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7 Nutrition Education in WIC
Pages 73-86

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From page 73...
... involves helping participants understand the importance of nutrition and physical activity to their health and also learn how to make positive changes in those habits with the goal of reducing health risks including obesity. The process of delivering nutrition education in WIC is illustrated in Figure 7-1.
From page 74...
... Approaches Most of the studies on approaches have been of the type called WIC plus studies, in which augmented WIC services are compared with the usual services using convenience samples. Findings from these studies can be used to inform efforts to improve the delivery of WIC nutrition education, but these studies are not necessarily representative of usual practice or the
From page 75...
... " Audience Most of the WIC nutrition education studies address pregnant or postpartum women (USDA/FNS, 2000)
From page 76...
... It would be valuable to consider more complex designs, she said. To improve study designs, more attention should be paid to the possibility of longitudinal design, random selection and assignment to minimize selection bias, appropriate comparison or control groups, multivariate analysis to account for moderating variables, validated outcome measures, the use of a number of states and sites to take the research beyond the clinic level of delivery and analysis, and the method of data collection.
From page 77...
... Should it include child feeding and development or cooking and shopping, or both? Dose Information is needed on whether four education contacts per year are sufficient, how session attendance can be increased, and whether WIC nutrition education contacts are synergistic with other nutrition education programs, such as Head Start and Supplemental Nutrition Assistance Program-Education (SNAP-Ed)
From page 78...
... Proposed Study As a next step in research design, Townsend and Ritchie proposed a study that would be less expensive than a national study. The study addresses the question, "Can WIC nutrition education reduce the risk of obesity?
From page 79...
... She then added two relevant topics to the list: the "nutrition transition," which is characterized by an easy access to ready-to-eat food and reduced energy expenditure; and infants' and toddlers' increasing desire for autonomy. Methodological Issues and Strategies Because didactic education has limitations, WIC has incorporated learner-centered education, tailored messages, and various other strategies, such as motivational interviewing to elicit change.
From page 80...
... Over approximately the past 4 years, team members have visited 19 states and 60 local WIC agencies. They have conducted Web surveys, interviewed more than 600 local WIC staff who provide nutrition education, held focus groups or intercept interviews with 1,800 WIC clients about nutrition education, and observed the delivery of services.
From page 81...
... Women reported feeling 2 SNAP-Ed nutrition interventions refer to nutrition education efforts directed to persons eligible for SNAP, not to the provision of monthly benefits that can be used for the purchase of foods.
From page 82...
... Closing Remarks Although many issues concerning nutrition education will need to be addressed in the future, Bell urged the initial focus to be on what nutrition education is and then on the appropriate outcome for the interventions. GROUP DISCUSSION Moderator: Shannon E
From page 83...
... Specific proposals by the presenters included the use of comparative effectiveness studies in numerous sites in four to eight states and the merging of results through appropriate analysis. Following TREND guidelines and writing strategy statements may be helpful in reports provided to funders and in journal papers.
From page 84...
... 2004. Randomized trial of a tailored nutrition education CD-ROM pro gram for women receiving food assistance.
From page 85...
... 2007. using Point of-Purchase Data to Ealuate Local WIC Nutrition Education Interentions: Feasibil ity Study.
From page 86...
... Submitted. Revised WIC food package produces intended behavior change in WIC families.


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