Barkmeijer, Alyanne

Jager-Wittenaar, Harriët

Lamerichs, Joyce

te Molder, Hedwig

English

Hanze UAS repository

ESPEN 2022 Late Breaking AbstractsTopic:   Qualitative design studiesAbstract Submission Identifier: ESPEN22-LB-2187DIETARY COUNSELING ON MALNUTRITION: CLIENTS SHOW SELF-HELP IN RESPONSE TO DIETITIANS’HISTORY TAKING QUESTIONSA. Barkmeijer*,   1,  2, H. te Molder 3, J. Lamerichs 3,  4, H. Jager-Wittenaar 1,  51Research Group Healthy Ageing, Allied Health Care and Nursing, 2School of Health Care Studies, Nutrition and DieteticsProgramme, Hanze University of Applied Sciences, Groningen, 3Faculty of Humanities: Language, Literature, andCommunication, Vrije Universiteit, Amsterdam, 4Research Group Mental Health Care and Society, WindesheimUniversity of Applied Sciences, Zwolle, 5University of Groningen, University Medical Center Groningen, Department ofOral and Maxillofacial Surgery, Groningen, NetherlandsRationale: In this study, we aimed to explore how dietitians’ history-taking questions function during dietary counseling ofclients with malnutrition (risk). Fruitful functioning of history-taking questions during the problem identification phase iscrucial for dietitians to develop a client-centered dietary treatment plan.Methods: Using discursive psychology, we analyzed the problem identification phase of recorded dietitian-clientconversations of 7 dietitians and 17 clients. Discursive psychology is a qualitative, inductive methodology that is used toanalyze real-life conversations. Discursive psychology focuses on how descriptions in talk (including wording, intonation,pauses, non-verbal behavior) accomplish actions such as presenting oneself in a particular way.Results: Our analysis shows how, in response to dietitians’ history-taking questions, clients repeatedly demonstrate thatthey have already made some effort to self-help. Typically, these history-taking questions presume some biopsychosocialfactor as the cause of the dietary problems discussed. In response, clients show they already started to eat extra, closelymonitored their body weight, and tried to eat despite having no appetite. In addition, clients account for the absence ofefforts by claiming various kinds of inability, such as facing difficulties in preparing food for oneself or by questioningwhether their underlying medical condition caused the diet-related problem in the first place.Conclusion: This study shows that history-taking questions not only elicit answers with factual information but also evokeclients’ self-presentations. Responses from dietitians show little attention to the relevance of these self-presentations,while clients treat self-help as a normative requirement to demonstrate they have done everything they can before theysought professional help. To optimize the problem identification phase, we suggest that in addition to conversationaltechniques dietitians could increase their attention to clients’ actions performed.References: -Disclosure of Interest: None DeclaredKeywords: client-centered, conversation analysis, dietary counseling, dietetic consultation, dietitian, dietitian-clientconversation, discursive psychology, malnutrition

History-taking questions not only elicit answers with information, but also evoke client's self-presentation

https://research.hanze.nl/ws/files/47793441/ESPEN22_Counseling_on_malnutrition.pdf

History-taking questions not only elicit answers with information, but also evoke client's self-presentation

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