What characterizes outpatient nutrition therapy interventions for obesity? A survey of nutrition professionals in Germany

Peer reviewed / Manuscript (original) submitted: 23 December 2024; revision accepted: 9 April 2025

Part 2: Counseling approaches, behavior change interventions, and underlying qualifications

Introduction

The involvement of nutrition professionals (NPs) in weight loss interventions is considered one of several elements that can improve the effectiveness of such programs [1].

However, the counseling approaches used by NPs in this context are usually not described in detail [1]. According to Nußbeck, counseling approaches derived from various therapeutic schools include psychoanalytically oriented counseling, person centered/client centered counseling, cognitive behavioral therapy oriented counseling, systemic approaches, and solution and resource focused counseling. These counseling approaches give rise to methods or intervention techniques that may be specific to a given approach or applicable across different approaches [2]. Also, information on the use of such methods or interventions and the underlying qualifications are frequently lacking in studies on weight loss [e.g. 3, 4], even though they are regarded as integral components of process oriented nutrition counseling and therapy [5]. Among the key characteristics of nutrition therapy is that patients “receive support in a client centered, collaborative counseling situation that takes their competences and needs into account and is oriented toward their life situation” [6, p. 7]. In this context, evidence-based counseling methods should be used [6]. ...



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