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Wichealth is a web-based health behavior change system, with versions in both English and Spanish, for families who participate in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) [1]. Currently, Wichealth serves 32 states and 15 Indian Tribal Organizations, from where over 500,000 unique individuals complete over 1 million lessons each year.
JMIR Form Res 2023;7:e38667
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Participation in the WIC program contributes to improved diet quality for both the mother and child [14,15], a reduction in the incidence of overweight and obesity [16-18], and cost savings in health care [19].
However, WIC is experiencing a steady decline in caseloads [20]. This may be due to required visits with WIC nutritionists to maintain the recipients’ eligibility to continue receiving benefits.
JMIR Res Protoc 2021;10(12):e32441
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At the shopping level, WIC state agencies were mandated to switch from a paper voucher system to an electronic benefits transfer (EBT) system for WIC by 2020, with some waivers of extension [23] in which participants make WIC purchases using an EBT card that resembles a debit card.
JMIR Form Res 2021;5(7):e30450
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Although many WIC participants have used these apps, little research has been conducted to rigorously evaluate them, except for 1 small-scale qualitative study that demonstrated a high priority among WIC participants to access information through a WIC app [21].
Evaluating the effectiveness of WIC apps is critical for WIC agencies, participants, and researchers. First, evaluation can assist the decision making of the state agencies that have not adopted the app.
JMIR Mhealth Uhealth 2020;8(10):e20720
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The study team was able to reach and recruit low-income mothers by partnering with the Maryland WIC program, an income-qualified program “designed to help low-income pregnant, postpartum, and breastfeeding women, infants, and children 5 years old or younger who are at nutritional risk” [21]. The Maryland WIC program defines low income as US $37,296 annually for a family of three people [21].
JMIR Pediatr Parent 2019;2(1):e10814
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The purpose of this study was to determine the relationship between viewing of a Health e Kitchen online video and key engagement performance indicators associated with WIC online nutrition education.
The sample used for this study was derived from WIC clients across 21 US states, who completed a wichealth.org lesson during a 34-month period in the government’s 2014-2016 fiscal years.
JMIR Form Res 2019;3(1):e12508
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Five WIC apps were excluded from the App Store results because they were not targeted for users who are WIC participants; instead, they targeted WIC vendors and agents to view and manage eligible products. In the Google Play store, 98 apps were found from the keyword search, 16 of which were related to WIC. Fifteen WIC apps were duplicates in both online app stores, while 1 app (SAC WIC) was available for i OS only and 1 app (AZ WIC Clinic Search) was available for Android only.
JMIR Mhealth Uhealth 2018;6(11):e12261
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