Beyond Nutrition Counseling: Reframing the Battle Against Obesity

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Beyond Nutrition Counseling Reframing the
Battle Against Obesity

• Dianna Colson, MS,CN
• Nutrition Services Branch
• Department for Public Health
• Frankfort, Kentucky

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OJBECTIVES

• Identify the purpose of the National FIT WIC
  Projects.
• Identify the purpose of the Kentucky FIT WIC
  Project.
• Name three barriers to effective nutrition
  counseling for overweight children.
• Name two ideas/solutions to improve nutrition
  counseling for overweight children.

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National FIT WIC Projects

• WIC services over 5.6 million infants and
  children annually
• Food and Nutrition Service (FNS) of USDA
  appropriated 1.8 million dollars in 1999 to fund
  cooperative agreements between five State WIC
  agencies and FNS to develop new, innovative
  strategies to prevent overweight in children,
  targeting WIC populations

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States receiving funding were

• California (lead agency)
• Multifaceted community based approach
• to overweight prevention
• Inter Tribal Council of Arizona (ITCA)
• Clinical based approach to
  overweight
• prevention in American Indian
  Children
• Kentucky
• Video developed Beyond Nutrition
  Counseling
• Reframing the Battle Against Obesity

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• Vermont
• FIT WIC Activity Kit Tools for
• overcoming barriers to physical
• activity-
• Virginia
• Anticipatory guidance model for fitness
• and nutrition

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FIT WIC KENTUCKYResearch Team Members

• Leigh Ann Chamberlin, RD
• Dianna Colson, MS,CN
• Fran Hawkins, RD
• Anjali Jain, MD
• Scott Powers, PhD
• Susan Sherman, PhD
• Robert Whitaker, MD, MPH

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FIT WIC KENTUCKY - GOAL

• To provide an intervention aimed at changing
  the attitude and perceptions of health
  professionals related to overweight in two to
  five year old children through a collaborative
  effort with Cincinnati Childrens Hospital
  Medical Center and the Kentucky WIC Program.

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Approach

• Team members conducted individual interviews and
  focus groups with mothers representing three
  distinct demographic groups in Ky.
• Cumberland Valley District Health
  Dept.
• Lexington-Fayette County Health
  Dept.
• FIVCO District Health Department
• Louisville Metro Health
  Department
• Children and Youth Project
  Louisville
• Marshall County Health
  Department
• Focus group also with health professionals

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Video Development

• Based on these assessment activities, key
  informants were recruited to participate in
  video interviews.
• Video Action Fund, a not for profit production
  company in Washington,DC was hired to develop the
  video.

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• Beyond Nutrition Counseling Reframing the
  Battle Against Obesity addresses these needs by
  informing the audience about
• The daily life struggles that WIC families face
  as they try to parent children and implement
  health diet and activity patterns

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• The current state of parent skills among WIC
  parents
• The necessity of improving general parenting
  skills in order for nutritional
  education/counseling for obesity prevention to be
  effective.

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• The video is designed to be used for health
  professionals and features a day in the life of
  three families who are on the WIC program in
  Kentucky. Dr. Robert Whitaker was with each
  family through the filming.
• The video is also designed to be followed with a
  facilitated discussion with the audience to
  discuss barriers and solutions to effective
  counseling.
• A Discussion Guide and Video Script is included
  with the video.

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• Each county health department has a copy of the
  video and related materials.
• Seven journal articles have been published as a
  result of this project in Pediatrics, and the
  Journal of the American Dietetic Association
• Tellie Award

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• Please contact Dianna Colson at
  diannaj.colson_at_ky.gov or phone [phone] or
  the Kentucky WIC Program at [phone]