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An exploration of attitudes and perceptions of cash value vouchers in the Arizona Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

Description

In October, 2009, participants of the Arizona Special Supplemental Nutrition Program for Women, Infants and Children (WIC) began receiving monthly Cash Value Vouchers (CVV) worth between six and 10 dollars towards the purchase of fresh fruits and vegetables. Data from the Arizona Department of Health Services (ADHS) showed CVV redemption…

In October, 2009, participants of the Arizona Special Supplemental Nutrition Program for Women, Infants and Children (WIC) began receiving monthly Cash Value Vouchers (CVV) worth between six and 10 dollars towards the purchase of fresh fruits and vegetables. Data from the Arizona Department of Health Services (ADHS) showed CVV redemption rates in the first two years of the program were lower than the national average of 77% redemption. In response, the ADHS WIC Food List was expanded to also include canned and frozen fruits and vegetables. More recent data from ADHS suggest that redemption rates are improving, but variably exist among different WIC sub-populations. The purpose of this project was to identify themes related to the ease or difficulty of WIC CVV use amongst different categories of low-redeeming WIC participants. A total of 8 focus groups were conducted, four at a clinic in each of two Valley cities: Surprise and Mesa. Each of the four focus groups comprised one of four targeted WIC participant categories: pregnant, postpartum, breastfeeding, and children with participation ranging from 3-9 participants per group. Using the general inductive approach, recordings of the focus groups were transcribed, hand-coded and uploaded into qualitative analysis software resulting in four emergent themes including: interactions and shopping strategies, maximizing WIC value, redemption issues, and effect of rule change. Researchers identified twelve different subthemes related to the emergent theme of interactions and strategies to improve their experience, including economic considerations during redemption. Barriers related to interactions existed that made their purchase difficult, most notably anger from the cashier and other shoppers. However, participants made use of a number of strategies to facilitate WIC purchases or extract more value out of WIC benefits, such as pooling their CVV. Finally, it appears that the fruit and vegetable rule change was well received by those who were aware of the change. These data suggest a number of important avenues for future research, including verifying these themes are important within a larger, representative sample of Arizona WIC participants, and exploring strategies to minimize barriers identified by participants, such as use of electronic benefits transfer-style cards (EBT).

ContributorsBertmann, Farryl M. W (Author) / Wharton, Christopher (Christopher Mack), 1977- (Thesis advisor) / Ohri-Vachaspati, Punam (Committee member) / Johnston, Carol (Committee member) / Hampl, Jeffrey (Committee member) / Dixit-Joshi, Sujata (Committee member) / Barroso, Cristina (Committee member) / Arizona State University (Publisher)

Created2013

Evaluation of Arizona State University’s Camp CRAVE: Does a Week-Long Cooking Camp Alter Eating Behavior, Improve Nutrition Knowledge, and/or Promote Cooking in Young Children?

Description

Pediatric obesity is a continuing concern in the United States. Preventative intervention methods in the form of nutrition education, including hands-on cooking lessons may improve personal choices for healthy eating. This study assessed the effectiveness of Arizona State University’s Camp CRAVE, a one-week course promoting healthy eating and teaching basic…

Pediatric obesity is a continuing concern in the United States. Preventative intervention methods in the form of nutrition education, including hands-on cooking lessons may improve personal choices for healthy eating. This study assessed the effectiveness of Arizona State University’s Camp CRAVE, a one-week course promoting healthy eating and teaching basic cooking skills. Children ages 9-13years (mean 10.3years, n=31) participated in a pre- and post-test survey to assess if the one-week course would increase self-efficacy to cook at home and increase knowledge of nutrition. The course showed significant increase in the participants’ nutrition knowledge and preference for healthier food options. There was a significant improvement in the children’s confidence levels to prepare meals at home. Further research on family socioeconomic status and parental perception of cooking at home would be beneficial.

ContributorsBell, Kelly Marie (Author) / Johnston, Carol (Thesis advisor) / Shepard, Christina (Thesis advisor) / Mayol-Kreiser, Sandra (Committee member) / Arizona State University (Publisher)

Created2017

Conditioning Vegetable Preferences through Texture Pairing in Children

Description

Neophobia is a sensory phenomenon common in children that makes novel foods taste unpleasant. Our study tested exposure and pairing effects on neophobia in children by exposing them to novel vegetables paired with varying textures. Results showed a significant increase in liking for all subject groups after six exposures, which…

Neophobia is a sensory phenomenon common in children that makes novel foods taste unpleasant. Our study tested exposure and pairing effects on neophobia in children by exposing them to novel vegetables paired with varying textures. Results showed a significant increase in liking for all subject groups after six exposures, which is less exposure than required in other studies. Except in one case, texture was not related to a change in liking that differed significantly from other groups.

ContributorsMiller, Eric James (Author) / Phillips, Elizabeth Capaldi (Thesis director) / Johnston, Carol (Committee member) / Bruening, Meg (Committee member) / Barrett, The Honors College (Contributor) / Department of Economics (Contributor)

Created2013-05

Family-Centered Perspectives to Improving Care Coordination for Children with Special Health Care Needs

Description

It is well known that the lack of care coordination in the healthcare system causes numerous problems including cost inefficiency and inconsistent care, specifically for complex pediatric and adult patients. Many pediatric patients have complex medical and social service needs which can be expensive for both the patient’s parents and…

It is well known that the lack of care coordination in the healthcare system causes numerous problems including cost inefficiency and inconsistent care, specifically for complex pediatric and adult patients. Many pediatric patients have complex medical and social service needs which can be expensive for both the patient’s parents and the general healthcare system. Therefore, it is difficult for the healthcare system to deliver the highest quality care possible, due to the number of appointments that have to be scheduled (with some being out of state), the large volume of physical health records, and overall lack of time parents have to coordinate this care while also caring for themselves and other family members. It is integral to find a more efficient way to coordinate care for these patients, in order to improve overall care, cost efficiency, and outcomes. <br/>A number of stakeholders in Arizona came together to work on this problem over several years. They were funded through a PCORI Eugene Washington Engagement grant to investigators at ASU. This project, Take Action for Arizona's Children through Care Coordination: A Bridge to Action was developed in order to further develop a research agenda and build the network (PCOR). Regional conferences were conducted in Flagstaff, Yuma, Phoenix, and Tucson, as well as a final capstone conference held in Phoenix. At these conferences, frustrations, suggestions, and opinions regarding Children with Special Health Care Needs (CSHCN) and navigating the healthcare system were shared and testimonials were transcribed.<br/>This study focused on the capstone conference. The study design was a strategic design workshop; results of the design analysis were analyzed qualitatively using descriptive content analysis. Themes described parent’s common experiences navigating the system, impacts resulting from such experiences, and desires for the care coordination system. Quotes were then grouped into major themes and subthemes for the capstone conference. After these themes were determined, the overarching goals of stakeholders could be assessed, and implementation projects could be described.

ContributorsBrennan, Bayley (Author) / Doebbeling, Bradley (Thesis director) / Lamb, Gerri (Committee member) / College of Health Solutions (Contributor, Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)

Created2021-05