Should be interactive Strengthen nutrition education
message Provides an opportunity to check
progress on goals Provides positive support Identifies barriers
Can be incorporated into:› A subsequent certification appointment› A scheduled secondary nutrition education
appointment› A separate activity (check pick up,
telephone call, etc) Should not replace another nutrition
education contact but is part of the process of nutrition education
Follow-up provides transition from:› The certification visit› The second nutrition education contact› The next certification visit
Use open-ended questions and statements:› “I see you attended the class on using
more whole grains. How have you done on implementing your goal of using more whole grain cereals?”
› “So tell me how breastfeeding is going?”› When we last met, you said that you
wanted to wean Johnny from the bottle. How did that go?”
Client attends low risk nutrition education› Identifies information learned› Sets goal for behavior change related to
topic› Staff document new information in KWIC
At next certification visit› client is asked about progress toward
goal(s)› Document progress in KWIC› Assist client to set/revise goals as needed
Breastfeeding peer counselor/WIC staff contact client by phone› Discuss concerns and set possible actions
to overcome barriers to breastfeeding› Set date for next follow-up call
Staff contact client again by phone:› Determine how breastfeeding is going› Assess progress toward goals› Work with client to set new goals or actions› Document all contacts in KWIC record
Effective Nutrition Education and support of clients continues in a cycle throughout the client’s WIC experience
Process of Delivering Effective Nutrition Education
Client comes to clinic for certification visit› Clinic is family and breastfeeding friendly› Nutrition/breastfeeding posters visible› Clinic staff greet client by name › Staff complete nutrition assessment using
open-ended questions
Staff use critical thinking to prioritize topics to cover
Determines client concerns and interests
Identifies any needed anticipatory guidance
Determine method to share information
Discuss selected information with client Interact with client Guide client to set behavior change
goals Develop a plan for next visit Provide written materials as needed
At next nutrition education visit:› Meet individually with RD if high risk› Participate in low risk nutrition education if
not high risk Provide low risk nutrition education
using chosen method Guide client to set behavior change
goals based upon the topics shared
Follow up on goals set at next visit Identify and praise progress made Determine if client needs additional
support to reach goals Revise or add new goals as needed Document in KWIC