Friday, April 4, 2014

Research Paper: Nonverbal Communication in Dietetics

Nonverbal Communication in Dietetics
Modern-day dietitians need to have a fortified background knowledge about physical, non-verbal communication just as much as verbal communication to create a client-base that is more committed, loyal, and motivated than the current standard, which would result in a more successful career.   Being educated in the aforementioned topics would lead to a higher success rate over the dietetics profession, leading to an increase in demand from the public due to a higher regard of the profession as a whole, which would consequently lead to more positions in the field.  By examining the experiences of current dietitians alongside studies of how non-verbal communication works, we can evaluate what areas of communication should be focused on while preparing for a career in dietetics.
                To begin with, current dietitians who are practicing in the field have their own ideas about effective communication with clients.  According to the president of the American Dietetics Association, Susan T. Borra, building relationships, reimbursements, and knowing what to improve are all essential to client satisfaction (1).  When she asked a member of the Nutrition Entrepreneurs dietetic practice group about their thoughts on the matter, they said that “a couple of minutes spent asking or answering a simple question communicates caring and competence on my part and increased comfort on the part of the patient when they arrive for the first visit” (1).  In this case, the professionals stress the importance of verbal communication and its effect on the first impression.  Despite the truth behind their thoughts, there is still an underlying power that can be either helpful or detrimental to anything a dietitian says or does.  We can rely on the results of scientific studies to better understand the true driving force behind verbal communication. 
                In a recent study conducted by a team of neurobiologists, psychiatrists, psychotherapists and neural researchers, the scientific explanations of verbal and non-verbal effects on first impressions was analyzed.  The researchers used functional magnetic resonance imaging (fMRI) on participants to carefully observe activity in the brain when stimulated by verbal and then non-verbal communication.   What they found was “evidence for neurofunctional dissociation between the processing of verbal and nonverbal social information during interpersonal impression formation,” (2). Basically, different parts of the brain are activated for each type of communication during the formulation of first impressions.  One of these brain parts is the amygdala, which, in traditional textbooks, is associated with the processing of fear.  When participants of the study were exposed to non-verbal stimuli, it was the amygdala that was always activated.  In tandem with textbook definitions, however, the amygdala DOES play a central role in “automatic, affective processing,” meaning that certain incoming senses are automatically evaluated, yielding a particular association, before the conscious mind has a chance to judge the sense (2).   Based off what they observed when a participant saw a highly trustworthy face versus a highly untrustworthy face, the researchers concluded that positive stimuli, as well as the traditional negative stimuli, could activate the amygdala.  Figure 1 represents the images of the fMRIs, nonverbal (SoE/Val NV) followed by verbal (SoE/Val V), and corresponding exposure to stimuli.  Note the regions of the brain that are activated.
Full-size image (160 K)
Figure 1: Brain Region Response to Verbal or Nonverbal Stimuli (2).

