Best Practices for Dietitians Working With Diverse Populations K I M B E R L E Y ROS E - F RA N C I S RDN, LD, CDCES NE HUB MANAGER
J U L I E L A N FO R D MS, RD, CSO, LDN
We get it! Speaking about diversity and promoting equity and inclusion are hard, especially if you're a White dietitian who's uncertain about where to start for fear of offending someone. However uncomfortable, we must have these conversations because diversity, equity and inclusion uplift the profession. They also make us better practitioners for the clients we serve and make the world a better place for all. Here are a few of Julie and Kim’s “best practices” for working with diverse populations:
RECOGNIZE YOUR "HOME CULTURE."
First of all, be self-aware as to what culture(s) you self-identify and are most comfortable in. Understanding your own culture helps you be aware of the similarities and differences between cultures. Your “home culture” may be influenced by your ethnicity, race, heritage, country of origin, area of the country or other factors.
BE CURIOUS.
Becoming more aware of the similarities and differences between cultures can be fun and informative. Be curious with your clients as you explore what their cultural food norms are and how their practices contribute to nutrition intake. While it’s important to be aware of differences among racial and ethnic groups, avoid making assumptions based on that. Instead, just ask good questions. Ask open-ended questions such as “tell me about how you make that,” or “what do you eat on a typical day,” or “how do you feel after you eat your typical breakfast?”.
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CELEBRATE DIFFERENCES.
We’re all familiar with differing food preferences. Some are cultural, but many are cross-cultural and are simply personal preferences. For the most part, one preference isn’t necessarily better than another. Find ways to celebrate different nutrition preferences and avoid any broad-stroke statements labeling a food or recipe as unhealthy.
FIND THE RIGHT PERSON/ PEOPLE TO BRING THE MESSAGE TO YOUR AUDIENCE.
We know this is easier said than done. When planning programs or working in the community, the best practices involve peer educators or healthcare providers who match the culture of your intended audience.
For White dietitians who are working with programs that intend to reach minority audiences, we must recognize when we don’t fit that need. Surrounding yourself with advisors and seeking to employ or partner with individuals who do meet that need are essential. Being able to speak another language, or looking like someone from your intended audience, is helpful, but is not equal to having an “insider” perspective. Be honest about what audience you are trying to impact and whom you need on your team to help communicate with your audience and earn trust. For example, Julie has had to recognize that although she is White, she was
