1. Health and Wellness for all Arizonans Targeting Behavioral Triggers of Overfeeding in Older Infants and Toddlers (TOTT) Linda Yee, MPH Arizona WIC Partner’s Meeting January 16, 2015

2. Health and Wellness for all Arizonans Background CA WIC Baby Behaviors Project - Focus – Increase breastfeeding & decrease obesity CA WIC TOTT Project - Focus – Increase breastfeeding, decrease inappropriate feeding and decrease obesity

3. Health and Wellness for all Arizonans Background (cont’d) Arizona WIC TOTT Project – Test revised messages from CA WIC TOTT - Focus – Increase breastfeeding, decrease inappropriate feeding, decrease obesity, and increase retention of children on the WIC Program

4. Health and Wellness for all Arizonans Overview UC Davis staff will provide: - refresher training on Baby Behavior knowledge and skills - training in Older Infants and Toddlers and messaging to participants -telephone consultation and support via phone/webinars to staff - evaluation, data analysis and reports

5. Health and Wellness for all Arizonans Overview (cont’d) Local Agencies: - Receive training on Toddler Behavior -Provide Two clinics in their agency that will participate in the study -Help recruit participants to the study

6. Health and Wellness for all Arizonans Criteria For Participation - Clinic size – 2500 or more *Need 500 toddlers per clinic - No staff overlap between the two clinics - Low staff turnover - Staff allow to be filmed – LMS

7. Health and Wellness for all Arizonans TOTT Timeline Federal Fiscal YearEvent(s) Jan 2015UC Davis contract and OA funding; solicit Local agency participation (Two agencies – 4 clinics) Feb – Mar 2015 Initial planning discussion April – July 2016 Survey, focus groups, training, implementation Aug – Nov 2016 Evaluation and Revision of Materials December 2016 Final report and training of control clinics * indicates years with heavy involvement of local agencies

8. Health and Wellness for all Arizonans Evaluation Evaluation Components Include: Participant surveys (online) and focus groups WIC staff surveys Breastfeeding rates Overweight/Obesity rates Retention rates

9. Health and Wellness for all Arizonans If interested, please contact Jaclyn Chamberlain, Project Coordinator