Strategi konseling gizi telenutrition dan kepuasan klien: studi kasus layanan oleh dietisien

https://doi.org/10.22146/ijcn.115838

Siti Intania(1), Elfrida Twinsani Eggelion Missi(2*), Yosephin Anandati Pranoto(3)

(1) Program Studi Profesi Dietisien, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Program Studi Profesi Dietisien, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Departemen Gizi Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Telenutrition counseling strategies and client satisfaction: a case study of dietitian service 

Background: Digital technology has expanded telenutrition, improving accessibility, especially after the COVID-19 pandemic. However, its success depends on effective communication strategies that achieve high satisfaction and sustainable changes in client behavior.

Objectives: This study aimed to identify the communication strategies used by the dietitian in telenutrition-based nutrition counseling and describe clients’ satisfaction with the service.

Methods: This study used a mixed-methods design, combining qualitative and quantitative approaches. Qualitative data were collected through an in-depth interview with a dietitian, while quantitative data were collected using a 1-4 Likert-scale satisfaction questionnaire for 8 clients. Clients were selected using consecutive sampling. Data were analyzed narratively and descriptively.

Results: The dietitian used Google Meet and Instagram as online media. Interpersonal communication techniques emphasizing clarity, empathy, openness, supportiveness, and responsiveness were applied. The counseling technique combined cognitive behavior therapy, solution-focused therapy, and motivational interviewing. Supportive media, such as a diet recommendations handout, food portion photos, visual illustrations, and a food diary, were also used in counseling. The satisfaction survey showed high satisfaction, with an average score of 3.88 out of 4 across accessibility and cost, communication quality, information clarity and relevance, impact and benefits, and general satisfaction.

Conclusions: This case study demonstrates high client satisfaction with the dietitian's communication strategies for delivering telenutrition services.


Keywords


communication strategy; client satisfaction; dietitians; nutrition counseling; telenutrition

Full Text:

