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Updated: May 24, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Revised WIC food package improves diets of WIC families
Shannon E Whaley1, Lorrene D Ritchie, Phil Spector
1Public Health Foundation Enterprises WIC Program, Irwindale, CA 91706, USA. Shannon@phfewic.org
Objective:
To explore the impact of the new Special Supplemental Nutrition Program for Women, Infants and Children (WIC) food package on WIC participant consumption of fruit, vegetables, whole-grain food, and lower-fat milk.
Design:
Telephone surveys of cross-sectional samples of California WIC families before and after the changes to the food package.
Participants:
Random samples of pregnant or postpartum women and/or caregivers of children enrolled in WIC: 3,004 in September, 2009; 2,996 in March, 2010.
Main Outcome Measures:
Consumption of fruit, vegetables, whole-grain food, and lower-fat milk.
Analysis:
Comparisons of outcome variables were made by examining the differences by time point, adjusted for sociodemographic variables, using ANOVA (for means) or logistic regression (for percentages).
Results:
Following the changes to the WIC food package, consumption of whole-grain food increased by 17.3 percentage points, a 51% increase over baseline. Caregivers and children who usually consumed whole milk decreased by 15.7 and 19.7 percentage points, respectively, a 60%-63% reduction over baseline. Accompanying increases in lower-fat milk consumption were demonstrated. Small but significant increases in consumption of fruits and vegetables were also observed.
Conclusions And Implications:
Federal policy changes to the WIC program had the intended effect of increasing consumption of the prescribed food items.
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