**Stages of Change** **Time: 30 minutes**

**Introduction to Stages of Change**

**Instructional Goal**

> Define Stages of Change model. Identify WIC participant stage of
> change in WIC scenarios.

+----------------------------+-----------------------------------------+
| ![](media/image1.wmf){wi   | Introduction to Stages of Change        |
| dth="0.2986111111111111in" |                                         |
| heigh                      | Ask how many of the audience have heard |
| t="0.20694444444444443in"} | of the Stages of Change? Were they      |
| **S1 Title slide: "Stages  | first introduced to it in formal        |
| of\                        | education and/or in a training session? |
| Change"**                  |                                         |
|                            | Review the five stages of change        |
| ![](media/image1.wmf){wi   |                                         |
| dth="0.2986111111111111in" | Review Handout H1 pointing out steps in |
| heigh                      | opportunities for change.               |
| t="0.20694444444444443in"} |                                         |
| **S2 List of the five      | Review Handouts 2, 3, and 4 with the    |
| stages of\                 | trainees                                |
| change**                   |                                         |
|                            | Refer to Handout 2 and discuss the      |
| **[Animate]{.underline}:   | process of identifying WIC              |
| Precontemplation**         | participant's stage of change as part   |
|                            | of the nutrition assessment.            |
| **[Animate]{.underline}:   |                                         |
| Contemplation**            | Refer to Handout 3; describe and        |
|                            | discuss assessment of participant       |
| **[Animate]{.underline}:   | perceived importance and confidence as  |
| Preparation**              | methods to promote movement through     |
|                            | stages of change (ie: from              |
| **[Animate]{.underline}:   | precontemplation to contemplation)      |
| Action**                   |                                         |
|                            |                                         |
| **[Animate]{.underline}:   |                                         |
| Maintenance**              |                                         |
|                            |                                         |
| **[Animate]{.underline}:   |                                         |
| H1 Stages of Change\       |                                         |
| Opportunities for          |                                         |
| Intervention\              |                                         |
| Chart**                    |                                         |
|                            |                                         |
| ![](media/image2.wmf){wid  |                                         |
| th="0.21666666666666667in" |                                         |
| heig                       |                                         |
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| **H1: Stages of Change\    |                                         |
| Opportunities for          |                                         |
| Intervention**             |                                         |
|                            |                                         |
| **Chart**                  |                                         |
|                            |                                         |
| ![](media/image1.wmf){wi   |                                         |
| dth="0.2986111111111111in" |                                         |
| heigh                      |                                         |
| t="0.20694444444444443in"} |                                         |
| **S3: Identifying WIC\     |                                         |
| participant's stage of     |                                         |
| change**                   |                                         |
|                            |                                         |
| **List of Handouts 2 ,3,   |                                         |
| 4**                        |                                         |
|                            |                                         |
| ![](media/image2.wmf){wid  |                                         |
| th="0.21666666666666667in" |                                         |
| heig                       |                                         |
| ht="0.2111111111111111in"} |                                         |
| **H2: Motivational         |                                         |
| Nutritional\               |                                         |
| Counseling Algorithm**     |                                         |
|                            |                                         |
| ![](media/image2.wmf){wid  |                                         |
| th="0.21666666666666667in" |                                         |
| heig                       |                                         |
| ht="0.2111111111111111in"} |                                         |
| **H3: Assessing            |                                         |
| Importance\                |                                         |
| and Confidence**           |                                         |
+----------------------------+-----------------------------------------+

**Stages of Change** (cont'd)

+----------------------------+-----------------------------------------+
| ![](media/image2.wmf){wid  | Refer to Handout 4 and describe         |
| th="0.21666666666666667in" | questions to facilitate participant     |
| heig                       | identification of goals and discuss     |
| ht="0.2111111111111111in"} | perceived ability to accomplish goals.  |
| **H4: Goal Importance\     |                                         |
| Assessment**               |                                         |
+----------------------------+-----------------------------------------+
| ![](media/image1.wmf){wi   | Do exercise(s) below and discuss.       |
| dth="0.2986111111111111in" |                                         |
| heigh                      | **Trainer Note:** There may not be      |
| t="0.20694444444444443in"} | enough time to complete all three       |
| **S4: Stages of Change\    | exercises in 30 minutes. Select the     |
| Exercises**                | exercise(s) that best fit the needs of  |
|                            | your trainees.                          |
+----------------------------+-----------------------------------------+
| ![](media/i                | Explain that Exercise 1 rates someone's |
| mage3.wmf){width="0.425in" | level of confidence on a series of      |
| heigh                      | common personal and professional        |
| t="0.24722222222222223in"} | activities. The group discussion offers |
| **Ex1: Rate Your Level of\ | insights into attitudes, preferences,   |
| Confidence**               | and fears that people face in normal    |
|                            | activities.                             |
+----------------------------+-----------------------------------------+
| ![](media/i                | Explains that in Exercise 2, the        |
| mage3.wmf){width="0.425in" | audience determines and discusses the   |
| heigh                      | appropriate Stage of Change for each of |
| t="0.24722222222222223in"} | a set of WIC participant statements.    |
| **Ex2: Identify Stage of   |                                         |
| Change**                   |                                         |
+----------------------------+-----------------------------------------+
| ![](media/i                | In Exercise 3, tell the audience to     |
| mage3.wmf){width="0.425in" | examine one or two case studies to      |
| heigh                      | assess the WIC participant's stage of   |
| t="0.24722222222222223in"} | change. The audience will also discuss  |
| **Ex3: Case Studies**      | possible counseling goals to assist the |
|                            | WIC participant in moving to the next   |
|                            | Stage of Change.                        |
+----------------------------+-----------------------------------------+