Since this part of the brain is so quick to judge, one can see why preparing for a first impression is so important. 
Professionals are typically expected to dress professionally, but in a career that involves health promotion, fit, athletic-wear can be more popular outfits.  “The nursing, medical and communication literature shows that a professional’s dress attire is relevant to client–professional interactions because it strongly influences clients’ perceptions of their professional’s characteristics,” says Cant, a journalist for the Journal of Human Nutrition and Dietetics (3).  For this reason, it is important for dietitians to know what their clients would prefer.  For some, choosing what to wear will make more of a difference than for others.  To elaborate, we will look at the work ethic of personal trainers in a gym setting.  More often than not, a personal trainer gains less income than the individual they are training.  Despite the economic disparities, personal trainers still have higher authority over their client, not simply because they are paid to do so, but because their appearance says so.  One recent study explains how “possessing a fit-appearing physique—conceptualized in terms of bodily capital—provides a degree of moral authority that lends credibility to interactions in the health and fitness industry,” (4).  David J. Hutson believes that “your body is your business card,” and scholars have always agreed.  Social psychologists have long ago discovered that an attractive physical appeal engenders “assumptions of health, morality, and competence,” (4).   Evidence of this from the study is provided in the form of quantitative data: a high correlation exists between suggested attractiveness and client base.  Whereas those who were considered less attractive had a smaller client base, those who were considered more attractive had a higher client base (4).  Although there is not much we can do about the physical characteristics we are born with, we can at least make the attempt to improve our bodily capital by maintaining a consistent workout regimen and therefore present a physically appealing body. 
                Speaking with the body is no new form of communication, but the issue is that there really isn't any new information on body language communication to begin with, especially in the medical and health fields.  Researchers have made attempts to turn everyone’s attention toward communication within the dietetics profession, but the “difficulty with research in this area is assessing communication skills of dietitians because there are few validated tools available,” (5).  All of the studies mentioned beforehand have expressed a common objective for future research.  For example: while the neurobiologists wish to study the complementary interaction as opposed to the dissociation of the activity in the brain when processing first impressions, the researcher with the “bodily business card” wishes to study how bodily capital is affected by the mentality of differing sexual orientations and various ethnicities. 
                Dietitians could reap a myriad of benefits from further education in communication, especially the nonverbal types.  Current professionals practicing dietetics are cognizant of the importance of communication in their success, and scientific technology has helped us understand that there is actually a difference in how the brain processes different types of communication.  Psychology reminds us that physical appeal does, indeed, have an impact in the decisions we make, and personal trainers have to be well aware of this fact or risk losing their income.  Now, all that is left is to continue studies on the complexities of communication to further the success of dietitians, although it would be of great use to all, regardless of profession.  Who isn’t willing to do what it takes to satisfy their client?  In doing so, “you not only improve your bottom line, but you also help expand the public's appreciation of the dietetics profession,” (1).  In the end, the difference between the nonverbal communication skills of one dietitian and another WILL be what sets them apart, which is exactly why we need to be more educated in the subject area.

Works Cited

1.
McCaffree, Jim. "Client Satisfaction: Turning Referrals into Regulars." Journal of the American Dietetic Association 102.3 (2002): 340-41. Science Direct. Web. 9 Mar. 2014.

2.
2.         Kuzmanovic, Bojana, Gary Bente, Yves Von Cramon, Leonhard Schilbach, Marc Tittgemeyer, and Kai Vogeley. "Imaging First Impressions: Distinct Neural Processing of Verbal and Nonverbal Social Information." NeuroImage 60.1 (2012): 179-88. Science Direct. Web. 9 Mar. 2014.

3.
3.        Cant, R. P. "Communication Competence within Dietetics: Dietitians’ and Clients’ Views about the Unspoken Dialogue – the Impact of Personal Presentation." Journal of Human Nutrition and Dietetics 22.6 (2009): 504-10. 6 Nov. 2009. Web. 9 Mar. 2014.

4. 
4.         Hutson, David J. "“Your Body Is Your Business Card”: Bodily Capital and Health Authority in the Fitness Industry." Social Science & Medicine 90 (2013): 63-71. Science Direct. Web. 9 Mar. 2014.

 5.
5.         Whitehead, K. A., S. C. Langley-Evans, V. Tischler, and J. A. Swift. "Development and Initial Validation of an Assessment Tool for Communication Skills in Dietetics." Journal of Human Nutrition and Dietetics (2011): 406-07. 1 Aug. 2011. Web. 9 Mar. 2014.

*Note:  Transferring from Word to blog messes with layout of works-cited page
*Note:  citations are in APA style



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Wednesday, March 26, 2014

Research Paper Thought Piece

This research paper is important to me and the world because it has a focus on the old saying, “it’s the little things that count.”  In a world consumed by smartphones, something as simple as body language could make all the difference.  I see body language as a color, and the right body language has an appealing color to the viewer.  For example, right now, I am looking out my window (I’m on the sixth story of my tower) and over a parking lot.  Immediately, my eyes go to the neon-green car amidst the other cars.  Similarly, in person, especially in a college setting, my eye immediately goes to the person who isn’t looking down at a screen.  In terms of my research, a client would be able to point out the dietitian who stands out, especially if the right body language is what helped in making the decision.   Thus, my research paper will help to clarify said process and show how it helps everyone.

One thing that I am having a hard time figuring out for my research paper is simply determining the sequence of information.  Most of my information is organized by relevance and I know exactly what each source will be used for in context, I just don’t know when to introduce the information while keeping in mind that it should flow as a whole.  The goal of the paper is clear, and the beginning of the paper is simple, but the question is: how to get from point A to point B by using 1 2 3? Which should be one? One and three seem to reflect ideas off each other, but where does that put two?

