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OALib Journal期刊
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-  2018 

Dietary Advice On Prescription (dap). A Pedagogical Model For Better Dietary Habits Tested in A Two-year Randomized Clinical Trial.? - Dietary Advice On Prescription (dap). A Pedagogical Model For Better Dietary Habits Tested in A Two-year Randomized Clinical Trial.? - Open Access Pub

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Abstract:

There Is A Gap Between What We Know And What We Do, Such As Knowing What We Should Eat And What We Actually Eat, A So-Called “Attitude/Behavior Gap”. It Is Not Necessary To Go From A Change In Attitude To A Change In Behavior. It Is Possible To Do The Opposite; In Other Words, It Is Possible To Go From A Change In Behavior To A Change In Attitude. The Objective Of This Paper Is To Describe And Explain The Concept Of Dietary Advice On Prescription (DAP) And Present The Reasons And Evidences For The DAP Messages. Dietary Advice On Prescription (DAP) Starts With Discussing Behaviors Related To Dietary Habits And Then Goes From Behaviors Towards Attitudes. DAP Is A Theory-Based Pedagogical Model That Deals With Behaviors Related To Why, How And When We Eat, Rather Then What We Eat. The DAP Model Is A Method That Quickly Leads The Client Onto A Track That Yields Autonomy, Respects The Client’s Integrity, Gives Confirmation, Emphasizes The Delight And Pleasure Of Eating, Stimulates Discussions And Gives The Client The Initiative In These Discussions. In A Clinical Situation, The Counsellor Lays Out The DAP Postcards On A Table And The Client Picks One Card (Or Several) That Feels Relevant And Interesting For The Client To Discuss. Together They Make An Agenda For The Discussion Such As, For Instance, In What Order To Discuss The DAP Postcards. The Counsellor Asks In An Open Manner With A Motivational Interview (MI) Spirit Why The Client Has Chosen The Particular Card(S). The Client Explains, Elaborates, Turns And Twist About The Choices He/She Has Made. The Results Of The First Published Qualitative Study Of This Two-Year Randomized Controlled Trial Demonstrate That The Participants Found The Concept Valuable. DOI10.14302/issn.2474-3585.jpmc-16-1161 Why a New Pedagogical Model for Better Dietary Habits? We know from previous research that only informing means little in achieving a behavioral change, such as changing dietary habits. There is a gap between what we know and what we do, for instance, in knowing what to eat and what we actually eat, a so called attitude/behavior gap1.To begin with changing the behavior without making the detour over affecting the attitude has been shown successful in, for instance, serving healthful food or arranging a cooking course instead of talking about healthful food.An individual that has changed behavior often speaks warmly of the new behavior and seeks motives for it by, for instance, reading books, going to lectures, and other pursuits. We found this approach successful in a study where the volunteers changed their diet

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