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September 2004, Vol 94, No. 9 | American Journal of Public Health 1480-1485
© 2004 American Public Health Association


THE BURDEN OF OBESITY

Walking the Talk: Fit WIC Wellness Programs Improve Self-Efficacy in Pediatric Obesity Prevention Counseling

Patricia B. Crawford, DrPH, RD, Wendi Gosliner, MPH, RD, Poppy Strode, MS, MPH, RD, Sarah E. Samuels, DrPH, Claudia Burnett, RD, MEd, Lisa Craypo, MPH, RD and Antronette K. Yancey, MD, MPH

Patricia B. Crawford is with the Center for Weight and Health, College of Natural Resources, and the Department of Nutritional Sciences and Toxicology, University of California, Berkeley. Wendi Gosliner is with the Center for Weight and Health, College of Natural Resources, University of California, Berkeley. Poppy Strode is with the California Department of Health Services WIC Branch, Sacramento. Sarah E. Samuels and Lisa Craypo are with Samuels and Associates, Oakland, Calif. At the time of this study, Claudia Burnett was with the California Department of Health Services WIC Branch, Sacramento. Antronette K. Yancey is with the School of Public Health, University of California, Los Angeles.

Correspondence: Requests for reprints should be sent to Patricia B. Crawford, DrPH, RD, Center for Weight and Health, College of Natural Resources, 9 Morgan Hall, Berkeley, CA 94720–3104 (e-mail: crawford{at}socrates.berkeley.edu).

Six sites of the California Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participated in a staff wellness pilot intervention designed to improve staff self-efficacy in counseling WIC clients about childhood overweight.

A pre-post test design with intervention and control groups was used; outcome measures included staff perceptions of the intervention’s effects on the workplace environment, their personal habits and health beliefs, and their counseling self-efficacy.

Intervention site staff were more likely to report that the workplace environment supported their efforts to make healthy food choices (P < .001), be physically active (P < .01), make positive changes in counseling parents about their children’s weight (P < .01), and feel more comfortable in encouraging WIC clients to do physical activities with their children (P < .05).




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