” Facilitate behavior change with counseling strategies tailored to the child or adolescent based on the Stages Provide because a supportive it tends to environment, be associated basic with weight information, loss and may and assessment. be confusing. of Change model (Tool F in Bright Futures: Nutrition Prioritize behaviors to be changed, set goals, and identify manual). barriers to change. Develop a plan that incorporates incremental steps for making changes, support, and reinforcement. 65 Bright FUTURES Nutrition Tools
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T H I R D E D I T I O N P O C K E T
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American Academy of Pediatrics Depa
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Bright Futures: Nutrition v Bright
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viii Bright FUTURES Bright Futures:
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x Bright FUTURES today many familie
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■■ infanCy oVerView infancy is
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■ Does your baby receive anything
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physical Activity ■ Discouraging
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■ Are you taking or do you plan t
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■ What vitamin or mineral supplem
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Page 27 and 28: Screening and Assessment ■ if pos
Page 29 and 30: Anticipatory Guidance discuss with
Page 31 and 32: ■ introducing iron-fortified, sin
Page 33 and 34: ■ talking with their infant durin
Page 35 and 36: oral health ■ Assess eating behav
Page 37 and 38: ■■ early Childhood oVerView ear
Page 39 and 40: ■ Describe what your child does d
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Page 43 and 44: teaching Children About Food ■ of
Page 45 and 46: 15 monThs Interview Questions ■ A
Page 47 and 48: ■ Describe your child’s mealtim
Page 49 and 50: ■■ middle Childhood oVerView Mi
Page 51 and 52: ■ recognize that interview questi
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Page 55 and 56: ■ Choosing healthy foods for meal
Page 57 and 58: ■■ adolesCenCe oVerView Adolesc
Page 59 and 60: nuTriTion suPerVision An adolescent
Page 61 and 62: Screening and Assessment growth and
Page 63 and 64: eating Behaviors and Food Choices
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