Dissertation/Thesis Abstract

WIC Staff Screening for Prenatal Substance Use
by Lee, Jayne Diamonon, M.S./M.P.H., California State University, Long Beach, 2020, 55; 28030836
Abstract (Summary)

Prenatal substance use is a growing public health issue. Consuming alcohol and/or using drugs while pregnant can cause premature death and lifelong disabilities for both the mom and the baby. This study is specific to the Public Health Foundation Enterprises Women, Infants, and Children Program (PHFE WIC). It will examine whether additional WIC staff training led to increased compliance in following policies and procedures as measured by adherence to documenting all self-reported responses to the supplemental alcohol and/or drug questions for pregnant WIC clients. Contributing factors such as WIC clients' ethnicity, race, language, age, and socioeconomic status (SES) were also analyzed to verify if they predicted compliance.

This was a secondary quantitative data analysis with data retrieved through adhoc reports from the California WIC Information Exchange Reporting System (WIX). The sample included all newly enrolled prenatal clients at PHFE WIC who self-reported prenatal substance use (n = 911) during the months of December 2017 (n = 343) and December 2018 (n = 568). The IBM Statistical Package for the Social Sciences (SPSS) Statistics for Windows, version 26.0 was used for post processing and analysis. An independent sample of t-test for age and chi-square tests of independence for ethnicity, race, language, and Medi-Cal status were conducted to compare the demographic characteristics of the clients. A hierarchical, multiple logistic regression model was used to determine if the effects of the staff training intervention varied based on the independent variables and describe how strongly the variables impact compliance.

There were no statistically significant differences in client characteristics between pre-Program Monitoring Visits (PMV) and post-PMV. These were the two datasets used to identify before and after the staff training intervention. The increase in staff compliance between these two datasets was statistically significant and the effects were minimal. However, staff compliance rates at pre-PMV were already at a higher baseline to begin with, therefore the small effect was not surprising. After controlling for the independent variables, the effect of staff training remained the same. Interestingly, Hispanic clients experienced significantly lower compliance rates.

Conclusion: This research highlights that improved rates of prenatal substance use screening can be achieved at WIC with additional, concerted WIC staff training.

Indexing (document details)
Advisor: D'Anna, Laura
Commitee: Gorman, Fiona, Andrews, Linda
School: California State University, Long Beach
Department: Health Science
School Location: United States -- California
Source: MAI 82/6(E), Masters Abstracts International
Subjects: Public health, Public Health Education, Health sciences, Obstetrics, Social work, Public policy, Health care management
Keywords: WIC , Staff screening, Prenatal substance use, Drug consumption, Alcohol consumption , Public Health Foundation Enterprises Women, Infants, and Children Program, Prenatal patients, California, Staff training intervention, Pre-program monitoring visits
Publication Number: 28030836
ISBN: 9798698595311
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