Farmer, J. E., Falk, L. W., Clark, M. J., Mayfield, W. A., & Green, K. K. (2022). Developmental Monitoring and Referral for Low-Income Children Served by WIC: Program Development and Implementation Outcomes. Maternal and child health journal, 26(2), 230–241. https://doi.org/10.1007/s10995-021-03319-9
Intervention Components (click on component to see a list of all articles that use that intervention): Identification and Monitoring of/Increased Supervision in Targeted Areas,
Intervention Description: The intervention in the study was the Developmental Milestones Program, which aimed to support developmental monitoring and referral for low-income children receiving WIC services in eastern Missouri. The program was implemented in two phases and included the use of LTSAE checklists for milestone monitoring during biannual recertification visits, along with other structural/organizational tools designed to support effective time use and promote fidelity. The program was designed in partnership with WIC staff and built on strategies already employed in WIC nutrition programs, such as parent education, child monitoring, and health referrals. The program was intended to be easy and time-efficient to use, given that the main objective of WIC staff-parent interactions was to provide nutritional supports,.
Intervention Results: In both phases, all surveyed staff (n = 46) agreed the program was easy to use. Most (≥ 80%) agreed that checklists fit easily into clinic workflow and required ≤ 5 min to complete. Staff (≥ 55%) indicated using checklists with ≥ 75% of their clients. 92% or more reported referring one or more children with potential developmental concerns. According to 80% of staff, parents indicated checklists helped them learn about development and planned to share them with healthcare providers. During the second phase, 18 of 20 staff surveyed indicated the program helped them learn when to refer children and how to support parents, and 19 felt the program promoted healthy development. Focus groups supported survey findings, and all clinics planned to sustain the program.
Conclusion: The study did not explicitly mention statistically significant findings in the provided excerpts. However, the study did assess various implementation outcomes, such as program adoption, fidelity, acceptability, appropriateness, and feasibility, through the use of surveys and focus group discussions with WIC staff members. The results of these assessments were presented in the study, but without specific mention of statistical significance. For detailed statistical significance, it would be necessary to refer to the complete study.
Study Design: The study utilized a mixed-methods approach, incorporating both quantitative and qualitative data collection methods. Quantitative data were collected through surveys completed by WIC nutrition staff, while qualitative data were obtained through focus group discussions with the same staff members. This mixed-methods design allowed for a comprehensive assessment of the program's implementation outcomes, including fidelity, acceptability, and impact on staff and families,.
Setting: The study was conducted in 20 demographically diverse WIC clinics in eastern Missouri. These settings provided the opportunity to implement and assess the developmental monitoring and referral program in real-world, community-based environments, reflecting the diverse population served by WIC.
Population of Focus: The target audience for the study includes professionals and stakeholders involved in the care and support of low-income children, particularly those receiving services through the WIC program. This may encompass healthcare providers, WIC staff, public health professionals, policymakers, and researchers interested in early childhood development, nutrition programs, and interventions for low-income populations.
Sample Size: The sample size for the study included 160 participants in Phase I and 367 participants in Phase II. Additionally, the survey responses were collected from 26 participants in Phase I and 20 participants in Phase II. These sample sizes were used to assess the implementation outcomes and participant demographics in the study.
Age Range: The developmental monitoring and referral program targeted children ages 2 months to 4 years. This age range aligns with the critical period for early identification of developmental delays and disabilities, allowing for timely intervention and support for the children and their families.
Access Abstract