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
E
A
D
B
C
Review WIC Nutrition
Assessment
Select
Select Messages
Follow-up
Process of
Delivering
Effective
Nutrition
Education
Select Informational
Environmental
Reinforcements
Select Counseling
Methods/ Teaching
Strategies
Select Delivery
Medium

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
