Barriers to the use of WIC services
To identify barriers that deter parents/caretakers of infants and children enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) from taking full advantage of the services provided by the program. A total of 3,167 parents/caretakers at 51 New York State WIC lo...
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| Veröffentlicht in: | Journal of the American Dietetic Association 2004-05, Vol.104 (5), p.736-743 |
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| container_title | Journal of the American Dietetic Association |
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| creator | Woelfel, Mary Lou Abusabha, Rayane Pruzek, Robert Stratton, Howard Chen, Shu Guang Edmunds, Lynn S. |
| description | To identify barriers that deter parents/caretakers of infants and children enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) from taking full advantage of the services provided by the program.
A total of 3,167 parents/caretakers at 51 New York State WIC local agency sites completed a barriers survey.
Sixty-eight potential barriers to WIC were identified through a literature review, five focus groups with parents/caretakers of WIC participants, and an expert review panel. The barriers survey was administered person-to-person to parents/caretakers of infants and children on WIC.
Classification tree analysis was used to identify characteristics that best predict WIC check usage behavior.
A small set of barriers (n=11) were identified by more than 20% of respondents. Waiting too long was the most frequently cited barrier (48%). Difficulties in bringing the infant/child to recertify and rescheduling appointments were key variables associated with failure to use (ie, pick up or cash) WIC checks. Further analyses indicated that (a) for each additional reported barrier, there was a 2% increase in failure to use WIC checks (P |
| doi_str_mv | 10.1016/j.jada.2004.02.028 |
| format | Article |
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A total of 3,167 parents/caretakers at 51 New York State WIC local agency sites completed a barriers survey.
Sixty-eight potential barriers to WIC were identified through a literature review, five focus groups with parents/caretakers of WIC participants, and an expert review panel. The barriers survey was administered person-to-person to parents/caretakers of infants and children on WIC.
Classification tree analysis was used to identify characteristics that best predict WIC check usage behavior.
A small set of barriers (n=11) were identified by more than 20% of respondents. Waiting too long was the most frequently cited barrier (48%). Difficulties in bringing the infant/child to recertify and rescheduling appointments were key variables associated with failure to use (ie, pick up or cash) WIC checks. Further analyses indicated that (a) for each additional reported barrier, there was a 2% increase in failure to use WIC checks (P<.0001); (b) waiting for services was related to an increase in the number of people who failed to use checks; and (c) the longer the reported wait, the greater the number of reported barriers (P<.0001).
Conducting this barriers research enabled the New York State WIC to improve services provided to participants and their families. A decrease in waiting times should generally reduce exposure to noisy, crowded facilities and lead to fewer reports of nothing for kids to do.</description><identifier>ISSN: 0002-8223</identifier><identifier>ISSN: 2212-2672</identifier><identifier>EISSN: 1878-3570</identifier><identifier>EISSN: 2212-2680</identifier><identifier>DOI: 10.1016/j.jada.2004.02.028</identifier><identifier>PMID: 15127057</identifier><identifier>CODEN: JADAAE</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; barriers to participation ; barriers to service ; Caregivers ; Caregivers - psychology ; Child care ; Child Health Services - utilization ; Child, Preschool ; Consumer Behavior - statistics & numerical data ; Dietary Services - utilization ; Female ; Food Services - utilization ; Health services ; Humans ; Infant ; Infant, Newborn ; Low income groups ; Male ; Maternal Health Services - utilization ; Mothers - psychology ; New York ; Nutritional Sciences - education ; Parents & parenting ; participation ; Pregnancy ; Program Evaluation ; social barriers ; surveys ; Time Factors ; United States ; WIC Program ; Women</subject><ispartof>Journal of the American Dietetic Association, 2004-05, Vol.104 (5), p.736-743</ispartof><rights>2004 American Dietetic Association</rights><rights>Copyright American Dietetic Association May 2004</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-8933b47399f6d6ea0c46c82ea13a3bb367c579b3536912753bf9cfd005efe193</citedby><cites>FETCH-LOGICAL-c403t-8933b47399f6d6ea0c46c82ea13a3bb367c579b3536912753bf9cfd005efe193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002822304002342$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15127057$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Woelfel, Mary Lou</creatorcontrib><creatorcontrib>Abusabha, Rayane</creatorcontrib><creatorcontrib>Pruzek, Robert</creatorcontrib><creatorcontrib>Stratton, Howard</creatorcontrib><creatorcontrib>Chen, Shu Guang</creatorcontrib><creatorcontrib>Edmunds, Lynn S.</creatorcontrib><title>Barriers to the use of WIC services</title><title>Journal of the American Dietetic Association</title><addtitle>J Am Diet Assoc</addtitle><description>To identify barriers that deter parents/caretakers of infants and children enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) from taking full advantage of the services provided by the program.
