WIC Research, Policy and Practice Hub WIC Research, Policy and Practice Hub

Behavior Change


Associations of Decisional Balance, Processes of Change, and Self-Efficacy with Stages of Change for Increased Fruit and Vegetable Intake Among Low-Income, African-American Mothers

The purposes of this study were (1) to determine the relationship between stage of change and decisional balance, processes of change, and self-efficacy variables of the Transtheoretical Model to increase fruit and vegetable consumption by low-income African-American mothers and (2) to assess the usefulness of the model for intervention efforts. Results showed that perceptions of benefits for health and planning meals were stronger for women in later stages, compared with earlier stages.


Reaching Low-Income Families: Focus Group Results Provide Direction for a Behavioral Approach to WIC Services

The researchers identified the barriers to and motivators of behavior change for WIC families. Barriers included lack of parenting skills, lack of knowledge, unhealthy social environments, lack of time, and lack of social or financial support. The motivators included feelings of responsibility, concern for child health and development, and positive social support. Facilitated discussions, support groups, cooking classes, and a WIC website were participants; preferred methods of nutrition education.


Position of the American Dietetic Association: Nutrition and Lifestyle for a Healthy Pregnancy Outcome

This position paper looked at women of childbearing ages and the importance of maintaining good nutritional status, through a lifestyle to optimize maternal health and reduce the risk of (1) birth defects, (2) suboptimal fetal growth and development, and (3) chronic health problems in their children. Most pregnant women need 2,200 to 2,900 kcal a day. However, body mass index before pregnancy, rate of weight gain, maternal age, and appetite must be taken into consideration for each individual.


Maternal Depressive Symptoms and Infant Health Practices Among Low-Income Women

The aim of this study was to determine the relationships between maternal depressive symptoms and the use of infant health services, parenting practices, and injury-prevention measures. A total of 48% of women had depressive symptoms at one or two time points (ever symptoms), and 12% had depressive symptoms at all points (persistent symptoms). There was no association between maternal depressive symptoms and infant receipt of well-child care or the likelihood of breastfeeding for 1 month or longer.


The Effect of the WIC Program on the Health of Newborns

These authors studied the effect of WIC on birth outcomes. Based on their findings, WIC showed no statistically significant effects for any of the following six outcomes: birth weight, prematurity, maternal report of the infant's health, small for gestational age, and placement in the neonatal intensive care unit.