WIC Participant

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APPENDIX Q.1
WIC ITFPS-2 Participant Interview
15 Month -ENGLISH

SOCIODEMOGRAPHICS AND BACKGROUND

Respondent still Caregiver? 
1, 3, 5, 7, 9, 11, 13, 15, 18, 24

SD12.	(1 mo.: Before we go any further/ All other: Before we begin today), I need to ask whether you are still {CHILD's} caregiver. [Source: New Development]
Yes	01
No	02
(If no, go to a)
a.	Does {CHILD} still live with you?
Yes	01
No	02
b.	(If a is Yes): Can you please tell me who in your household is now {CHILD's} caregiver? Can I speak with that person?
Name of New Caregiver______________________________________________
c.	(If a is No): Can you please tell me who is caring for {CHILD} now, and how I could reach that person?
Name of New Caregiver______________________________________________
Phone of New Caregiver______________________________________________
Address of New Caregiver____________________________________________
Relation of New Caregiver to Child_____________________________________
Next I’d like to ask you about WIC

Continuation/discontinuation of WIC participation (timing, reasons, location)
1, 3, 5, 7, 9, 11, 13, 15, 18, 24

SD31.	Are you currently getting WIC food or checks for yourself or {CHILD}? [Source: FDA IFPS-2; modified]
Yes	01
No	02
(if no for the first time go to SD34, if no previously go to next applicable module)
SD32.	The last time we talked with you, you were going to WIC at [fill in location]. Do you still go there, or do you go to a new location? [Source: FDA IFPS-2 modified]
Yes, still that location	01
No, new location	02
SD33.	(If SD32 is no) Please tell me where you go now
Record location _______________________________________
Ask SD34 and SD35 only if SD31 is 'no'
SD34.	How old was {CHILD} when you stopped going to WIC? [Source: LA WIC Survey; modified]
Age	[weeks/months]
SD35.	I'm going to read some reasons why you might have stopped going to WIC. Please tell me if each one is a reason you stopped going to WIC: [Source: LA WIC Survey; modified]
You no longer qualify for WIC	01
It was inconvenient for you	02
You no longer need WIC	03
Other reason (record response)	04
CURRENT FEEDING PRACTICES
	
AMPM Module (Asking child’s food intake in past 24 hours)
	

24-HR Recall for Food Intake
1, 3, 5, 7, 9, 11, 13, 15, 18, 24

Nutrition intake
Number of breastmilk/formula feedings per day
Type of formula used
Adherence to formula dilution instructions
Use/timing of supplemental formula for breastfeeding mothers
Addition of anything other than human milk/formula to child’s bottle
Specific food item intake
Use of jarred baby foods
Meal and snack pattern
Eating locations (eating on the go)
Use of dietary supplements for infants (direct administration)
	
Supplemental Foods Initiation (asked all interviews 1-24 until all endorsed) 
	

