217285 Participant-Centered Education: Implementing a new model in the Supplemental Nutrition Program for Women, Infants and Children (WIC)

Monday, November 8, 2010

Jan Kallio, MS, RD, LDN , Food Assistance and Nutrition Practice Area, Altarum Institute, Portland, ME
Lissa Ong, MPH, RD , Western Region Office-WIC, USDA-FNS, San Francisco, CA
Linda Yee, MPH , Bureau of Nutrition and Physical Activity, Arizona Department of Health Services, Phoenix, AZ
Susan Greathouse, MPH, RD, IBCLC , Nutrition and Local Services Manager, DHS/WIC Program, Portland, OR
Jaclyn Burm, MPH, RD , ADHS Bureau of Nutrition and Physical Activity, Arizona WIC Program, Phoenix, AZ
Fatima Hoger, MS, RD, LD , Division of Public Assistance, Family Nutrition Programs, Alaska Department of Health and Social Services, Anchorage, AK
Participant-Centered Education (PCE) is a nutrition service delivery approach that puts the learner at the center of the educational process. Unlike a traditional medical clinic model with a didactic educational approach, PCE facilitates an environment that fosters engaging clients and counselors act as listeners to guide the nutrition behaviors that promote positive health outcomes. Through PCE the focus is on topics of interest to the client, addressing their specific needs and circumstances, and affirming healthy behavioral goals. PCE is based in behavior change theory and is effective in addressing complex food-related behaviors. This unique approach is effective in accomplishing lasting behavioral change. The fourteen State agencies with the Special Supplemental Nutrition Programs for Women, Infants, and Children (WIC) in the Western Region of USDA, Food and Nutrition Service, through partnership with Altarum Institute, developed a comprehensive, health-outcome service delivery model that features participant-centered education (PCE) as the core concept. PCE has seven domains which frame a systems approach for effectively implementing the model. Each domain - state agency responsibilities, service delivery environment, leadership and mentoring, local agencies engaged, nutrition educators' skills, cultural competency, and materials - defines specific features to achieve the desired outcome, touching on all aspects of WIC service delivery. The PCE model can be tailored to meet state-specific needs. A PCE Implementation Toolkit includes an implementation guide, full description of the model, video, self-assessment tools, and resource guide. Several states are beginning to implement the model to influence WIC participant nutrition behaviors and achieve positive health outcomes.

Learning Areas:
Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the PCE model, with its domains and features, and understand the comprehensive, systems approach to this new WIC nutrition service model. Describe the implementation toolkit and its components for potential utilization in their community WIC program(s) or other public health programs. Define participant-centered education and recognize the value of the PCE model and nutrition education approach. Identify the benefits of PCE to WIC staff, participants, and clinic efficiency, and describe the lessons learned and challenges overcome by State agencies in engaging WIC staff to transform WIC clinics to the new model.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As Altarum Institute's Project Lead for the Parcipant-Centered Education (PCE) project, I have partnered closely with the WIC Western Region of USDA-FNS in designing and implementing PCE throughout the Western Region, including the delivery of technical assistance and training to WIC administrators and staff.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Altarum Institute, a non-profit consulting organization Food Assistance and Nutrition Consultant

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.