wichealth.org: impact of a stages of change-based Internet nutrition education program.
OBJECTIVE
To determine the usefulness and impact of on stage of change associated with 8 WIC client nutrition issues.


METHODS
Cross-sectional design. Data were collected through an online survey and via Web pages visited by clients for each module.


METHODS
intervention and data collection are Internet-based.


METHODS
39,541 WIC participants from 7 states completed a module and online survey. Subjects were likely between the ages of 18 and 34, residing in Michigan, Illinois, or Indiana, and accessing the Internet from home.


METHODS
Intervention included 5 online modules focusing on parent-child feeding behaviors.


METHODS
Impact variables included stage of change movement, user belief in ability to engage in behavior, and perception of site usefulness.


METHODS
Data were reported using frequency, ANOVA (analysis of variance) (P < . 01), and chi-square (P < .01) analyses.


RESULTS
Movement in stage was greatest for the "picky eater" (PE) module. Contemplation as the beginning stage had the greatest stage movement. Participants responded well to all measures of site usefulness. User belief in ability to engage in behavior was associated with 7 of the 8 modules.


CONCLUSIONS
is a highly popular and viable method for impacting movement in stage of change with a number of parent-child feeding issues.
Bensley
Robert J
RJ
Western Michigan University, Department of HPER, Kalamazoo, MI 49008, USA. robert.bensley@wmich.edu
Brusk
John J
JJ
Anderson
Judith V
JV
Mercer
Nelda
N
Rivas
Jason
J
Broadbent
Lindsay N
LN
D000328:Adult; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D053198:Child Nutrition Sciences / Q000193:education; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D005522:Food Services / Q000592:standards*; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D020407:Internet; D008297:Male; D039382:Maternal Nutritional Physiological Phenomena; D052756:Nutritional Sciences / Q000193:education*; D011247:Pregnancy; D014481:United States