在加利福尼亚州的参与者中,WIC服务使用,福利赎回和持续参与
Christopher E Anderson1, Catherine E Yepez1, Shannon E Whaley1
1Division of Research and Evaluation, Public Health Foundation Enterprises WIC Program, a program of Heluna Health, City of Industry, CA, USA.
Journal of the Academy of Nutrition and Dietetics
|May 19, 2025
概括
灵活的妇女,婴儿和儿童 (WIC) 服务的特殊补充营养计划,无论是面对面还是远程服务,在福利赎回和持续参与方面都显示出类似的结果. 在线教育和短信增强了这些结果,特别是对于不使用面对面服务的家庭.
科学领域:
- 公共卫生 营养 公共卫生 营养
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 妇女,婴儿和儿童特别补充营养计划 (WIC) 为低收入家庭提供关键的营养援助.
- 自2020年以来,灵活的服务交付模式,包括面对面和远程选项,已实施,以提高可访问性.
研究的目的:
- 分析各种模式 (面对面,电话,视频,短信,在线教育) 的WIC服务使用模式.
- 评估不同WIC服务使用模式与WIC福利赎回率之间的关联.
- 评估WIC服务使用率与继续参与WIC计划之间的关系.
主要方法:
- 一项横截面研究,利用来自加利福尼亚州WIC家庭的调查和行政数据,其中包括1至4岁的儿童.
- WIC食品福利的赎回被衡量为12个月内赎回的平均百分比.
- 持续参与被定义为在认证期结束后两个月内成功重新认证.
主要成果:
- 面对面和完全远程的WIC服务显示了可比的WIC福利赎回率 (53.2%对53.3%) 和持续参与率 (83.7%对81.2%).
- 在线个人教育与福利赎回增加2.2%有关.
- 对于不使用面对面服务的参与者来说,在线教育 (个人和团体) 和交互式短信与更高的福利赎回和持续参与有关.
结论:
- 面对面和远程WIC服务都有效地维持了福利赎回和计划参与.
- 在线个人教育和交互式短信是改善WIC成果的有价值工具,特别是在服务不足的人群中.
- 建议继续投资技术和人员培训,以提供灵活的WIC服务,以支持积极的健康结果.
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