Fed other than breastmilk or formula
1, 3, 5, 7, 9, 11, 13, 15, 18, 24 

Ask CF32 at every interview until mother answers yes, then drop from later interviews and go straight to CF33.
CF32.	Has {CHILD} been given anything to eat or drink besides formula or breastmilk? [Source: WIC IFPS-1, modified]
Yes	01
No	02
Time to introduction of supplemental foods
1, 3, 5, 7, 9, 11, 13, 15, 18, 24
Next I’m going to ask you some questions about when you first started feeding {CHILD} different types of foods.
Ask each food until answer is affirmative, then stop asking that food in subsequent interviews
CF33.	For each of the following, please tell me if {CHILD} has been given this food or drink, and if so, how old {CHILD} was when he/she first had that food. [Sources: FITS 2008; IFPS-1; WHO Toolkit 1996]
a.	Has [HE/SHE] been given plain bottled or tap water?
Yes	01
No	02
b.	(If yes) How old was {CHILD} when [HE/SHE] was first fed plain bottled or tap water?
Age	[weeks/months]
Don’t know	98
Refused	99
c.	Has [HE/SHE] been given soda or soft drinks?
Yes	01
No	02
d.	(If yes) How old was {CHILD} when [HE/SHE] was first fed soda or soft drinks?
Age	[weeks/months]
Don’t know	98
Refused	99
e.	Has [HE/SHE] been given other sweetened beverages (such as Kool Aid, Hi-C, Fruit Punch, sweetened juice, sweetened or flavored water, Gatorade, or sweet tea)?
Yes	01
No	02
f.	(If yes) How old was {CHILD} when [HE/SHE] was first fed other sweetened beverages?
Age	[weeks/months]
Don’t know	98
Refused	99
g.	Has [HE/SHE] been given 100% fruit juice such as apple juice, orange juice, or other types of 100% juice. Do not include fruit-flavored drinks with added sugar or fruit juice you made at home and added sugar to?
Yes	01
No	02
h.	(If yes) How old was {CHILD} when [HE/SHE] was first fed 100% fruit juice?
Age	[weeks/months]
Don’t know	98
Refused	99
i.	Has [HE/SHE] been given other drinks and liquids, including teas and broths?
Yes	01
No	02
j.	(If yes) How old was {CHILD} when [HE/SHE] was first fed Other drinks and liquids, including teas and broths?
Age	[weeks/months]
Don’t know	98
Refused	99
k.	Has [HE/SHE] been given Cow’s milk, including whole milk, 2%, 1%, or skim? Please include milk you add to other foods such as cereal.
Yes	01
No	02
l.	(If yes) How old was {CHILD} when [HE/SHE] was first fed cow’s milk?
Age	[weeks/months]
Don’t know	98
Refused	99
m.	Has [HE/SHE] been given dairy products other than cow’s milk including cheese, yogurt, or goat’s milk? Please include any dairy products other than cow’s milk that you add to other foods.
Yes	01
No	02
n.	(If yes) How old was {CHILD} when [HE/SHE] was first fed dairy products other than cow’s milk?
Age	[weeks/months]
Don’t know	98
Refused	99
o.	Has [HE/SHE] been given baby cereal, either with a spoon or by adding it to a bottle of breastmilk or formula?
Yes	01
No	02
p.	(If yes) How old was {CHILD} when [HE/SHE] was first fed baby cereal?
Age	[weeks/months]
Don’t know	98
Refused	99
q.	Has [HE/SHE] been given other cereal besides baby cereal?
Yes	01
No	02
r.	(If yes) How old was {CHILD} when [HE/SHE] was first fed other cereal besides baby cereal?
Age	[weeks/months]
Don’t know	98
Refused	99
s.	Has [HE/SHE] been given eggs?
Yes	01
No	02
t.	(If yes) How old was {CHILD} when [HE/SHE] was first fed eggs?
Age	[weeks/months]
Don’t know	98
Refused	99
u.	Has [HE/SHE] been given fruit, including baby food or regular fruit?
Yes	01
No	02
v.	(If yes) How old was {CHILD} when [HE/SHE] was first fed fruit?
Age	[weeks/months]
Don’t know	98
Refused	99
w.	Has [HE/SHE] been given vegetables, including baby food or regular vegetables?
Yes	01
No	02
x.	(If yes) How old was {CHILD} when [HE/SHE] was first fed vegetables?
Age	[weeks/months]
Don’t know	98
Refused	99
y.	Has [HE/SHE] been given beans, such as black beans, pinto beans, or chick peas?
Yes	01
No	02
z.	(If yes) How old was {CHILD} when [HE/SHE] was first fed beans?
Age	[weeks/months]
Don’t know	98
Refused	99
aa.	Has [HE/SHE] been given peanut butter
Yes	01
No	02
bb.	(If yes) How old was {CHILD} when [HE/SHE] was first fed peanut butter?
Age	[weeks/months]
Don’t know	98
Refused	99
cc.	Has [HE/SHE] been given meats,, chicken, or fish, including baby food and baby food combination dinners containing these foods?
Yes	01
No	02
dd.	(If yes) How old was {CHILD} when [HE/SHE] was first fed meat, chicken, or fish?
Age	[weeks/months]
Don’t know	98
Refused	99
ee.	Has [HE/SHE] been given salty snacks, such as chips, pretzels, crackers, or other snack foods including baby snacks?
Yes	01
No	02
ff.	(If yes) How old was {CHILD} when [HE/SHE] was first fed salty snacks?
Age	[weeks/months]
Don’t know	98
Refused	99
gg.	Has [HE/SHE] been given sweets, such as cake, cookies, candy, or jam
Yes	01
No	02
hh.	(If yes) How old was {CHILD} when [HE/SHE] was first fed sweets?
Age	[weeks/months]
Don’t know	98
Refused	99
Next I’m going to ask you some questions about the types of food you buy or make for {CHILD}, how you prepare those foods and feed them to {CHILD}, and what foods you get through WIC.

