Fit WIC: ITCA



 

Fit WIC

THE INTER TRIBAL COUNCIL OF ARIZONA:
Overweight Prevention Project within the Tribal Community

The ITCA WIC Program
The Inter Tribal Council of Arizona (ITCA) serves 9,000 WIC participants each month, the majority of whom are American Indian (75%). Overweight is the most prevalent nutrition risk for the 2,000 children served by ITCA with nearly 50% of the children ages 2-5 identified as overweight or at risk for overweight.

Goal
The goals of the Fit WIC ITCA Project were to:

  • Improve the staff's comfort level with providing nutrition and physical activity education.
  • Re-focus nutrition education sessions to emphasize the feeding relationship rather than the specific foods consumed.
  • Offer new educational formats to participants, such as facilitated discussion groups and classes for children.

Methods
The Fit WIC ITCA project achieved these goals by conducting a variety of activities. To help staff members feel more comfortable in discussing weight issues with WIC clients, staff members themselves were assisted in developing their own personal goals for nutrition and physical activity. By engaging in the behaviors they are promoting with clients, WIC staff members would feel better equipped to help clients develop and achieve their own goals.

Staff received training and tools to help them teach about parenting strategies that are applicable to mealtimes. A new care plan and questionnaire was developed to elicit information about feeding relationship issues from WIC caregivers during individual counseling sessions.

Staff learned skills to lead discussion groups with adults. Additionally, new classes for children were developed. These classes involved children in reading a story about food, helping to prepare a healthy snack, and participating in fun, physical activities.

Accomplishments
Successes were realized in all project focus areas. Staff members who participated in project intervention activities demonstrated more positive changes in their own lifestyle, such as an increase in exercise, a change in diet, or watching less television, than did staff in the control group. Caregivers who participated in group activities expressed an appreciation for a change of pace and an opportunity to interact with others during their WIC visit. Staff members who facilitated group activities with caregivers or children initially felt unprepared for their role, but were gratified by the experience once they had some practice.

Implications
Staff need considerable ongoing support to build their confidence to facilitate groups, and should be rewarded for going that extra mile to serve clients. Incorporation of physical activity as an educational element for children encourages WIC Program coordination with other health promotion service agencies and affords the WIC Program a greater opportunity to incorporate cultural beliefs and traditions into its programming.

Information

Fit WIC Inter Tribal Council of Arizona
Mindy Tomkins, RD
WIC Director
Inter Tribal Council of Arizona
Phone: 602-307-1511
E-mail: mindy.tomkins@itcaonline.com

 

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