Monday, March 10, 2014

Conference

Annotated Bibliography

Barrita De Defranchi, Romina L., and Jennifer K. Nelson. "Evolution and Trends of the Dietetics Profession in the United States of America and in Argentina: North and South United by Similar Challenges."Archivo Latinoamericanos De Nutricion 59.2 (2009): n. pag. 15 Apr. 2009. Web. 9 Mar. 2014.
            This article looks at the history of education and practices in the dietetics profession, comparing between North America and South America, the United States and Argentina (since the first Latin American dietetics school was established there), respectively.  Major influences from both cultures are reviewed to determine how they may have shaped the dietetics profession into what it is today.  The article provides a basis from which to predict where the dietetics profession might be headed in the near future.


Cant, R. P., and R. A. Aroni. "Exploring Dietitians’ Verbal and Nonverbal Communication Skills for Effective Dietitian–patient Communication." Journal of Human Nutrition and Dietetics 21.5 (2008): 502-11. 9 Jul. 2008. Web. 9 Mar. 2014.
This article explains the methodology and results of a research study intended to expand on currently known information about how dietitians communicate with patients during the nutritional education process.  With other dietitians as the intended audience, the authors focus on explaining the segments of the experiment, since it consists of two parts, and the culmination of their individual results.  The evidence provided in the conclusion supports the authors’ argument by claiming that an understanding of the results of the study could contribute to the enhancement of relationships between dietitians and their patients.


Cant, R. P. "Communication Competence within Dietetics: Dietitians’ and Clients’ Views about the Unspoken Dialogue – the Impact of Personal Presentation." Journal of Human Nutrition and Dietetics 22.6 (2009): 504-10. 6 Nov. 2009. Web. 9 Mar. 2014.
            This article reviews the results of a study that aims at describing how dietitians and their clients interpret the characteristics assumed merely from presentation of dress attire.  Being a variant of non-verbal communication, dress attire played a big role in how clients viewed their designated dietitian.  By practice, dietitians are expected to dress formally, but because body image is a huge area of judgment in the eye of a client, clients prefer that they be able to observe the true physique of their dietitian.  This study successfully determines how both dietitians and clients perceive their selected dress attire and the effect it has on communication.


Fileti, Cecilia P. "Ethics Opinion: Eliminating Dietetics-Related Inequalities." Journal of the American Dietetic Association 111.2 (2011): 307-09. Science Direct. Web. 9 Mar. 2014.
            This article calls attention to the inequalities of minorities in the dietetics field, both within the profession itself and within the client base, simply with the intention to raise awareness.  In doing so, the author encourages not only educating current dietitians on cultural differences, but also hiring more dietitians of a more diverse ethnic background, both with a common purpose of being able to relate better with patients from minority cultures, therefore increasing client base.  Non-verbal communication is more obvious in this aspect, but less often recognized, since the mere color of one’s skin makes a difference.  The author does a good job of explaining all facets of her argument.



Goldberg, Jeanne P., and Jennifer P. Hellwig. "Nutrition Communication: Exciting Opportunities for Dietitians." Journal of the American Dietetic Association 103.1 (2003): 25-26. Science Direct. Web. 9 Mar. 2014.
            This articles seeks to emphasize non-traditional practices in the dietetics field through nutritional communication, which is in higher demand than ever since the general population wants to be sure that the health messages in media and magazines is true and accurate.  Interpretation of research data, clear written and verbal communication skills, and relatability to diverse groups of people are all traits desired in a registered dietitian participating in nutritional communication. The authors provide basic guidelines for how a dietitian might go about ensuring these desired qualities and consistently raises attention to the responsibilities in the nutritional communication field.

           
Hutson, David J. "“Your Body Is Your Business Card”: Bodily Capital and Health Authority in the Fitness Industry." Social Science & Medicine 90 (2013): 63-71. Science Direct. Web. 9 Mar. 2014.
This articles stresses the importance of “bodily capital…the value generated from appearance, attractiveness, and physical ability,” to show how this form of non-verbal communication contributes the credibility of a personal trainer.  Since registered dietitians are seen as a different kind of personal trainer, it is important to understand how clients want to have a physically attractive trainer because the mere appearance proves to be a cue for authority in health, not the degrees and certifications.  The research goes to show that trainers with a low bodily capital had a high correlation to a lower demand from clients, while those with a higher bodily capital had a higher demand from clients. 