A total of 3,167 parents/caretakers at 51 New York State WIC local agency sites completed a barriers survey.
Sixty-eight potential barriers to WIC were identified through a literature review, five focus groups with parents/caretakers of WIC participants, and an expert review panel. The barriers survey was administered person-to-person to parents/caretakers of infants and children on WIC.
Classification tree analysis was used to identify characteristics that best predict WIC check usage behavior.
A small set of barriers (n=11) were identified by more than 20% of respondents. Waiting too long was the most frequently cited barrier (48%). Difficulties in bringing the infant/child to recertify and rescheduling appointments were key variables associated with failure to use (ie, pick up or cash) WIC checks. Further analyses indicated that (a) for each additional reported barrier, there was a 2% increase in failure to use WIC checks (P<.0001); (b) waiting for services was related to an increase in the number of people who failed to use checks; and (c) the longer the reported wait, the greater the number of reported barriers (P<.0001).
Conducting this barriers research enabled the New York State WIC to improve services provided to participants and their families. A decrease in waiting times should generally reduce exposure to noisy, crowded facilities and lead to fewer reports of nothing for kids to do.</description><subject>Adolescent</subject><subject>Adult</subject><subject>barriers to participation</subject><subject>barriers to service</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Child care</subject><subject>Child Health Services - utilization</subject><subject>Child, Preschool</subject><subject>Consumer Behavior - statistics & numerical data</subject><subject>Dietary Services - utilization</subject><subject>Female</subject><subject>Food Services - utilization</subject><subject>Health services</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Low income groups</subject><subject>Male</subject><subject>Maternal Health Services - utilization</subject><subject>Mothers - psychology</subject><subject>New York</subject><subject>Nutritional Sciences - education</subject><subject>Parents & parenting</subject><subject>participation</subject><subject>Pregnancy</subject><subject>Program Evaluation</subject><subject>social barriers</subject><subject>surveys</subject><subject>Time Factors</subject><subject>United States</subject><subject>WIC Program</subject><subject>Women</subject><issn>0002-8223</issn><issn>2212-2672</issn><issn>1878-3570</issn><issn>2212-2680</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotn78AQ-6KHjbOkk2mwS8aPGjUPBgxWPIZmd1l7Zbk92C_96UFgQPwsAw8MzMy0PIGYURBZrfNKPGlnbEALIRsFhqjwypkirlQsI-GQIASxVjfECOQmjiCILCIRlQQZkEIYfk6t56X6MPSdcm3ScmfcCkrZL3yTgJ6Ne1w3BCDio7D3i668dk9vgwGz-n05enyfhumroMeJcqzXmRSa51lZc5WnBZ7hRDS7nlRcFz6YTUBRc81_G94EWlXVXGTFgh1fyYXG_Prnz71WPozKIODudzu8S2D0ZSpbUUWQQv_4BN2_tljGYYVRlTOdAIsS3kfBuCx8qsfL2w_ttQMBt9pjEbfWajzwCLpeLS-e5yXyyw_F3Z-YrAxRaobGvsh6-DeXtl8R2AFkKrPBK3WwKjqXU0a4KrcemwrD26zpRt_V-CH_pGhkY</recordid><startdate>20040501</startdate><enddate>20040501</enddate><creator>Woelfel, Mary Lou</creator><creator>Abusabha, Rayane</creator><creator>Pruzek, Robert</creator><creator>Stratton, Howard</creator><creator>Chen, Shu Guang</creator><creator>Edmunds, Lynn S.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20040501</creationdate><title>Barriers to the use of WIC services</title><author>Woelfel, Mary Lou ; Abusabha, Rayane ; Pruzek, Robert ; Stratton, Howard ; Chen, Shu Guang ; Edmunds, Lynn S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-8933b47399f6d6ea0c46c82ea13a3bb367c579b3536912753bf9cfd005efe193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>barriers to participation</topic><topic>barriers to service</topic><topic>Caregivers</topic><topic>Caregivers - psychology</topic><topic>Child care</topic><topic>Child Health Services - utilization</topic><topic>Child, Preschool</topic><topic>Consumer Behavior - statistics & numerical data</topic><topic>Dietary Services - utilization</topic><topic>Female</topic><topic>Food Services - utilization</topic><topic>Health services</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Low income groups</topic><topic>Male</topic><topic>Maternal Health Services - utilization</topic><topic>Mothers - psychology</topic><topic>New York</topic><topic>Nutritional Sciences - education</topic><topic>Parents & parenting</topic><topic>participation</topic><topic>Pregnancy</topic><topic>Program Evaluation</topic><topic>social barriers</topic><topic>surveys</topic><topic>Time Factors</topic><topic>United States</topic><topic>WIC Program</topic><topic>Women</topic><toplevel>online_resources</toplevel><creatorcontrib>Woelfel, Mary Lou</creatorcontrib><creatorcontrib>Abusabha, Rayane</creatorcontrib><creatorcontrib>Pruzek, Robert</creatorcontrib><creatorcontrib>Stratton, Howard</creatorcontrib><creatorcontrib>Chen, Shu Guang</creatorcontrib><creatorcontrib>Edmunds, Lynn S.</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Dietetic Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Woelfel, Mary Lou</au><au>Abusabha, Rayane</au><au>Pruzek, Robert</au><au>Stratton, Howard</au><au>Chen, Shu Guang</au><au>Edmunds, Lynn S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers to the use of WIC services</atitle><jtitle>Journal of the American Dietetic Association</jtitle><addtitle>J Am Diet Assoc</addtitle><date>2004-05-01</date><risdate>2004</risdate><volume>104</volume><issue>5</issue><spage>736</spage><epage>743</epage><pages>736-743</pages><issn>0002-8223</issn><issn>2212-2672</issn><eissn>1878-3570</eissn><eissn>2212-2680</eissn><coden>JADAAE</coden><abstract>To identify barriers that deter parents/caretakers of infants and children enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) from taking full advantage of the services provided by the program.
A total of 3,167 parents/caretakers at 51 New York State WIC local agency sites completed a barriers survey.
Sixty-eight potential barriers to WIC were identified through a literature review, five focus groups with parents/caretakers of WIC participants, and an expert review panel. The barriers survey was administered person-to-person to parents/caretakers of infants and children on WIC.
Classification tree analysis was used to identify characteristics that best predict WIC check usage behavior.
A small set of barriers (n=11) were identified by more than 20% of respondents. Waiting too long was the most frequently cited barrier (48%). Difficulties in bringing the infant/child to recertify and rescheduling appointments were key variables associated with failure to use (ie, pick up or cash) WIC checks. Further analyses indicated that (a) for each additional reported barrier, there was a 2% increase in failure to use WIC checks (P<.0001); (b) waiting for services was related to an increase in the number of people who failed to use checks; and (c) the longer the reported wait, the greater the number of reported barriers (P<.0001).
Conducting this barriers research enabled the New York State WIC to improve services provided to participants and their families. A decrease in waiting times should generally reduce exposure to noisy, crowded facilities and lead to fewer reports of nothing for kids to do.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>15127057</pmid><doi>10.1016/j.jada.2004.02.028</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult barriers to participation barriers to service Caregivers Caregivers - psychology Child care Child Health Services - utilization Child, Preschool Consumer Behavior - statistics & numerical data Dietary Services - utilization Female Food Services - utilization Health services Humans Infant Infant, Newborn Low income groups Male Maternal Health Services - utilization Mothers - psychology New York Nutritional Sciences - education Parents & parenting participation Pregnancy Program Evaluation social barriers surveys Time Factors United States WIC Program Women |
| title | Barriers to the use of WIC services |
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