Time to cessation of bottle feeding
7, 9, 11, 13, 15, 18, 24 (until affirmative)

CF34.	Is {CHILD} still drinking anything from a bottle? [Source: New Development]
Yes	01
No	02
CF35.	(If no, ask:) How old was {CHILD} when [HE/SHE] stopped using a bottle? [Source: New Development]
Age	[weeks/months/years]
Method of feeding child (spoon, infant feeder, bottle/modified bottle, etc.)
*3, 5, 7, 9, 11, 13, 15
*only ask if indicated that child is eating solid foods (something other than formula or BM)

CF40.	In the past 7 days, have you given {CHILD} any foods with a spoon? [Source: IFPS-1, modified]
Yes	01
No	02
CF41.	In the past 7 days, have you given {CHILD} any foods with an infant feeder or with a bottle that has an extra large nipple hole? [Source: IFPS-1, modified]
Yes	01
No	02
Infant/child food package – does child eat foods from WIC food package?
7, 13, 15, 18, 24

For 13, 15, 18, 24 mo:
CF43.	Which of the following WIC foods does {CHILD} eat? Does [HE/SHE] eat: [Source: FITS 2008, modified]
a.	Breakfast cereal, either hot or cold from WIC
Yes	01
No	02
Don’t Know	98
b.	Cheese from WIC
Yes	01
No	02
Don’t Know	98
c.	Eggs from WIC
Yes	01
No	02
Don’t Know	98
d	Does {CHILD} eat fruits from WIC
Yes	01
No	02
Don’t Know	98
e.	100% juice from WIC
Yes	01
No	02
Don’t Know	98
f.	Milk from WIC, including cow’s milk, soy milk, or other milk
Yes	01
No	02
Don’t Know	98
g.	Peanut butter from WIC
Yes	01
No	02
Don’t Know	98
h.	Does {CHILD} eat vegetables from WIC
Yes	01
No	02
Don’t Know	98
i.	Whole grain bread or other whole grains, such as brown rice, bulgur, barley, or tortillas from WIC
Yes	01
No	02
Don’t Know	98
j.	Does {CHILD} eat other food from WIC (specify ________________________________________)
Yes	01
No	02
Don’t Know	98
Perceptions of impact of WIC food package choices on food child receives 
7, 15

KA28.	Are the foods you can buy with WIC checks the kinds of foods that you would typically feed {CHILD}? [Source: New Development]
Yes	01
No	02
Don’t know	98
Practices for introducing new foods to toddlers
15, 18, 24

CF49.	How many times do you offer a new food before you decide {CHILD} does not like it? [Source: FITS 2002, 2008, modified]
Once 	01
Twice 	02
Three to five times 	03
Six to ten times 	04
More than ten times 	05
LIKES EVERYTHING 	06
DON’T KNOW 	98
REFUSED	99
Toddler feeding rules
15, 24

CF51.	I am going to read some things that parents may do. Please tell me how often each statement is true for you and {CHILD}. [Source: Thompson et al., 2009]
	a.	I keep track of what food {CHILD} eats
Always	01
Usually	02
About half of the time	03
Occasionally	04
Never	05
	b.	I try to get {CHILD} to finish his/her food
Always	01
Usually	02
About half of the time	03
Occasionally	04
Never	05
	c.	I try to get {CHILD} to eat even if she/he seems not hungry
Always	01
Usually	02
About half of the time	03
Occasionally	04
Never	05
	d.	I carefully control how much {CHILD} eats
Always	01
Usually	02
About half of the time	03
Occasionally	04
Never	05
	e.	I am very careful not to feed {CHILD} too much
Always	01
Usually	02
About half of the time	03
Occasionally	04
Never	05
EXPERIENCE, KNOWLEDGE, ADVICE, BELIEFS

Now I’m going to ask you about your beliefs about feeding toddlers, and where you get information about how to feed {CHILD}.

