Evidence map›Paper›PMID 36472807›Full record

ArticleJournal of racial and ethnic health disparities2023

Antiracism Training for Nutrition Professionals in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC): a Promising Strategy to Improve Attitudes, Awareness, and Actions.

Christine M Santoro, Mari-Carmen Farmer, Gloria Lobato, Monica James, Sharon J Herring

Open access · bronzeAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Christine M SantoroProgram for Maternal Health Equity, Center for Urban Bioethics, Department of Urban Health and Population Science, Lewis Katz School of Medicine at Temple University, 3223 N. Broad Street, Suite 175, Philadelphia, PA, USA. Christy.Santoro@temple.edu.ORCID 0000-0001-8352-0826
Mari-Carmen FarmerDepartment of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Gloria LobatoProgram for Maternal Health Equity, Center for Urban Bioethics, Department of Urban Health and Population Science, Lewis Katz School of Medicine at Temple University, 3223 N. Broad Street, Suite 175, Philadelphia, PA, USA.
Monica JamesNORTH, Inc., Managers of the Philadelphia WIC Program, Philadelphia, PA, USA.
Sharon J HerringProgram for Maternal Health Equity, Center for Urban Bioethics, Department of Urban Health and Population Science, Lewis Katz School of Medicine at Temple University, 3223 N. Broad Street, Suite 175, Philadelphia, PA, USA.
Temple University · USThomas Jefferson University Hospital · US

Funding

Community-based obesity treatment in African American women after childbirth: a randomized controlled trial of WIC mothersR01HL130816 · NHLBI · TEMPLE UNIV OF THE COMMONWEALTH · PI HERRING, SHARON J · 2016 to 2020
$3.7M
Partnering with WIC to prevent excessive weight gain in pregnancyR01DK115939 · NIDDK · TEMPLE UNIV OF THE COMMONWEALTH · PI HERRING, SHARON J · 2018 to 2022
$3.5M
NHLBI NIH HHS R01 HL130816NHLBI NIH HHS R01HL130816NIDDK NIH HHS R01 DK115939NIDDK NIH HHS R01DK115939
6 · The paper itself

Abstract

introductionWomen, Infants and Children (WIC) nutrition professionals serve as frontline providers for Black families who disproportionately experience poor perinatal outcomes. With racism driving inequities, we developed an antiracism training tailored to WIC. This report describes the training framework, design, components, and evaluation.

methodsIn 2019, with feedback from WIC providers, we created a 3-h antiracism training for Philadelphia WIC nutrition professionals that included an identity reflection, key concept definitions, workplace scenario and debrief, a model for repair and disruption, and an action tool. We implemented this training in August 2019 and surveyed WIC staff trainees' awareness of racism and skills to address bias before, immediately after, and 6 months post-training, comparing responses at each time point.

resultsAmong 42 WIC staff trainees, mean age was 30 years, 56% were white, 91% female, and 74% had no prior antiracism training. Before the training, 48% felt quite a bit or extremely aware of the role of racism in the healthcare system; this increased to 91% immediately after and was 75% 6 months later. Similar increases in confidence identifying and addressing interactions that perpetuate racism were achieved immediately after training, although the magnitude decreased by 6 months. One-third felt quite a bit or extremely confident the training improved participant interactions at the 6-month timepoint. Qualitative feedback reinforced findings. DISCUSSION: Results suggest antiracism training may improve WIC nutrition professionals' attitudes, awareness, and actions and could be valuable in efforts to advance health equity. More work is needed to examine how changes translate into improvements for WIC participants.

Indexed as

AntiracismHealth EducationAdultChildFemaleHealth PromotionHumansInfantMaleNutritional StatusPregnancySurveys and QuestionnairesAntiracism trainingCultural humilityHealth equityPerinatal health disparitiesWIC

Identifiers

PMID36472807
PMCPMC9734826
OpenAlexW4311281818

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.