Developmental Monitoring and Referral for Low-Income Children Served by WIC: Program Development and Implementation Outcomes.

Objective: To develop, implement, and assess implementation outcomes for a developmental monitoring and referral program for children in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Methods: Based on Centers for Disease Control and Prevention's Learn the Signs....

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Publicado en:Maternal & Child Health Journal Vol. 26; no. 2; pp. 230 - 242
Autores principales: Farmer, Janet E., Falk, Lee Walker, Clark, Mary J., Mayfield, Wayne A., Green, Katie K.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2022
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      pub: Springer Nature
      place: New York, New York
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        atl: Developmental Monitoring and Referral for Low-Income Children Served by WIC: Program Development and Implementation Outcomes.
      aug:
        au:
          Farmer, Janet E.
          Falk, Lee Walker
          Clark, Mary J.
          Mayfield, Wayne A.
          Green, Katie K.
        affil: Department of Health Psychology, University of Missouri, 65211, Columbia, MO, USA
      sug:
        subj:
          Food Assistance
          Infant Development
          Child Development
          Poverty Missouri
          Monitoring, Physiologic
          Program Development
          Program Implementation
          Program Evaluation
          Women's Health
          Health Promotion Methods
          Human
          Infant
          Child
          Women
          Centers for Disease Control and Prevention (U.S.)
          Missouri
          Checklists
          Descriptive Statistics
          Surveys
          Focus Groups
          Adult
          Funding Source
          Infant: 1-23 months
          Child: 6-12 years
          Adult: 19-44 years
      ab: Objective: To develop, implement, and assess implementation outcomes for a developmental monitoring and referral program for children in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Methods: Based on Centers for Disease Control and Prevention's Learn the Signs. Act Early. campaign, the program was developed and replicated in two phases at 20 demographically diverse WIC clinics in eastern Missouri. Parents were asked to complete developmental milestone checklists for their children, ages 2 months to 4 years, during WIC eligibility recertification visits; WIC staff referred children with potential concerns to their healthcare providers for developmental screening. WIC staff surveys and focus groups were used to assess initial implementation outcomes. Results: In both phases, all surveyed staff (n = 46) agreed the program was easy to use. Most (≥ 80%) agreed that checklists fit easily into clinic workflow and required ≤ 5 min to complete. Staff (≥ 55%) indicated using checklists with ≥ 75% of their clients. 92% or more reported referring one or more children with potential developmental concerns. According to 80% of staff, parents indicated checklists helped them learn about development and planned to share them with healthcare providers. During the second phase, 18 of 20 staff surveyed indicated the program helped them learn when to refer children and how to support parents, and 19 felt the program promoted healthy development. Focus groups supported survey findings, and all clinics planned to sustain the program. Conclusions: Initial implementation outcomes supported this approach to developmental monitoring and referral in WIC. The program has potential to help low-income parents identify possible concerns and access support.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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