Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Mar 7;9(4):104584.
doi: 10.1016/j.cdnut.2025.104584. eCollection 2025 Apr.

Stages of Change Model: How to Deliver Nutrition Education to Adult Burn Survivors

Affiliations

Stages of Change Model: How to Deliver Nutrition Education to Adult Burn Survivors

Alyaa M Zagzoog et al. Curr Dev Nutr. .

Abstract

In the early stages of recovery, adult burn survivors receive a large breadth of education that assists them as they adapt to their lives post injury. Good nutrition plays a crucial role in these early stages to improve the wellness of burn survivors. Nutrition education during the rehabilitation phase of recovery, however, is lacking for this population. Additionally, the optimum time and plan for delivering nutrition education for burn survivors during the rehabilitation phase is not yet established. Although registered dietitians (RDs) are available for nutritional interventions, they rarely provide outpatient nutrition education to burn survivors during the rehabilitation phase. The provision of a model to guide the assessment of burn survivors' readiness to receive and act on nutrition education could assist RDs in outpatient educational efforts. This commentary article proposes a model to guide RDs in providing timely and individualized nutrition education for adult burn survivors during the rehabilitation phase. To accomplish this goal, we have modified the existing stages of change model used in clinical nutrition practice for adult burn survivors. The proposed model aims to assess the readiness of burn survivors to receive, change, and implement dietary habits during the rehabilitation phase based on two main stages: preaction and action stages. Moreover, this model proposes placement questions to assist RDs in identifying main stages, substages, and transitions between stages. It also includes four elements (four basic parts) to guide RDs while delivering nutrition education throughout each stage.

Keywords: aftercare; burn survivors; nutrition education; rehabilitation phase; stages of change.

PubMed Disclaimer

Conflict of interest statement

The authors report no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Stages of change model: how to deliver nutrition education to adult burn survivors.

Similar articles

References

    1. World Health Organization. Burns [Internet]. [cited August 16, 2024]. Available from: https://www.who.int/news.room/fact-sheets/detail/burns.
    1. American Burn Association Burn incidence fact sheet [Internet] 2022. http://www.ameriburn.org/resources_factsheet.php [cited August 16, 2024]. Available from:
    1. Rowan M.P., Cancio L.C., Elster E.A., Burmeister D.M., Rose L.F., Natesan S., et al. Burn wound healing and treatment: review and advancements. Crit. Care. 2015;19:243. doi: 10.1186/s13054-015-0961-2. - DOI - PMC - PubMed
    1. Spronk I., Legemate C., Oen I., van Loey N., Polinder S., van Baar M. Health related quality of life in adults after burn injuries: a systematic review. PLOS ONE. 2018;13(5) doi: 10.1371/journal.pone.0197507. - DOI - PMC - PubMed
    1. Esselman P.C. Burn rehabilitation: an overview. Arch. Phys. Med. Rehabil. 2007;88(12 Suppl 2):S3–S6. doi: 10.1016/j.apmr.2007.09.020. - DOI - PubMed

LinkOut - more resources