Evaluating Telehealth Solutions in WIC: Wisconsin WIC Clients

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

2228 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-12

Study Completion Date

2023-11-30

Brief Summary

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With funding through the United States Department of Agriculture (USDA) and Tufts University's Telehealth Intervention Strategies for WIC (THIS-WIC) project, Wisconsin's (WI) WIC department will be implementing a new, customized, mobile-friendly nutrition education platform called ONE (Online Nutrition Education) in WI's WIC program. The purpose of this study is to evaluate the impact of the ONE platform. The evaluation will focus on WIC clients as the study population. The Wisconsin WIC department would be implementing this education platform, regardless of the evaluation research. The Wisconsin WIC department is responsible for implementing this new intervention, while the Tufts University research team is responsible for the evaluation of this platform through surveys and analysis of administrative data.

An online survey will be used to gauge WIC clients' satisfaction with ONE, and the impact of the telehealth solution compared to usual care on breastfeed duration, dietary intake, attendance at scheduled appointments, attitudes to breastfeeding and nutrition education, and barriers encountered. Survey data will be combined with previously collected data on clients and their families from the WI Management Information Systems (MIS), and aggregate level data from the ONE telehealth solution about ONE utilization.

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Detailed Description

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Telehealth can reduce barriers and increase access to care, and it can be applied to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). WIC is a federal nutrition assistance program that helps low-income women with children up to age 5. There is a large volume of research that supports remote patient monitoring, and the most benefits are found when telehealth is used for communication and counseling. The USDA awarded Tufts University a grant to test and evaluate the use of telehealth innovations in the delivery of USDA's WIC program. Tufts University then offered the USDA/Tufts Telehealth Intervention Strategies for WIC (THIS-WIC) grant opportunity to WIC state agencies across the US. THIS-WIC selected 7 WIC State Agencies to receive grants, and the WI state agency is one recipient. The THIS-WIC team at Tufts University is leading the evaluation of these telehealth solutions in collaboration with funded WIC State Agencies.

THIS-WIC aims to generate evidence from WI's telehealth solution to inform how the ONE platform supports WIC services compared to usual in-person care. ONE is a mobile-optimized website, meaning that it functions as an app without requiring the amount of memory and data that apps use. WIC clients can experience the ONE platform in either English or Spanish. Evaluation findings will inform stakeholders about the platform's benefits and how viable it is to sustain and adapt ONE more widely.

Surveys will be conducted online via the Alchemer survey software platform for intervention and control sites.

Conditions

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Telehealth Nutrition Education Breast Feeding Dietary Intake WIC

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Study participants will be clients at local WIC agency sites where either the telehealth solution is offered or where only usual care is available (control).

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Telehealth solution

Telehealth solution offered

Group Type EXPERIMENTAL

Telehealth solution

Intervention Type BEHAVIORAL

Mobile-friendly nutrition education platform

Usual care

Control

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Telehealth solution

Mobile-friendly nutrition education platform

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* pregnant women
* postpartum women
* parent/guardian of a participating infant or child in the WIC program

Study participants will be clients at local WIC agency sites where either the telehealth solution is offered or where only usual care is available (control).

Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Responsible Party

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Erin Hennessy

Assistant Professor, Division of Nutrition Interventions, Communication and Behavior Change Director ad interim, ChildObesity180 Friedman School of Nutrition Science and Policy

Responsibility Role PRINCIPAL_INVESTIGATOR