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Veggie Grant Project

Intervention Sequence

The nutrition education intervention includes three steps:

1) Stage the caregiver's willingness to offer vegetables
2) Identify specific barriers to offering vegetables
3) Select and complete the education module

Step 1 - Stage willingness to offer vegetables. Identifying the caregiver's stage of willingness to offer vegetables is an important first step in determining the best nutrition education module to use. Caregivers in the early stages, for example, are likely to be weighing the benefits of and barriers to increasing vegetable offerings; they may not be ready to make a firm commitment to offer more vegetables. This staging step helps the educator differentiate between those individuals who need assistance weighing benefits versus barriers and those who are ready to make a behavioral change.

To stage the caregiver, ask the questions shown on the screening tool   Adobe Acrobat Logo. Staging begins with Question 1 for all clients. The response to Question 1 determines whether the next question is Question 2a or Question 2b. The response to the second question determines the stage as described in the table below.

IF the client… THEN stage the client as …
Has no immediate plans to offer vegetables 3+ times/day Precontemplation/contemplation
Plans to start offering vegetables 3+ times/day within the next 30 days Preparation
Already offers vegetables 3+ times/day Action/maintenance

Step 2 - Identify barriers. The next step is to determine the barriers   Adobe Acrobat Logo that the caregiver faces when offering vegetables to the child. Through dialogue, the educator and caregiver identify and prioritize the barriers to address. Some clients may state that they experience no barriers; others may have unique barriers not listed on the screening tool. General education modules have been developed for these situations.

Step 3 - Select module. Select and present a module from the chart on the screening tool   Adobe Acrobat Logo that corresponds to the client's stage and the barrier to be addressed in this session.

The three steps can be repeated at each client contact to address different barriers and to continue to assist the client in achieving behavior change.

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