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Instructional Objectives
1. Define rapport building and provide a rationale for its use by WIC counselors in nutrition assessment

2. Describe cultural, language, and other barriers to effective communication. Identify these barriers within the WIC environment and develop strategies to overcome them
3. Demonstrate non-verbal communication techniques which result in positive and effective communication 4. List, describe, and demonstrate effective use of interpersonal communication techniques that promote a participant-centered approach to nutrition assessment

5. Effectively use rapport building and interpersonal communication techniques in response to WIC scenarios

Rapport Building
Importance per VENA

Rationale because it works!

What Words Describe Rapport Building?

Let us take a few moments to write down some of your thoughts

Barriers to Effective Communication

This module will describe language, cultural, and other barriers to effective communication within the WIC environment and discuss strategies to overcome them

Barriers to Effective Communication

2.2 Cross Cultural Awareness

Barriers to Effective Communication

Ex 2.1 Cross-cultural Nutrition Quiz

Communicating Between Cultures

View and discuss video Communicating Between Cultures
Refer to handouts: H2.1 Effective Cross-cultural Communication H2.2 Guidelines for Cross-cultural Communications H2.3 Variety of Ethnic Food Practices H2.4 Web-based Resources H2.5 Multicultural Food Pyramids

Guidelines for Effective Communication

Handouts: H2.6 Low Literacy H2.7 Deaf or Hard of Hearing H2.8 Little or No English H2.9 Use of Interpreter

Other Barriers to Communication

Environmental Appearance/Dress Generational/Situational Poverty Language 2.3 Clarification of Technical Terms What Are Some Communication Barriers That You Have Experienced?

If You Only Do 5 Things

Create a positive environment Limit your teaching objectives Communicate clearly and simply Use multiple ways to get message across Verify understanding


Nonverbal Communication Techniques

Have perceived meanings Exhibited by counselor and participants


Effective/Ineffective Counselor Nonverbal Behavior

Handout H3.1 Effective and Ineffective Nonverbal Communication View and discuss video Nonverbal Communication Exercises Ex3.1 Attach Meaning to Nonverbal Behaviors Ex3.2 Identifying Nonverbal Behavior

Interpersonal Communication Techniques

Utilize rapport building to establish participant-centered approach to nutrition assessment Practice OARS techniques


Participant-Centered Approach
Handouts H4.1 Positive Approach to Nutrition Assessment H4.2 Getting Permission


OARS Techniques
Open Ended Questions Affirmations Reflective Listening Summarize


Open Ended Questions

Handouts: H4.3 Open-ended Questions H4.4 Tried and True Open-ended Questions Exercises: Ex4.1 Practice Using Questions


Handout H4.5 Affirmations


Reflective Listening
Handout H4.6 Reflective Listening Exercises Ex4.2 Practice Reflective Listening 1 Ex4.3 Practice Reflective Listening 2


Use handout H4.7 Summarizing Use exercise Ex4.4 Practice Summarizing


Rapport Building Evaluation

View and discuss video WIC Scenario Exercise to Accompany Video Ex5.1 Video Checklist

Exercise Ex5.2 Case Study