POCKET GUIDE - Bright Futures - American Academy of Pediatrics

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Nutrition Tools 66 Bright FUTURES ■ ■ sTraTegies for healTh Professionals To PromoTe healThy eaTing behaViors, ConTinued Action plans sTraTegies aPPliCaTions/QuesTions Provide counseling for the child or adolescent who is in the early stages of behavior change or who is unwilling to change. Provide task-oriented counseling for the child or adolescent who is ready to change eating behaviors. Increase the child’s or adolescent’s awareness and knowledge of eating behaviors. Encourage the child or adolescent to make behavior changes. Encourage a few small, concrete changes first, and build on those. Support and follow up with the child or adolescent who has changed behavior. Identify and prioritize behavior changes to be made. Suggest changes that will have a measurable impact on the child’s or adolescent’s most serious nutrition issues. Set realistic, achievable goals that are supported by the child’s or adolescent’s family. Identify and address barriers to behavior change; help reduce barriers when possible. “What will you change?” “What goal is realistic right now?” “How and when will you change, and who will help you?” “What could make it hard for you to make this change— money, friends, or family?” “How can you get around this?”
■ ■ sTraTegies for healTh Professionals To PromoTe healThy eaTing behaViors, ConTinued sTraTegies aPPliCaTions/QuesTions Make sure that the behavior changes are compatible with the child’s or adolescent’s lifestyle. Establish incremental steps to help the child or adolescent change eating behaviors. Encourage the child or adolescent to commit to behavior changes with contracts. Give the child or adolescent responsibility for changing and monitoring eating behaviors. Help the child or adolescent obtain family and peer support. Don’t expect the child or adolescent to conform to rigid eating behaviors. Keep in mind current behaviors and realistic goals. For example, have the child or adolescent reduce fat consumption by changing the type of milk consumed, from reduced-fat (2%), to low-fat (1%), to fat-free (skim) milk. Discuss nonfood rewards (incentives) to help the child or adolescent focus on changing eating behaviors. Stress the importance of planning how the child or adolescent will make and track changes in eating behavior. Make record-keeping simple, and review the plan with the child or adolescent. Discuss how the child or adolescent can encourage parents and peers to help. Meet with parents to clarify goals and action plans; determine how they can help. Provide nutrition education or counseling to parents, as appropriate. 67 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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■ Are you worried about having en
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
Page 41 and 42: Anticipatory Guidance discuss with
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
Page 53 and 54: underweight ■ if BMi is below the
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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POCKET GUIDE - Bright Futures - American Academy of Pediatrics

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