title: Favorable impact of nutrition education on California WIC families.
abstract: OBJECTIVE
  To explore the impact of coordinated statewide nutrition education on Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) family behavior regarding fruits and vegetables, whole grains, and lower-fat milk.
  
  
  METHODS
  Survey of different cross-sectional samples of WIC families before and after education.
  
  
  METHODS
  Intervention delivered at all WIC sites in California from April-September 2009.
  
  
  METHODS
  Random samples of pregnant or postpartum women and/or caregivers of children enrolled in WIC: 3,015 before and 3,004 after coordinated nutrition education.
  
  
  METHODS
  Education directed at families to eat more, and a greater variety of, fruits and vegetables; eat more whole grains; and drink lower-fat milk instead of whole milk.
  
  
  METHODS
  Data collected by phone interview of women and caregivers on recognition of education messages, intention to consume, and change in family consumption of target food items.
  
  
  METHODS
  Means and frequencies computed. Chi-square and t tests used to compare responses before and after education and for Spanish and English subgroups.
  
  
  RESULTS
  Following nutrition education, women and caregivers reported increased recognition of education messages, positive movement in stage of change for target food items, increased family consumption of fruits and whole grains, and replacement of whole milk with lower-fat milk. Impacts were similar for Spanish and English speakers.
  
  
  CONCLUSIONS
  Coordinated nutrition education in WIC can significantly influence consumption toward more healthful food choices.
authors.affiliation: Dr. Robert C. and Veronica Atkins Center for Weight and Health, University of California, Berkeley, CA 94720, USA. lorrene_ritchie@sbcglobal.net
authors.forename: Lorrene D
authors.initials: LD
authors.lastname: Ritchie
authors.forename: Shannon E
authors.initials: SE
authors.lastname: Whaley
authors.forename: Phil
authors.initials: P
authors.lastname: Spector
authors.forename: Judy
authors.initials: J
authors.lastname: Gomez
authors.forename: Patricia B
authors.initials: PB
authors.lastname: Crawford
mesh_terms: D000328:Adult; D002140:California; D003430:Cross-Sectional Studies; D004032:Diet; D004034:Diet Surveys; D005190:Family; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008430:Maternal-Child Health Centers; D052756:Nutritional Sciences / Q000193:education*; D010353:Patient Education as Topic; D011247:Pregnancy; D011314:Preventive Health Services / Q000379:methods; D011632:Public Assistance; D055815:Young Adult