Toddler period knowledge, attitudes, beliefs about nutrition
15, 24

KA11.	It’s ok for a toddler to walk around while eating as long as s/he eats. [Source: Thompson, 2009, modified]. Would you say that you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree?
Strongly agree	01
Agree	02
Neither agree nor disagree	03
Disagree	04
Strongly disagree	05
KA12.	It’s important for a toddler to finish all the food on his/her plate. [Source: Thompson, 2009, modified]. Would you say that you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree?
Strongly agree	01
Agree	02
Neither agree nor disagree	03
Disagree	04
Strongly disagree	05
KA13.	The best way to make a toddler stop crying is to feed him or her. [Source: Thompson, 2009, modified]. Would you say that you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree?
Strongly agree	01
Agree	02
Neither agree nor disagree	03
Disagree	04
Strongly disagree	05
KA14.	It’s important that the parent decides how much a toddler should eat. [Source: Thompson, 2009, modified]. Would you say that you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree?
Strongly agree	01
Agree	02
Neither agree nor disagree	03
Disagree	04
Strongly disagree	05
KA15.	People feel differently about what their toddlers eat. Which of the following best describes your opinion about toddlers eating fast food: [Source: Thompson, 2009, modified]
Toddlers should be allowed to eat fast food whenever they want to	01
Toddlers should be allowed to eat fast food occasionally	02
Toddlers should never eat fast food	03
KA16.	There are many kinds of sugary foods like candy, ice cream, cakes or cookies. Which of the following best describes your opinion about toddlers eating sugary foods: [Source: Thompson, 2009, modified]
Toddlers should be allowed to eat sugary foods whenever they want to	01
Toddlers should be allowed to eat sugary foods occasionally	02
Toddlers should never eat sugary foods	03
KA17.	There are many kinds of snack foods like potato chips, regular or flavored tortilla chips, and cheese puffs. Which of the following best describes your opinion about toddlers eating snack foods: [Source: Thompson, 2009, modified]
Toddlers should be allowed to eat snack foods whenever they want to	01
Toddlers should be allowed to eat snack foods occasionally	02
Toddlers should never eat snack foods	03
Sources of information about infant/toddler feeding
5, 15

KA36.	There are many people and places mothers turn to for information on how to feed children. I am going to read you a list and I would like you to tell me if you have turned to any of these people or places to get information about how to feed {CHILD}. (CATI offers in random order) [Source: New Development]
a.	Your mother, mother-in-law, or another family member
Yes	01
No	02
Don’t Know	98
Not Applicable	99
b.	Your husband or boyfriend
Yes	01
No	02
Don’t Know	98
Not Applicable	99
c.	A friend
Yes	01
No	02
Don’t Know	98
Not Applicable	99
d.	Your child’s doctor or another health professional
Yes	01
No	02
Don’t Know	98
Not Applicable	99
e.	A mom’s group or class
Yes	01
No	02
Don’t Know	98
Not Applicable	99
f.	Books or magazines
Yes	01
No	02
Don’t Know	98
Not Applicable	99
g.	The internet or parenting websites
Yes	01
No	02
Don’t Know	98
Not Applicable	99
h.	Your WIC office or clinic
Yes	01
No	02
Don’t Know	98
Not Applicable	99
Most helpful source of information about infant/toddler feeding
5, 15

Ask if answered ‘yes’ to two or more sources of information in KA36
KA40.	You just told me about the people or places you turn to in order to get information about how to feed {CHILD}. I’m going to read that list back to you, and I’d like you to tell me which person or place you think gives you the most helpful information about feeding {CHILD}. [CATI includes only options endorsed as ‘yes’ in KA36, and randomizes the included options]. So would you say that the person or place that gives you the most helpful information is (interviewer read responses with “or” between each): [Source: New Development]
Your mother, mother-in-law, or another family member	01
Your husband or boyfriend	02
A friend	03
Your child’s doctor or another health professional	04
A mom’s group or class	05
Books or magazines	06
The internet or parenting websites	07
Your WIC office or clinic	08
Don’t know	98
Refused	99

