Three-Step Counseling Strategy - USDA
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Three-Step Counseling Strategy
The 3-step counseling strategy was developed to help WIC staff and health care workers promote positive health practices.
Step One: Ask open-ended questions,
• Ask: “What interests you?”
• Encourage sharing information, like thoughts and feelings.
• Follow with probes: possible options:
o Extending probes to get more information: Tell me more about….
o Clarifying probes to be sure you understand: In other words you’re saying…
o Reflecting probes to say her words back to her: So you’re worried about…
o Redirecting probes to change the subject: I’ll give you a referral for that. What other nutrition issues would you like to discuss?
o Get a feel for when to STOP: If the probes and answers feel repetitive, it’s time to move on.
Step Two: Affirm Feelings
• Affirm any time in the conversation.
• Builds participant’s confidence and self respect.
• Makes the participant feel safe sharing information.
• Builds trust in you.
Step Three: Two-Way Information Sharing (Education)
• Ask mom for her problem solving ideas.
• Get permission to share your information.
• Suggest several options.
• Ask: “Do you think any of these would work for her?”
• Encourage mom to try out her ideas.
• Ask if she’d like to set a simple, do-able, measurable GOAL.
• Provide referrals
Remember, most people do not give complete answers until you’ve shown real interest and gained their trust. Be sure to do a little respectful probing to get more information, so you can better meet your participant’s needs.
Adapted from Best Start 3-Step Counseling
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