Kuzmanovic, Bojana, Gary Bente, Yves Von Cramon, Leonhard Schilbach, Marc Tittgemeyer, and Kai Vogeley. "Imaging First Impressions: Distinct Neural Processing of Verbal and Nonverbal Social Information." NeuroImage 60.1 (2012): 179-88. Science Direct. Web. 9 Mar. 2014.
            This article aims “to investigate the neural bases of the influence of verbal as compared to nonverbal information on interpersonal judgments.”  The study consists of neural analyses from participants while exposed to both verbal and nonverbal cues, showing that different parts of the brain react to each.  The authors show to the medical public how social assumptions can be easily made by looking at the specific activity that occurs in the brain.  This information is useful in scientifically explaining the influences of body language, especially in the professional world.


McCaffree, Jim. "Client Satisfaction: Turning Referrals into Regulars." Journal of the American Dietetic Association 102.3 (2002): 340-41. Science Direct. Web. 9 Mar. 2014.
            This article instructs current dietitians to focus on client satisfaction by interviewing members of the Nutrition Entrepreneurs dietetic practice group and reporting their answers.  Building relationships with clients, proper reimbursement, and knowing what to improve are all methods contributing to client satisfaction, as is described within the article.  Being aware of this general goal helps dietitians across the entire profession have a larger client base in the future due to the resulting expansion of “the public’s appreciation of the dietetics profession.”



Puri, Ruchi, Carol Bell, and William D. Evers. "Dietetics Students' Ability to Choose Appropriate Communication and Counseling Methods Is Improved by Teaching Behavior-Change Strategies in Computer-Assisted Instruction." Journal of the American Dietetic Association 110.6 (2010): 892-97. Science Direct. Web. 9 Mar. 2014.
            This article looks at students who are prospective dietitians and argues that they do not achieve enough experience observing or participating in client counseling sessions, therefore offering the solution of computer-assisted instruction (CAI).  The author explores a study of students using the CAI program and notes the difference in communication and counseling skills between students who use the program and those who don’t, showing that those who do clearly are more capable of communication than those who don’t.  The article supports the idea that simple experience through observation provides enough information for a prospective student to react with proper verbal and nonverbal responses while communicating with clients in their early stages of the career, which are very important for founding their future.


 
Whitehead, K. A., S. C. Langley-Evans, V. Tischler, and J. A. Swift. "Development and Initial Validation of an Assessment Tool for Communication Skills in Dietetics." Journal of Human Nutrition and Dietetics (2011): 406-07. 1 Aug. 2011. Web. 9 Mar. 2014.
            This article inquires about the benefits of possibly having more research in the area of communication within the dietetics field due to the value of communication by both client and dietitian.  The authors look at the validity of content both from undergraduate, prospective dietitians and current, exceptional professionals and compare them to each other in order to determine just how much communication is valued at both extremes of progress throughout the career.  The authors agree that communication from an experience professional is more confident and effective but relatively similar to communication from a new dietitian, showing that, from the beginning, communication is imperative to professionals in the dietetics field. 



Proposal:
Modern-day dietitians need to have a fortified background knowledge about physical, non-verbal communication just as much as verbal communication to create a client-base that is more committed, loyal, and motivated than the current standard, which would result in a more successful career.

This issue deserves attention because it would lead to a higher success rate over the dietetics profession, leading to an increase in demand from the public due to a higher regard of the profession as a whole, which would consequently lead to more positions in the field.

The issue would be directed towards current dietitians, but meant to be read by an audience of students and prospective dietitians so that they, too, can begin to consider the future and how to prepare for it.

I want to find research publications and customer reviews in tandem from the past and present to combine with research statistics and psychological information (about body language) to foresee the effects of non-verbal communication in the future.  The information should consist of scientific and medical studies, professional opinions, and opinions of the general public (namely, clients of dietitians).


Monday, March 3, 2014

Research Proposal

Proposal:
Modern-day dietitians need to have a fortified background knowledge about physical, non-verbal communication to create a client-base that is more committed, loyal, and motivated than the current standard, which would result a more successful career.  