Why did mother seek information about infant/toddler feeding
5, 15

KA37.	(If yes to seeking information from any source in KA36) I’m going to read you a short list of reasons why some mothers look for information about how to feed their children. For each one, please tell me if it is a reason why you looked for information. [Source: New Development]
a.	I had questions about what to feed my child
Yes	01
No	02
Don’t Know	98
b.	I was worried about my child’s weight
Yes	01
No	02
Don’t Know	98
c.	I wanted help with a problem I was having with feeding my child.
Yes	01
No	02
Don’t Know	98
d.	I wanted to learn more about feeding new or different things to my child
Yes	01
No	02
Don’t Know	98
Did the mother have problems getting information about infant/toddler feeding? If so, what were the problems/barriers?
5, 15

KA38.	Have you had any problems finding information about how to feed {CHILD}? [Source: New Development]
Yes	01
No	02
Don’t Know	98
KA39.	(If yes to having problems finding information) I’m going to read you some problems mothers have getting information. For each one, please tell me if this was a problem for you.
a.	I didn’t know where to look for information
Yes	01
No	02
Don’t Know	98
b.	I couldn’t find information on what I wanted to know
Yes	01
No	02
Don’t Know	98
c.	I found information about what I wanted to know, but none of it seemed to apply to my situation.
Yes	01
No	02
Don’t Know	98

CHILD HEALTH, BEHAVIOR, AND CHILD REARING

Finally, I’m going to ask you some questions about {CHILD’S} health and behavior, and your family’s routines and habits.

Health status/conditions
Actions to rectify health conditions
1, 3, 5, 7, 9, 11, 13, 15, 18, 24

CH2.	Has the doctor told you that {CHILD} has any long-term medical problems or conditions that may affect what or how [HE/SHE] eats? [Source: FITS 2008, modified]
	(Interviewer, if necessary add) These medical problems or conditions may be things like food allergies, diabetes, metabolic disorders such as PKU or galactosemia, gastrointestinal problems such as gastric reflux, other problems like cleft palate or other mouth or facial conditions – any long-term problems that affect the baby’s ability to eat and swallow.
Yes	01
No	02
Don’t Know	98
(If yes) What medical problem or condition does {CHILD} have?
	Specify ______________________________________________
CH3.	(If yes to health status/conditions in CH2):  What are you currently doing to treat this medical problem? [Source: New Development] (Open-ended, Interviewer check all that apply)
Taking her/him to the doctor for treatment	01
Treating him/her at home with medicine	02
Treating him/her at home with something other than 
medicine (such as herbal remedies, special teas, or other 
forms of treatment)	03
Changing his/her diet	04
Other	05
Don’t Know	98
Refused	99
Child physical activity indoors
5, 13, 15, 24

At 13, 15, 24 only:
CH6.	I am going to read you a list of activities you or someone in your home may have done with {CHILD} in the past week. How often did you or someone in your home do: [Source: MacDonald & Parke, 1986, modified]
a.	Wrestling. This is when someone gently and playfully pushes the child around on the ground or a bed, and the child playfully pushes back. In the past week, how often did you or someone in your home wrestle with {CHILD}?
Every day	01
Several times a week	02
Once a week	03
Not at all	04
Don’t Know	98
Refused	99
b.	Tumbling. This is when a child rolls around, does somersaults, or climbs over things. In the past week, how often did you or someone in your home play tumbling with {CHILD}?
Every day	01
Several times a week	02
Once a week	03
Not at all	04
Don’t Know	98
Refused	99
c.	Playing chase. This is when someone playfully runs or crawls after a child. In the past week, how often did you or someone in your home play chase with {CHILD}?
Every day	01
Several times a week	02
Once a week	03
Not at all	04
Don’t Know	98
Refused	99
d.	Playing ball. This includes placing a ball in front of a child so he has to go after it by crawling, walking, or grabbing. In the past week, how often have you or someone in your home played ball with {CHILD}?
Every day	01
Several times a week	02
Once a week	03
Not at all	04
Don’t Know	98
Refused	99
Child television/video exposure
15, 18, 24

At 15 months only:
CH17 .	On an average day, how many hours does {CHILD} watch television? Only include time when [HE/SHE] is actually watching TV, and just give your best estimate. [Source: PHFE WIC survey 2011, modified]
Less than one hour	01
Number of hours (1 or more)	[number 1-18]
Don't know	98
Refused	99
TV on during meals
15, 18, 24

