Practice Consideration
The Academy of Nutrition and Dietetics' 2020 eNCPT update included terms that reflect components of a goal called "Identify Nutrition Intervention Goal(s) (CG)" as well as terms for "Progress Evaluation (EV)" toward goals. Each have reference sheets within the eNCPT that provide additional explanations for the use of these terms.
The "Identify Nutrition Intervention Goal(s) (CG)" identifies the following goal component that can be specified: (1,2)
- Identify Goal Description (CG-1.1)
- Identify Goal Target Value (CG-1.2)
- Identify Goal Timeframe (CG-1.3)
- Identify Goal Subject (CG-1.4) (who will accomplish goal)
- Identify Goal Setter (CG-1.5)
Two of these components, Identify Goal Target Value (CG-1.2) and Identify Goal Timeframe (CG-1.3) will be included in the Monitoring and Evaluation plan along with other indicators from the Cascade of Outcomes.
To review the Cascade of Outcomes see Blog topic Nutrition Monitoring and Evaluation.
The "Progress Evaluation (EV)" terms include: (1,3)
- New Goal Identified (EV-1.1)
- Goal Achieved (EV-1.2)
- Goal Discontinued (EV-1.3)
- Goal Not Achieved (EV-1.4)
- Some Progress Toward goal (EV-1.5)
- Some Digression Away From Goal (EV-1.6)
Goals can be broad overall treatment goals that might be stated in the Aims, Prescription and Goals activity, or they may be specific goals that are a result of a Nutrition Counseling Strategy based on goal setting that would occur in the activity Formulating Specific Behavioral-Change Targets. Below are examples of both types of goals.
AN AIM MIGHT BE:
To achieve a healthy dietary intake and physical activity level that will promote and attain a healthy weight.
The following goals might support this overall aim. The two different uses of goals are shown below.
OVERALL TREATMENT GOAL — May be set at the beginning of the client discussion.
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New Goal Identified (EV-1.1) Check if this is a new or continuing goal.
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Identify goal description (CG-1.1) A summary statement of the desired outcome. |
Identify goal target value An indicator from nutrition assessment/monitoring and evaluation and nutrition intervention terms that provides evidence for the goal and desired outcome.
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Identify goal timeframe The duration of the intervention or date by which the goal is anticipated to be met.
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Identify goal subject The individual client, supportive individual (e.g. family, caregiver), or supportive structure (e.g. social service agencies and faith-based organizations) for whom the goal is planned. |
Identify goal setter The party (i.e. client, professional, jointly) that identified the goal. |
| ☒ New goal identified ☐ Goal not achieved ☐ Some progress ☐ Some digression |
Achieve healthier diet consistent with National Dietary Guidelines |
Food choices consistent with National Dietary Guideline recommended servings |
Within the next year |
Client/patient and family |
Jointly set by dietitian and client |
MORE SPECIFIC GOALS — May be set over the next 2-3 encounters with client/patient when using "Nutrition counseling based on goal setting strategy."
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New Goal Identified (EV-1.1) Check if this is a new or continuing goal.
|
Identify goal description (CG-1.1) A summary statement of the desired outcome. |
Identify goal target value An indicator from nutrition assessment/monitoring and evaluation and nutrition intervention terms that provides evidence for the goal and desired outcome.
|
Identify goal timeframe The duration of the intervention or date by which the goal is anticipated to be met.
|
Identify goal subject The individual client, supportive individual (e.g. family, caregiver), or supportive structure (e.g. social service agencies and faith-based organizations) for whom the goal is planned. |
Identify goal setter The party (i.e. client, professional, jointly) that identified the goal.
|
| ☒ New goal identified ☐ Goal not achieved ☐ Some progress ☐ Some digression |
Increase vegetable servings |
6 servings of vegetables per day (or 3 cup equivalents) |
By next consultation in 1 month |
Family and client |
Jointly with client, spouse, and dietitian |
| ☒ New goal identified ☐ Goal not achieved ☐ Some progress ☐ Some digression |
Decrease energy dense snack foods | Reduce from 6 high energy snacks per week to 2 or less | By consultation in 1 month | Client | Client |
| ☒ New goal identified ☐ Goal not achieved ☐ Some progress ☐ Some digression |
Increase whole grain servings |
Half of grain servings (3 ½ oz equivalents out of total 7 oz equivalents) will be whole grain (3 ½ oz) |
By next consultation in 2 months |
Family and client |
Jointly with client, spouse, and dietitian |
References:
1. Academy of Nutrition and Dietetics. Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care. 2023. Accessed 16 August January 2021. Available from: https://www.ncpro.org.
2.
3. Academy of Nutrition and Dietetics. Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care. Assessment - Progress Evaluation (EV). 2023. Accessed 21 January 2024. Available from: https://www.ncpro.org/pubs/2023-encpt-en/page-020C
A summary statement of the desired outcome.
Identify goal description (CG-1.1):
A summary statement of the desired outcome.
Identify goal description (CG-1.1):
A summary statement of the desired outcome.