Accessibility and Preferred Use of Online Web Applications Among WIC Participants With Internet Access

Bensley, Robert J.; Hovis, Amanda; Horton, Karissa D.; Loyo, Jennifer; Bensley, Kara M.; Phillips, Diane; Desmangles, Claudia

doi:10.1016/j.jneb.2014.02.007

Cited by 53 publications

(51 citation statements)

References 18 publications

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“…18,19 These results also indicate an increase in the proportion of pregnant women using smartphones from the 76% reported in a 2012e2013 survey conducted in the CWIUH. 13 Research in a nutrition programme for women, infants and children (n > 8000) demonstrated decreased interest in one-toone nutritional information with a Health Care Professional (HCP) and increased interest in online education.…”

Section: Current Use Of Online Resources In Pregnancymentioning

confidence: 52%

“…13 Research in a nutrition programme for women, infants and children (n > 8000) demonstrated decreased interest in one-toone nutritional information with a Health Care Professional (HCP) and increased interest in online education. 19 Furthermore, a study on the use of apps in dietetic practice (n ¼ 139) found that nearly half of the dietitians surveyed had a patient ask about or use a nutrition/food-related app. 20 These findings demonstrate the emerging role for such technologies in dietetic practice.…”

Section: Current Use Of Online Resources In Pregnancymentioning

confidence: 99%

See 1 more Smart Citation

Preferences of women for web-based nutritional information in pregnancy

Kennedy¹,

Mullaney²,

Reynolds

et al. 2017

Public Health

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Section: Current Use Of Online Resources In Pregnancymentioning

confidence: 52%

Section: Current Use Of Online Resources In Pregnancymentioning

confidence: 99%

Preferences of women for web-based nutritional information in pregnancy

Kennedy¹,

Mullaney²,

Reynolds

et al. 2017

Public Health

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“…Warranting investigation is the utility of reminders (sent via mail and text messaging) found effective in improving uptake of health interventions in hard to reach communities [43,44]. Text messaging may be particularly effective as it is among the communication technologies most often used by WIC participants and is recommended for reinforcing WIC nutrition education [45,46]. …”

Section: Resultsmentioning

confidence: 99%

Outcomes of a randomized controlled trial of nutrition education to promote farmers’ market fruit and vegetable purchases and consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

Noia

Monica²,

Sikorskii

et al. 2017

BMC Nutr

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Background: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides participants seasonal Farmers' Market Nutrition Program (FMNP) vouchers to purchase fruits and vegetables (FV) at farmers' markets and monthly cash value vouchers (CVV) redeemable at farmers' markets. Despite the promise of FMNP vouchers and CVV for improving FV access among WIC participants, voucher redemption rates are low. This study evaluated WIC Fresh Start (WFS), a theory-driven, web-based lesson to promote FV intake, the redemption of CVV at farmers' markets, FMNP voucher redemption, and farmers' market-related knowledge, attitudes, and skills among women enrolled in WIC.

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“…Ownership of cellular phones by US adults increased to 92% and mobile phones with app capabilities from 35% to 68% between 2011 and 2015 [10]. Even though mobile phone owners are more likely to be young, affluent, and highly educated, access is not restricted, as 52% of US adults earning less than US $30,000 per year own a mobile phone and mobile technology interest is high among WIC clients [10,11]. …”

Section: Introductionmentioning

confidence: 99%

A Comparison of Mobile and Fixed Device Access on User Engagement Associated With Women, Infants, and Children (WIC) Online Nutrition Education

Brusk

Bensley

2016

JMIR Res Protoc

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BackgroundOnline health education has expanded its reach due to cost-effective implementation and demonstrated effectiveness. However, a limitation exists with the evaluation of online health education implementations and how the impact of the system is attenuated by the extent to which a user engages with it. Moreover, the current online health education research does not consider how this engagement has been affected by the transition from fixed to mobile user access over the last decade.ObjectiveThis paper focuses on comparing the impact mobile versus fixed devices have on user engagement key performance indicators (KPI) associated with the wichealth website (.org), an Internet-based parent-child feeding intervention offered to clients associated with the US Department of Agriculture’s Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).MethodsData were collected from 612,201 nutrition education lessons completed by 305,735 unique WIC participants in 21 states over a 1-year period. Data consisted of system-collected measures, profile items, and items from an exit survey administered at the conclusion of each lesson. User engagement was defined based on 3 KPIs associated with usage of the wichealth website: number of link views, link view time, and progression in stage of readiness to change. Independent samples t tests were used to compare KPIs between fixed only and mobile only device users and paired samples t tests were used to compare KPIs within users who completed at least one lesson each on both a fixed and mobile device. A logistic regression was performed to estimate the odds of KPI performance thresholds in the independent samples study group given access device type while controlling for confounding of user characteristics associated with these KPIs.ResultsAnalysis of 8 user characteristics (lessons completed, race, ethnicity, language, state of residence, pregnancy status, beginning stage of change, and preferred nutrition education method) were significantly (P<.001) related to various KPI differences between mobile and fixed device access. Non-mobile users were significantly (P<.001) more likely to engage based on all 3 KPIs, even after logistic regression control for the potential confounding related to the strongly associated user characteristics identified.ConclusionsThe findings of this study support the idea that online health education developers need to seriously consider access device when creating programs. Online health education developers need to take extra effort to truly understand access patterns of populations being served, and whether or not access device will influence user engagement performance indicators.

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Accessibility and Preferred Use of Online Web Applications Among WIC Participants With Internet Access

Cited by 53 publications

References 18 publications

Preferences of women for web-based nutritional information in pregnancy

Preferences of women for web-based nutritional information in pregnancy

Outcomes of a randomized controlled trial of nutrition education to promote farmers’ market fruit and vegetable purchases and consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

A Comparison of Mobile and Fixed Device Access on User Engagement Associated With Women, Infants, and Children (WIC) Online Nutrition Education

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