CH19.	When you and your child eat meals or snacks at home, how often is a television on while you are eating? [Source: CDC 2010 Youth Physical Activity and Nutrition Survey, modified]
Most of the time	01
Sometimes	02
Rarely	03
Never	04
Don’t know	98
Refused	99
Family eats together
15, 18, 24

CH20.	During the past week, including weekdays and weekends, how many times did all or most of your family sit down and eat a meal together? [Source: NHANES Flexible Consumer Behavior Survey (CBQ) 2009-2010, modified]
7 or more times each week	01
5-6 times during the week	02
3-4 times/week	03
1-2 times/week	04
Never	05
Don’t know	98
Refused	99
PARTICIPANT CONTACT INFORMATION UPDATE
Thank you for taking the time to speak with me today. Because we’ll be calling you again for your next interview (EN: in a couple of weeks / all other times: when your child is {AGE – next interview}), I’d like to be sure we have all the right ways to contact you.

CM1.	Is your full name still {NAME}?
Yes	01
No	02
(If no, go to a)
a.	Can you please tell me what your full legal name is now?
	_____________________________________________
Ask only if still on WIC:
CM2.	{If have WIC ID on file: We have your WIC ID as {FILL}, is that correct?/If don’t have WIC ID on file: Do you know what your current WIC ID is?}
WIC ID is the same (fill below)	01
New WIC ID (specify below) 	02
Don’t know WIC ID	98
Refused WIC ID	99

	WIC ID___________________________________
CM3.	 I reached you today at {FILL #}. Will that still be the best number to call you at for your next interview?
Yes (if yes, go to b)	01
No (if no, go to a)	02

a.	What is the best number to call you at for your next interview?
Number (specify ---/---/----)
NO PHONE (go to CM4)	97
Is that number home, work, cell, or something else?
Home	01
Work	02
Cell	03
Other (specify__________________)	04

b.	Is there another number we could try in case we have trouble reaching you?

Number (specify ---/---/----)
Is that number home, work, cell, or something else?
Home	01
Work	02
Cell	03
Other (specify__________________)	04

We’d like to keep in touch with you even if we can’t get you by phone or your phone number changes, so I’m going to ask you about a few additional ways we might be able to contact you.
CM4.	If have email on file: We have your email address as {FILL}, is that correct?/If no email: Do you have an email address we could use to contact you if necessary?
Email is the same (fill below)	01
New Email (specify below) 	02
Don’t know Email	98
Refused Email	99

	Email___________________________________
CM5.	If mailing address on file: We have your current mailing address as {FILL}. Is that correct? If no mailing address on file: Can I get a mailing address we could use to contact you if necessary?
Address is the same (fill below)	01
New address (specify below) 	02
Don’t know/don’t have address	98
Refused address	99

a.	Can you please tell me what your current mailing address is?
	Street/Apt#________________________________________
	City______________________________________________
	State_____________________________________________
	ZIP______________________________________________
b.	(If CM3a is 97 – no phone):  Earlier you indicated that you do not have a phone. Since we need to speak with you by phone we will mail you a study phone. You will receive the phone before your next interview. The package will contain instructions on how to use the phone. Should we mail the phone to the mailing address you just provided?
Address is the same (fill below)	01
New address (specify below) 	02
Don’t know/don’t have address	98
Refused address	99

	Can you please provide the address where the phone should be mailed?
	Street/Apt#________________________________________
	City______________________________________________
	State_____________________________________________
	ZIP______________________________________________
CM6.	[Social Media – will develop question when procedure is finalized]
CM7.	(If contacts on file: Earlier you provided the names and contact information for two people who would always know how to find you. Can I read that information back to you and check that it’s still up to date?/If no contacts on file: Just in case we can’t get in touch with you using the information you just gave me, I’d like to ask you for the names and contact information for two people who would always know how to find you.
Person #1 (If contacts on file, read fill info and correct as needed)
Name	
Who is this person to you?	
Phone	
Address	
Email	

Person #2 (If contacts on file, read fill info and correct as needed)
Name	
Who is this person to you?	
Phone	
Address	
Email