-This issue deserves attention because it would lead to a higher success rate over the dietetics profession, leading to an increase in demand from the public, leading to more positions in the field.

-The issue would be directed towards current dietitians, but meant to be read by an audience of students and prospective dietitians so that they, too, can begin to consider the future.

-I want to find research publications and customer reviews in tandem from the past and present to combine with research statistics and psychological information (about body language) to foresee the effects of non-verbal communication in the future.

Friday, February 28, 2014

Research Questions

1.  How does body image (physique and general sex appeal) effect the ambition/confidence of a client?

2.  What body language cues should a dietitian be on the lookout for while with a client?

3.  What kind of research data could be of possible interest in the future (about 5-10years) .

Wednesday, February 26, 2014

Textual Analysis

Textual Analysis of an Article from the Dietetics Field
            In R. P. Cant and R. A. Aroni’s article, “Exploring dietitians’ verbal and nonverbal communication skills for effective dietitian-patient communication,”   the authors intend to report the findings of a two-phase study that examines Australian dietitians involved in clinical practice for the purpose of learning about how dietitians conduct their communication with individual patients in the process of nutrition education.  To do so, the authors explain the study methodically with inclusive statistics and common knowledge from within the health industry.
            Beginning with the organization of the article, the authors made sure that the content would be easy to follow.  Following basic expectations, the article is outlined by an introductory foundation, assembled with informative infrastructure, and then completed with a final outcome.  Information within the articles is segmented in a sequential order that corresponds with the order of the study while incorporating explanations along the side.  Each paragraph is definitely separated by specific topic areas, rarely providing an opportunity for talking points to overlap, except within the transition sentences.   For example: the article is introduced, then the “methods” used in the study are briefly explained (it is assumed that the audience has, at the very least, basic knowledge about the methods), and the bulk of the rest is dedicated to discussing the results, wrapped with a neat summation in the conclusion.  This type of layout for literature is one of the most basic kinds, yet it is effective and concise, which is both the minimal and maximal effort towards writing style the authors’ colleagues should expect.  There really couldn’t be a better way of organizing an article.
The reason why the information has to be organized is so that other professionals in the field can easily flow through the material and understand what is going on, step by step.  How do we know other professionals within this field will be reading this particular article?  The answer is: jargon.  The style of writing calls for diction from the perspective of a dietitian, therefore limiting the audience to a handful of individuals who already carry the background knowledge to pick up the information “under the radar.”  A reader from the general public may not understand what the authors mean when they say that “Chi-square and Spearman’s rank correlation analyses were used to examine relationships between variables.”  Even if the reader tried to grasp the gist from the context, he or she would only read on to discover that “P<0.05 was considered statistically significant…and found to be reliable when 62 items were tested because the Cronbach alpha coefficient was 0.86, indicating good internal consistency.”  Clearly, the general public was not taken into consideration while writing this article, but rather, an audience assumed to ascertain the information with their own background knowledge. 
In tandem with organization and style of content, the way in which the authors chose to deliver the material is also effective in conveying the results of the survey.  Wrapped within the text of the article, the authors have integrated figures, diagrams, and tables with data that aids the reader in the process of explanation.  For example: the article contains a simple figure that shows, with arrows and shapes, the outline of the experiment step-by-step; this figure also contains brief descriptions of each step within the shapes.  Seeing as how not everyone can learn solely via text, the visual provides an alternative mode to absorbing the material, making the text more conceivable within the readers’ minds.  There are also tables with both quantitative and qualitative data (since the study is separated by the same idea of qualitative versus quantitative.)  Information delivered in this fashion serves to report the findings of the study in a statistical manner.  With numbers to look at, the interested dietitians who read the article will be able to examine the results for themselves and evaluate the study with their own judgment. 
In publishing the article, R. P. Cant and R. A. Aroni have allowed other professionals within the same field to add relatable information to their reservoir of knowledge for future use.  By choosing to report the results of the study through practical organization, meticulous word choice, and clarifying visuals, Cant and Aroni have effectively conveyed important information to a specific audience of interested dietitians. 

Works Cited

Cant, R. P. and Aroni, R. A. (2008), Exploring dietitians’ verbal and nonverbal communication skills for effective dietitian–patient communication. Journal of Human Nutrition and Dietetics, 21: 502–511. 

Wednesday, February 19, 2014