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