Start Date: November 2023

ID #: 81353

Principal Investigator: Kristina Lewis, MD, MPH, SM

Organization: Wake Forest University Health Sciences

Funding Round: HER Round 13

See more related research

Share


The United States has an ongoing maternal and infant health crisis, characterized by stark disparities. The WIC program could equitably improve health outcomes, but it is underutilized. Identifying strategies for healthcare systems to efficiently connect pregnant patients with WIC is a public health and policy priority. This study will use the electronic health record (EHR) to screen pregnant patients for WIC enrollment, and automate referrals to local WIC programs  The study aims to (1) survey and interview pregnant patients and providers on EHR-based WIC care coordination; (2) pilot a WIC screening and referral system in 3 obstetric -clinics; and (3) Using EHR data, examine association of WIC enrollment with risk of adverse perinatal outcomes. The study setting is the Atrium Health Wake Forest Baptist (AHWFB) health system in North Carolina. Participants will vary by aim and include Medicaid-insured or uninsured pregnant patients and their infants, WIC program staff, and clinic staff.

Related Research

October 2026

Cross-Sectional Evaluation of WIC Participation Status and Massachusetts Children’s Nutrition after the Cash-Value Benefit Increase

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) increased the Cash-Value Benefit (CVB) for fruits and vegetables in 2021. Although WIC participants reported increased purchasing, consumption, and variety of fruits and vegetables after the CVB increase, it is unknown whether this resulted in higher fruit and vegetable intake relative to nonparticipants. The More

October 2026

An Electronic Health Record-Based Intervention to Facilitate Primary Care Referrals to the Special Supplemental Nutrition Program for Women, Infants, and Children: Retrospective Cohort Study

This study evaluated responses to an electronic health record (EHR)-embedded federal nutrition program (FNP) participation screening and WIC referral tool implemented within 8 clinics during well-child visits for children younger than 5 years of age. Structured EHR data from July 2020 to October 2023 were extracted to summarize screening, referral acceptance, WIC enrollment outcomes, and More

September 2026

Remote Services, Benefits, and Program Retention Changes Among Young Children in WIC

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) improves health for young children with low household incomes, but it is underutilized after infancy due to program complexity and lower perceived value of benefits for participants aged 1 to 4 years. Increasing participants’ retention in WIC could be an important strategy for improving More