Features of an effective counseling session with patients embody: assessment of their readiness for change; dialogue of the significance of reduced sodium intake for health; discussion of the general idea of diet high quality, e.g. SPRINT food regimen, with suggestions for successful adoption; assessment of affected person obstacles to adherence with options for higher adherence; goal setting; and distribution of written material (See Desk 2 ). 36 Although clinic visits often do not enable time to cowl of all parts of an effective counseling session, a superb first step is for the physician to protect time in the session to debate weight-reduction plan and obstacles to dietary modification. 28 Each New York City and Massachusetts are members of the National Salt Reduction Initiative, a voluntary coalition that aims to scale back the sodium content material of packaged and restaurant foods by 25%. In Finland, mass media schooling campaigns have been coupled with voluntary efforts by trade and warning labels on high salt packaged foods, all resulting in an average sodium discount of 1,200 mg/day.