PDF


References

  1. Daud NL, Nor NM, Jaafar NH, Bakar WA, Shukri NA. The feasibility and effectiveness of telenutrition for remote dietary consultation: a systematic review and meta-analysis. Curr Res Nutr Food Sci J. 2025;13(1):46-60. doi: 10.12944/CRNFSJ.13.1.3
  2. Farid D. COVID-19 and telenutrition: remote consultation in clinical nutrition practice. Curr Dev Nutr. 2020;4(12):124. doi: 10.1093/cdn/nzaa124
  3. Mulyani I, Dieny FF, Rahadiyanti A, Fitranti DY, Tsani AF, Murbawani EA. Efek motivational interviewing dan kelas edukasi gizi berbasis Instagram terhadap perubahan pengetahuan healthy weight loss dan kualitas diet mahasiswi obesitas. Jurnal Gizi Klinik Indonesia. 2020;17(2):53. doi: 10.22146/ijcn.53042
  4. Panoto YA, Zain IN, Robianto DN. Efektivitas konseling gizi online (tele-nutrition) terhadap perubahan kualitas diet dan kualitas hidup pasien kanker payudara. Prosiding Temu Ilmiah Nasional PERSAGI. 2023;5(1):43-54.
  5. Baykan HK, Oner N. A new communication model between clients/patients and dietitians: telenutrition, evaluation of the perspectives of clients/patients and dietitians. Acibadem Univ Saglik Bilim Derg. 2025;16(2):310-317. doi: 10.31067/acusaglik.1586516
  6. Cruz KM, Bernardo AM. Qualitative analysis of acceptability of telenutrition among adult patients during the COVID-19 pandemic. J Hum Ecol Sustain. 2023;1(1):2. doi: 10.56237/jhes22007
  7. Shima M, Piovacari SM, Steinman M, Pereira AZ, Dos Santos OF. Telehealth for nutritional care: improving patient flow in hospitals. Telemed Rep. 2022;3(1):117-24. doi: 10.1089/tmr.2021.0054
  8. Barbosa ID, Silva KC, Silva VA, Silva MJ. The communication process in telenursing: integrative review. Rev Bras Enferm. 2016;69:765-72. doi: 10.1590/0034-7167.2016690421i
  9. Sanra A, Lubis LA, Nurbaini N. Communication strategies of counselors in outpatient rehabilitation programs. Formosa J Appl Sci. 2024;3(1):363-378. doi: 10.55927/fjas.v3i1.7701
  10. Aulia B, Mayasari M, Notarianti R, Pranoto YA. Dietitian perspective and experience: implementation of telenutrition in Indonesia and the challenge of performing the nutrition-focused physical examination (NFPE). Nutr Health. 2025;31(4):1707-1716. doi: 10.1177/02601060241313250
  11. Januraga PP, Izwardi D, Crosita Y, Indrayathi PA, Kurniasari E, Sutrisna A, Tumilowicz A. Qualitative evaluation of a social media campaign to improve healthy food habits among urban adolescent females in Indonesia. Public Health Nutr. 2021;24(S2):S98-S107. doi: 10.1017/S1368980020002992
  12. Wang H, Jia J, Fan Y, Chen H, Lou Y, Wang X, Huang X. Impact of inpatient self-efficacy and trust in physicians on inpatient satisfaction. Front Psychol. 2024;15:1364319. doi: 10.3389/fpsyg.2024.1364319
  13. Gnagnarella P, Ferro Y, Monge T, Troiano E, Montalcini T, Pujia A, Mazza E. Telenutrition: changes in professional practice and nutritional assessments during the COVID-19 era. Nutrients. 2022;14(7):1359. doi: 10.3390/nu14071359
  14. Abbasnezhad M, Irandoust K, Hashemi SA. Identifying and ranking of features and characteristics of online consultation pages and virtual prescription applications with a focus on nutrition and exercise. AITech. 2024;2(1):1-8. doi: 10.61838/kman.aitech.2.1.1
  15. Gamito M, Pereira DR, Delgado M, Vicente F, Silva ML, Pereira, P. How do nutritionists/dietitians use social media to communicate with their public? global perspectives on social media practices: a systematic review. Nutrients. 2025;17(22):513. doi: 10.3390/nu17223513
  16. Adigwe P, Okoro E. Human communication and effective interpersonal relationships: an analysis of client counseling and emotional stability. Int J Econ Manag Sci. 2016;5(3):3-6. doi: 10.4172/2162-6359.1000336
  17. Fitriarti EA. Komunikasi terapeutik dalam konseling. Profetik: Jurnal Komunikasi. 2017;10(1):83-99. doi: 10.14421/pjk.v10i1.1223
  18. Timlin D, McCormack JM, Kerr M, Keaver L, Simpson EE. Are dietary interventions with a behaviour change theoretical framework effective in changing dietary patterns?. BMC Public Health. 2020;20(1):1857. doi: 10.1186/s12889-020-09985-8
  19. Pratini H, Afifah AN. Pendekatan solution focused brief therapy dalam mengurangi perilaku prokrastinasi pada mahasiswa. Fokus. 2018;1(2):74-81.
  20. Anderson H, Rulli D, Sutton JD, Theis-Mahon N, Arnett MC. A narrative review of the utilization of motivational interviewing for nutritional counseling in dentistry. J Dent Hyg. 2025;99(3):38-50.
  21. Smart H, Clifford D, Morris MN. Nutrition students gain skills from motivational interviewing curriculum. J Acad Nutr Diet. 2014;114(11):1715-1717. doi: 10.1016/j.jand.2014.04.012
  22. Thampinathan S. Combining motivational interviewing with cognitive behavioural therapy in primary care: a literature review. J Can Physician Assist. 2020;1(5):43-49. doi: 10.5203/jcanpa.v1i5.864
  23. Melani AIM, Wati DA, Nurhayati A. Pengaruh media konseling gizi terhadap kepatuhan diet pasien diabetes melitus tipe II. Jurnal Pendidik Tambusai. 2024;8:31471-84.
  24. Lucassen DA, Willemsen RF, Geelen A, Brouwer-Brolsma EM, Feskens EJ. The accuracy of portion size estimation using food images and textual descriptions. J Hum Nutr Diet. 2021;34(6):945-952. doi: 10.1111/jhn.12878
  25. Hawrysz L, Gierszewska G, Bitkowska A. Patient satisfaction with remote healthcare prior to and during the COVID-19 pandemic. Int J Environ Res Public Health. 2021;18(10):5338. doi: 10.3390/ijerph18105338
  26. Hernandez C, Prieto J, Padilla YC, Bergman J, Scotland K. Influence of educational materials on patient satisfaction. Am J Health Educ. 2025;57(2):75-85. doi: 10.1080/19325037.2025.2552667
  27. Heponiemi T, Jormanainen V, Leemann L, Manderbacka K, Aalto AM, Hypponen H. Digital divide in perceived benefits of online health care and social welfare services: national cross-sectional survey study. J Med Internet Res. 2020;22(7):e17616. doi: 10.2196/17616



DOI: https://doi.org/10.22146/ijcn.115838

Article Metrics

Abstract views : 0 | views : 0

Refbacks

  • There are currently no refbacks.




Copyright (c) 2026 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 

  free
web stats View My Stats