Planning a WIC Research Agenda Workshop Summary (2011) / Chapter Skim
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Appendix F: Compilation of Proposed Research Topics and Methodological Issues Covered During the Workshop
Appendix F: Compilation of Proposed Research Topics and Methodological Issues Covered During the Workshop
Pages 159-166
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From page 159... ...
The list does not reflect priorities or group consensus. PROPOSED RESEARCH TOPICS Overview • Additional, more rigorous evaluations of the effectiveness of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
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Inputs to consider include precon ceptional smoking, prenatal weight gain, diet, exercise, and smoking cessation. Outcomes to consider include metabolic allostasis and allostatic load, postpartum weight retention, and breastfeeding.
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The targets of intervention during infancy would include excess infant weight gain; breastfeeding initiation, continuation, and exclusiv ity; responsive feeding; portion sizes of bottles and solid food containers; outdoor physical activity; limiting television viewing and televisions in bedrooms; improving sleep quality and du ration; coordinated referrals and communication strategies; im provements in parents' ability to handle infant feeding, sleep, and media exposure; and the identification of children at high risk of rapid growth. • The effects of a coordinated communication strategy among WIC, Head Start, and pediatricians on changing behaviors that help pre vent obesity among children 12 to 60 months of age.
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• The inclusion of oral health screening, fluoride treatment, dental sealant application, and other basic oral-health activities and refer rals as part of WIC services. • The use of WIC to help establish pediatric medical homes for infant and child participants.
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• WIC's role in providing nutrition education services to postpartum women and to fathers or other caregivers, and to others who influ ence care. • The potential applicability of interventions that have been effective in achieving behavior change in settings outside of WIC.
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• Reduce recall periods to obtain accurate information on the inten sity of breastfeeding. • Collect data on relevant covariates; include prenatal breastfeeding intentions, past breastfeeding history and experience, early hospital experience, reasons for the feeding choice, and the WIC food pack age chosen.
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• Conduct periodic national WIC evaluations to track attitudes and behaviors, food purchasing patterns, the use of vouchers, and the mother–child dyad; allow comparisons across the larger states; track changes in the health of selected WIC women and children over time and compare with changes in a control group. • Conduct a long-term prospective study of children with differing exposures to WIC (see Chapter 8)
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Reporting • Adopt the Transparent Reporting of Evaluations with Non randomized Designs (TREND) statement to allow for a more systematic review of the WIC interventions and possibly for the merging of small datasets, • Include a strategy statement, which is a description of procedures used in the intervention that is detailed enough that another inves tigator could replicate the intervention, and • As part of the research agenda, develop a process for synthesizing and disseminating the WIC research findings.
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