When assessing a client's readiness to make dietary changes, which question would be most useful?

The most useful question when assessing a client's readiness to make dietary changes is to inquire about which specific change they will start with. This approach focuses on action, encouraging the client to identify a concrete step they are willing and ready to take. By committing to a particular change, the client demonstrates a level of readiness and motivation that can serve as a foundation for further discussions and planning.

Identifying a specific starting point allows you, as a dietitian, to tailor your support and resources effectively. It transforms the conversation from abstract possibilities into actionable items, making it more likely that the client will follow through on their goals.

While the other options—asking about perceived necessary changes, confidence levels, or needed support—are certainly relevant topics, they do not directly prompt the client to take that first step or establish a clear plan. These may provide insight into the client's thoughts and feelings but do not facilitate the immediate action that is crucial for progress. Instead, the focus should be on creating momentum, which begins with determining the initial change the client is ready to implement.