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Making WIC Work for Multicultural Communities - Food Research ...

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Targeting <strong>WIC</strong> staff<br />

Yet another Cali<strong>for</strong>nia Fit <strong>WIC</strong> program goal was to increase staff awareness of childhood<br />

overweight/obesity and help them improve their own health behaviors, as outlined in the staff training<br />

manual “Fit <strong>WIC</strong>: Supporting <strong>WIC</strong> Families and Staff.” For instance, the project included special trainings<br />

and workshops to assist staff in discussing weight, healthy eating, and physical activity with <strong>WIC</strong><br />

participants. The project also encouraged all local <strong>WIC</strong> agencies to develop staff wellness programs.<br />

Cali<strong>for</strong>nia <strong>WIC</strong> believes <strong>WIC</strong> staff are the best role models <strong>for</strong> <strong>WIC</strong> families so it is important to support<br />

staff to make health lifestyle choices.<br />

Targeting Other Community Members<br />

In the community, Cali<strong>for</strong>nia Fit <strong>WIC</strong> developed gardens, implemented task <strong>for</strong>ces on physical activity<br />

and nutrition, and drafted physical activity resource guides. For example, the program produced a<br />

training kit <strong>for</strong> communities to address overweight/obesity among children entitled “Children and Weight:<br />

What <strong>Communities</strong> Can Do.” The Fit <strong>WIC</strong> program also promoted farmers’ markets near <strong>WIC</strong> clinics and<br />

established a partnership with local restaurants to increase community members’ fruit and vegetable<br />

consumption.<br />

The Fit Families Novela Series<br />

In an ef<strong>for</strong>t to make Fit <strong>WIC</strong> accessible to families of diverse cultural<br />

and racial/ethnic backgrounds, the Center <strong>for</strong> Weight and Health at the<br />

University of Cali<strong>for</strong>nia, Berkeley created the Fit Families Novela Series,<br />

a set of three videonovelas and three fotonovelas addressing Fit <strong>WIC</strong><br />

topics in both English and Spanish. This allows Fit <strong>WIC</strong> to reach the<br />

three largest <strong>WIC</strong> populations in Cali<strong>for</strong>nia, the Latino, White, and<br />

African American communities.<br />

These bilingual materials depict realistic characters striving to create<br />

healthy snacks, limit their TV watching, and increase their physical<br />

activity. The Cali<strong>for</strong>nia <strong>WIC</strong> State Agency distributed the video and<br />

fotonovelas to all of their local agencies (over 600 sites). The intent<br />

was to incorporate them into nutrition education classes <strong>for</strong> <strong>WIC</strong><br />

participants throughout the state.<br />

National Fit <strong>WIC</strong><br />

In 1999, the <strong>Food</strong> and Nutrition Service (FNS) at the United States Department of Agriculture launched<br />

Fit <strong>WIC</strong>, a three-year research and evaluation project, in five <strong>WIC</strong> Agencies: Cali<strong>for</strong>nia, Kentucky,<br />

Vermont, Virginia, and the Intertribal Council of Arizona (ITCA). According to FNS, Fit <strong>WIC</strong> is “a collection<br />

of social-environmental strategies to promote healthy weight [and prevent obesity/overweight] among<br />

children enrolled in <strong>WIC</strong>.” The Fit <strong>WIC</strong> implementation manual contains more in<strong>for</strong>mation about all of<br />

these initiatives, as well as lessons learned and recommendations.<br />

Project Evaluation<br />

The Cali<strong>for</strong>nia Fit <strong>WIC</strong> program administered a survey to all staff in order to assess “staff knowledge,<br />

practices, intervention ideas, and perceived barriers to implementation of programs to prevent<br />

overweight among <strong>WIC</strong> children.” The survey instrument was developed by the <strong>WIC</strong> State Agency, the<br />

University of Cali<strong>for</strong>nia, Berkeley, and Samuels and Associates consulting group.<br />

The State Agency and Berkeley also administered a similar survey to <strong>WIC</strong> participants in order to assess<br />

the effectiveness of the Fit <strong>WIC</strong> project on <strong>WIC</strong> families. They compared survey findings from three Fit<br />

<strong>WIC</strong> intervention sites (Pico Rivera, Santa Paula, and Grand Avenue) and three control sites (Flower<br />

Street, Ventura, and County Main). The surveys were distributed in both English and Spanish.<br />

<strong>Making</strong> <strong>WIC</strong> <strong>Work</strong> <strong>for</strong> <strong>Multicultural</strong> <strong>Communities</strong>: Best Practices in Outreach and Nutrition Education 26

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