Application of a Delphi Technique to Identify the Challenges for Adoption, Implementation, and Maintenance of WIC Online Ordering Across Various Systems and Stakeholders

The purpose of this study was to identify policy, technological, and programmatic changes necessary for adoption and implementation of WIC online ordering with online transactions. A Delphi technique was used to identify and prioritize challenges from WIC decision-makers and stakeholders. WIC participants were identified as primary users of online ordering systems with retail store staff as important secondary users. Thematic analysis identified challenges in: 1) Rules/Regulations; 2) Shopping Experience; 3) Security, Confidentiality, Fraud, and State Agency Processes; 4) Training and Education; and 5) Equitable Access/Buy-in. The study identified initial processes that impact adoption, implementation, and maintenance of WIC online ordering.