Missouri Pilot Report: Volunteering for Missouri Pilot LWPs

2. Webinar tips If you do not have built-in speakers, please use the phone number for audio connection: (484) 589-1016 Access Code: 769-272-273 All microphones and phones will be muted, if you have a question during the training, please ask through the chat box in the control panel.

3. Missouri Pilot Report March 3rd through September 30th

4. Volunteering Missouri Pilot LWPs Barry, Butler, Crescent, Dunklin, Harrison, Joplin, Mercer, Moniteau, Pulaski, Putnam and Sullivan. Thank you

5. Statewide Statistics (as of September 3, 2014) Number of Lessons Completed: 1,254 lessons Average Time Spent on Site: 12:58 minutes Average Number of Links Visited: 2.98 links Number of Participant Accounts Created:778

6. Statewide Statistics (as of September 3, 2014) Most Popular Lessons: Make Meals and Snacks Simple 12% Secrets for Feeding Picky Eaters 10% Fun and Healthy Drinks for Kids 8% Trust your child to eat enough 8% Fruits and Veggies Grow Healthy Kids 7% Happy Healthy Active Children 7% Starting Your Infant on Solid Foods 5%

7. Statewide Statistics (as of August 30th 2014) User age and Computer access: User Ages: 24% of parent/guardians were between the ages of 18-24, 30% between 25 – 29 years and 30% 30-34 years. Computer Locations: 53% home, 24% WIC Clinic,7% work, 5% cell phone, 1% tablet, 2% parent’s home, 2% library, 1% friend’s home

8. Important Notes Policy ER#2.06400 has been revised to include information on wichealth.org. All wichealth.org lessons have been included in MOWINS under the different categories as applicable and will be activated October 1st.

9. Important Notes Each local WIC provider is required to have an e-mail address that the participants can use to submit their WIC Health.org certificate directly to the LWP. Each LWP should be knowledgeable about WICHealth.org and provide it as a service available to all Missouri WIC participants.

10. Do the pilot agencies recommend statewide implementation? Yes! Why? Convenient for participants, especially working families Provides another perspective on nutrition education Schedule flexibility: covering staff vacations, more appt times open for certifications/mid-certifications Provides another option for completing that nutrition education visit

11. What is wichealth.org? Stage-based, client-centered, behavior change nutrition educationfor WIC clients Over 25 lessons available Available for Englishand Spanish speaking clients

12. Eligibility and guidelines • For low risk participants • High risk can only use for personal knowledge • Participants with Internet access who have interest in doing nutrition education online • Participants can complete 2 nutrition education contacts through wichealth.org in a certification period. • Participants can use wichealth.org for one nutrition education contact and then will have to be seen for next appointment for follow-up

13. Partner states – 25!

14. Health eKitchen • Kitchen video library • Assist with menu development and recipes • Designed to utilize food benefits to the fullest • Does not count as nutrition education contact

15. How does it work? Client creates an account, completes 1 lesson and emails the certificate of completion to the WIC agency by specified date • Document in MOWINS • Ask follow-up questions at next appt • Print checks CPA or Nutritionist promote wichealth to eligible clients for individual contact, not household Put an alert in MOWINS to remind agency to follow up with participant Follow up with participants that did not complete a lesson Follow-up Questions 1. Why did they pick the lesson they did? 2. What did they learn from the lesson? 3. Review the topic with the participant for potential questions/need for clarification 4. What changes will they implement with the information for the lesson?

16. Why should you offer wichealth? It’s pretty cool that I don’t have to leave my home and drive the 20 miles to the WIC office and I can just do it at home. -WIC Client Stage-based, tailored, and participant centered education Increase knowledge using current technology Give participant flexibility Increases variety of nutrition education options and topics Decreases wait time in clinics and shorter clinic visits Wichealth.org can be used as a resource any time

17. How do staff benefit? Saves staff time especially when it comes to scheduling nutrition education Increases accessibility to additional resources and variety of topics Decreases likelihood of missed nutrition education contacts due to staff leave time, absences, or vacation. Allows for accessibility to reports/survey results to see what topics participants like and measure impact on behavior

18. What clients like about wichealth This is a great idea! Especially for us working parents that also have a 9-5 job. It’s hard to take a personal or sick day. We like to use those for our sick children, not for appointments. I liked that I got to choose the topic; I have 5 children and sometimes the WIC education in the office is on something I already know. I can learn at my own pace, in the comfort of my own home, without distractions.

19. What staff like about wichealth I was impressed that participants remembered the lesson they did and could state something they learned or how they used the info. Online ed is time saving and gives participants another option for their nutrition education. Great for participants with transportation issues, that work long hours, and find it difficult to come to scheduled classes.

20. Theories behind wichealth.org • Stages of Change • Persuasive Communication • Behavior Intent

21. Stages of change Pre-Contemplation (PC) Not interested in changing; not aware of risks of the behavior Contemplation (C) Interested in changing Preparation (P) Ready to start taking steps to change the behavior Action (A) Has recently changed the behavior Maintenance (M) Has engaged in a healthy behavior for more than a few months

22. Behavior intent comments I learned that I need to let my child let me know when she is hungry and when she is full. It is important not to force your child to eat now so later on in life she doesn’t have problems with her weight. I plan to start using shopping lists in order to cut down on eating out. To plan ahead and use coupons (: I plan on using two of the websites for sure ... the app for my phone that helps with planning and list making and also the site that gives me recipe ideas for what I already have on hand. I'm especially excited to try the site to give me recipes with what is in my cupboard for last minute suppers after long days.

23. Implementation tips

24. Educate • Introduce wichealth.org to all clinic staff • Coordinate staff training • Provide staff with additional educational materials and resources • Encourage all staff to try wichealth.org

25. Staff access Contact help@wichealth.org for a staff account • Access to wichealth.org • Access to wichealthsupport.org State client demo account Username: missouriPassword: wichealth

26. Participant promotion • Market wichealth.org in your clinic • Inform each eligible client • Promote wichealth.org in your clinic • Provide each client with the appropriate materials • Suggest places to access Internet

27. Make an Implementation plan

28. Talking points Describe wichealth.org to staff and participants Share the benefits Gauge participant interest level and accessibility Provide important information Walk participants through wichealth.org

29. Maintaining success • Educate new employees about wichealth.org • Keep up with changes and updates • Attend wichealth.org webinars • Communicate with staff • Make wichealth.org more accessible

30. Where to get help? Click here on any page for help Fill out the request form All requests answered within 24 hrs

31. Let’s talk about wichealth! Have questions about implementation or want to hear ideas from other agency staff? Dial in to the number below to join a discussion about wichealth.org in your agency: Access number: (877) 820-7831 Pin: 3566 6479 #

32. Thank you!