Purpose. There is a paucity of research surrounding how counseling for non-dietary health behaviors by registered dietitians (RDs) and nutritionists influences the complex interactions among diet, stress, and mind-body wellness. The purpose of this study was to determine the frequency and confidence of counseling for non-dietary health behaviors by RDs and nutritionists in Washington State, and to determine if the personal health behaviors of practitioners are correlated with clinical practices.
Methods. A unique survey was developed from five validated tools to collect data on clinical practices, clinical practice beliefs, and personal health practices of RDs and nutritionists. The survey was administered to current practitioners in Washington State listed as members with the North Sound Dietetic Association, Greater Seattle Dietetic Association, and/or the Washington State Department of Health. Experience, practice area, and health behaviors were correlated with counseling frequency and confidence scores using Spearman's rho rank correlation.
Results. Years of experience was positively correlated with counseling patients on nutrition (.463 p=.010), exercise (.457 p=.015), and well-being (.448 p=.013). Private practice practitioners were correlated with counseling for stress management (.707 p=.000), spirituality (.525 p=.003), nutrition (.406 p=.026), exercise (.395 p=.037), and well-being (.388 p=.034) compared to other practice areas. Practitioners who had a high quality of life (.428 p=.029) and good mental and physical health (.634 p=.000) were more likely to counsel on nutrition. Personal diet, exercise, and stress levels were not significantly correlated with counseling.
Conclusions. Our findings indicate that Washington State RDs and nutritionists counsel for non-dietary health behaviors. Practitioners who are more experienced, in private practice and practice mindfulness are more likely to counsel for non-dietary health behaviors. More research is needed to explore whether counseling for mind-body health may improve clinical outcomes.
|Commitee:||Harris, Cristen, Morrow, Kelly|
|Department:||Department of Nutrition|
|School Location:||United States -- Washington|
|Source:||MAI 51/01M(E), Masters Abstracts International|
|Subjects:||Alternative Medicine, Nutrition|
|Keywords:||Health behavior change, Health behaviors, Nutrition counseling, Practitioner health behaviors, Stress management counseling, Wellbeing|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be