2002 WIC Special Project Grants
A Client Centered Approach to Education for Prevention of Overweight in Children
State Agency: Missouri
Summary: This project presents an approach to reduce overweight and the risk of overweight through nutrition education, targeting mothers and primary caregivers. The Transtheoretical Stages of Change Model is applied to assess family readiness to change and to develop a client-centered approach in order to reduce the incidence of overweight among children in the WIC Program. Based on Bright Futures in Practice: Nutrition, the project focuses on families to impact the child’s obesity through: (1) the development of counseling skills of nutrition educators; (2) the provision of a sound knowledge base to families on behavioral issues related to obesity in infants and children; and (3) adaptation of obesity prevention education materials directed at specific stages of change.
WIC Services in the Medical Home: Improving Early Feeding Practices
State Agency: Vermont
Summary: This project introduces an innovative service delivery model to improve early feeding practices in children. It provides frequent contacts between parents and WIC nutritionists, including the pediatrician, as an active partner in assessing the child’s nutrition needs in an effort to enhance nutrition education to parents. A WIC nutritionist is out-stationed on a part-time basis in a pediatrician’s office in three private practices. The WIC nutritionist provides nutrition education and WIC certification services to families during well-child appointments. The focus of this project is to benefit families through (1) improved early feeding practices and outcomes by proactively responding to health issues; (2) access to program certification without an extra visit to the WIC clinic; (3) increased communications and coordination between the WIC Program and the participant’s medical home; and (4) improved continuity of enrollment and service completion by reducing "no show" rates at WIC clinics and "dropout" rates after the first birthday.
Final Report: Vermont WIC State Agency: WIC Services in the Medical Home: Improving Early Feeding Practices [PDF]
Implementation Guide [PDF]