Module 13: Putting MI to Work - Weight Concerns & Disordered Eating

Question 1

Describe how RDN’s can use motivational interviewing to support client autonomy and self-worth when addressing weight concerns and disordered eating.

Answer 1

• Avoid using words or topics with a negative connotation toward certain foods (cheat day, bad foods)
• Allow clients to relax and not put too much pressure on avoiding certain foods, just focus on having a balance
• Use a weight neutral approach
• The HAES Principles

Question 2

Define weight bias and discuss its causes.

Answer 2

• Negative ideas or assumptions about those who are overweight or obese
• Weight stigma is caused by weight bias

Question 3

Name the 5 Health at Every Size principles – HAES Principles

Answer 3

• Weight inclusivity
• Health
• Respectful care
• Eating for well-being
• Life enhancing movement

Question 4

Weight inclusivity

Answer 4

Accept and respect the inherent diversity of body shapes and sizes and reject the idealizing or pathologizing of specific weights

Question 5

Health enhancement

Answer 5

Support health policies that improve and equalize access to information and services and personal practices that improve human well being

Question 6

Respectful care

Answer 6

Acknowledge our biases and work to end weight discrimination weight stigma and weight bias

Question 7

Eating for well-being

Answer 7

Promote flexible individualized eating based on hunger satiety nutritional needs and pleasure rather than any externally regulated eating plan focused on weight control

Question 8

Life enhancing movement

Answer 8

Support physical activities that allow people of all sizes abilities and interests to engage in enjoyable movement to the degree that they choose

Question 9

Describe Acceptance and Commitment therapy and how RDN’s can use it to help clients who want to lose weight.

Answer 9

• Falls under cognitive behavior therapy (CBT), motivational interviewing, and dialectical behavior therapy (DBT)
• Teaches to accept difficult thoughts & feelings rather than change or avoid them
• Strong components: mindfulness &self-compassion
• Psychological flexibility

Question 10

Psychological flexibility

Answer 10

The ability to contact the present moment more fully w/ acceptance and mindfulness and to change, or persist in, behavior when doing so serves valued ends

Question 11

Name the Principles of Acceptance and Commitment Therapy

Answer 11

• Contact with the present moment (“Be Here Now”)
• Defusion (“Watch Your Thinking”)
• Acceptance (“Open Up”)
• Self-As Context (“Pure Awareness”)
• Values (“Know What Matters”)
• Committed Action (“Do What It Takes”)

Question 12

Defusion (“Watch Your Thinking”)

Answer 12

Learning to “step back” and separate or detach (“defuse”) from thoughts, images, and memories, watching them instead of getting tangled up in them.

Question 13

Acceptance (“Open Up”)

Answer 13

Making room for painful feelings, sensations, urges, and emotions instead of fighting them, resisting them, running from them, or getting overwhelmed by them.

Question 14

Self-As Context (“Pure Awareness”)

Answer 14

Flexible perspective talking or seeing the difference between your thoughts and the part of your mind that notices your thoughts.

Question 15

Values (“Know What Matters”)

Answer 15

Clarifying what truly matters in the big picture.

Question 16

Committed Action (“Do What It Takes”)

Answer 16

Taking effective action, guided by personal values.

Question 17

Define weight bias internalization, the factors associated with it, and describe how it correlates with BMI.

Answer 17

• Weight bias internalization– self-directed weight stigma
• Happens when people who are overweight or obese become aware of negative weight-based stereotypes and apply the stereotypes to themselves