TABLE 4.
Summary of identified dietitian‐related factors as facilitators or barriers to the rapport, collaboration, partnership and interaction between clients and dietitians
| Associated term | Facilitators | Barriers | |
|---|---|---|---|
| Attributes | Rapport |
Approachable Friendly Sensitive Relaxed, comfortable and natural Confident Non‐judgemental Genuine Unconditionally accepting Empathic |
|
| Collaboration |
Sensitive Aware |
||
| Techniques | Rapport |
Humour Immediacy Facilitating client autonomy Giving clients opportunity to ask questions and express concerns Applying a person‐centred approach Individualising instructions Putting client at ease Interviewing skills Layering advice Attending to client's non‐verbal communication Socratic interview style Self‐disclosure Using continuing responses Shared decision making Communicating interest in patient's dietary problems Active listening: paraphrasing, restating, verbal and non‐verbal encouragement, silence, reflecting feelings Introductions Gradually directing more specific enquiries Asking client about their preferences Changing questioning approach to prioritise rapport development Providing feedback and social support Verbal and non‐verbal communication skills Expressive touch |
Interrupting client through verbal or non‐verbal behaviour Phrasing questions to client with implied answers Using telephone interviews as form of follow‐up Using series of direct questions Trying to meet client's perceived expectations in the first consult Feeling the need to address all relevant content immediately |
| Collaboration |
Verbal and non‐verbal communication skills Establishing shared understanding at beginning of consultation ‘Narrative Dietary Counselling’ (specific approach named in study) 9 : narrative learning strategies including use of whiteboards ‘Nutrition Counselling Approach’ (specific approach named in study) 91 |
||
| Partnership |
Desirable communication style Working as a team ‘Counselling and Therapeutic Approach’ (specific approach named in study) 41 |
||
| Interaction |
Applying a person‐centred approach Sending individualised text messages |