Page 145 - Nutrition Counseling and Education Skills: A Guide for Professionals

7C H A P T E R

Counseling for Behavior Modification

Objectives

• Define and distinguish learning styles of classical conditioning, operant conditioning, and modeling.
• Apply behavior modification principles in clinical situations such as weight management, diabetes

mellitus, and cardiovascular disease and in human resource management.
• Analyze eating behaviors according to the “ABC” framework.
• Compare self-monitoring and self-management techniques.

CASE CHALLENGE 1

Martha M. was recently diagnosed with type 2 diabetes mellitus. She is 50 years old, 5’6”, and
180 lb. A homemaker, she is married to an electrician, and their only child is away at college. She is finding
it increasingly difficult to motivate herself to get involved in outside activities now that the house is empty.

Martha describes her typical daily eating pattern as follows: She wakes up in the morning at the same
time as her husband, makes coffee for both of them, and prepares a warm breakfast for him before he leaves
for work. She continues to drink her coffee but does not eat. She gathers her “to do” list and completes it
around 11:00 AM. Then she rewards herself after a busy morning with a pastry and makes another pot of
coffee. For the rest of the afternoon, she will clean the house or work on crafts until about 5:30 PM. She
does not engage in regular physical activity. She will then begin making dinner so that it will be prepared by
about 7:00 PM, when her husband arrives home. Standard dinners may include sausage lasagna and a small
side salad; or fried chicken, mashed potatoes and gravy, and canned corn; or spaghetti and meatballs with

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