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Modernization of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program: Rationale
Catherine Wright1, Pascasie Adedze2, Alice Ammerman3
1Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Objective:
Describe the rationale and design for THIS-WIC, a large, multistate project to integrate telehealth into the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program for nutrition education and breastfeeding support service delivery.
Design:
Varied by the WIC state agency (1 group-randomized control trial, 4 quasi-experimental matched comparison designs, and 1 prepost design). Mixed-methods data collection, including surveys, interviews, the WIC Management Information System, telehealth metadata, and process and implementation.
Setting:
Special Supplemental Nutrition Program for Women, Infants, and Children local agencies (n = 68) in 7 states, including the District of Columbia, Georgia, Michigan, North Carolina, South Carolina, Vermont, and Wisconsin.
Participants:
Special Supplemental Nutrition Program for Women, Infants, and Children clients, including pregnant and lactating postpartum women aged ≥ 18 years, infants, and children aged ≤ 5 years at participating agencies. Special Supplemental Nutrition Program for Women, Infants, and Children staff who are responsible for delivering nutrition education/breastfeeding support, and local agency directors at participating intervention agencies.
Intervention(S):
Telehealth interventions varied by state, including enhanced video conferencing and virtual services provided through customized online platforms and portals. Intervention duration ranged from 7 to 18 months.
Main Outcome Measure(S):
Special Supplemental Nutrition Program for Women, Infants, and Children client satisfaction with telehealth.
Analysis:
Mixed-methods analysis.
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