{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:51:13Z","timestamp":1792054273328,"version":"4.4.0"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp;amp; Child Nutrition"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The Canada Prenatal Nutrition Program (CPNP) is a federal initiative that addresses the critical impact of early nutrition and perinatal care on health outcomes by providing community\u2010based perinatal health and nutrition services to socially and economically vulnerable women and their infants. Using a flexible, locally adaptable community programming model, the CPNP aims to improve the health of women and their babies by promoting healthy birth weights and supporting breastfeeding; fostering community partnerships; and providing culturally sensitive support. To identify priorities for future research and outcome measurement within the program's monitoring and evaluation framework, we engaged CPNP personnel from 26 sites across the province of Ontario as expert knowledge holders in a Modified Delphi study. Among participating sites, 57% were hosted within a community\u2010based agency, 23% within an Indigenous\u2010led agency, and 20% within a public health unit. Participants ranked priorities based on what they believed best reflected CPNP clients' needs, contributed to evidence\u2010based program development, and aligned with the realities of community\u2010based service delivery. All priorities were viewed as important for programming. From the relative rankings, two research topics were highest\u2010ranked: assessing the impacts of the CPNP and conducting a needs assessment to identify community\u2010defined perinatal health needs. Maternal mental health was the highest\u2010ranked outcome measure, because of its perceived central role in supporting parent\u2013infant health, well\u2010being, and social connectedness. Collectively, these applied findings offer strategic direction to advance the CPNP's adaptive program delivery model, and demonstrate the methodological value of engaging community knowledge holders to inform perinatal program delivery.<\/jats:p>","DOI":"10.1111\/mcn.70257","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:40:36Z","timestamp":1792053636000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Research and Outcome Priorities for the Canada Prenatal Nutrition Program in Ontario: A Community\u2010Engaged Modified Delphi Study"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4718-0382","authenticated-orcid":false,"given":"Jo\u2010Anna B.","family":"Baxter","sequence":"first","affiliation":[{"name":"Department of Nutritional Sciences University of Toronto Toronto Ontario Canada"},{"name":"Centre for Global Child Health Hospital for Sick Children Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5550-0040","authenticated-orcid":false,"given":"Alison","family":"Mildon","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronwyn","family":"Underhill","sequence":"additional","affiliation":[{"name":"Parkdale Queen West Community Health Centre Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2124-6977","authenticated-orcid":false,"given":"Daniel W.","family":"Sellen","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences University of Toronto Toronto Ontario Canada"},{"name":"Department of Anthropology University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6331-091X","authenticated-orcid":false,"given":"Deborah L.","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences University of Toronto Toronto Ontario Canada"},{"name":"Translational Medicine Hospital for Sick Children Toronto Ontario Canada"},{"name":"Department of Paediatrics Mount Sinai Hospital Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06487-y"},{"key":"e_1_2_9_3_1","unstructured":"Baxter J. B. A.Mildon J.Francis D. W.Sellen andD. L.O'Connor(2024). Identifying Lactation and Food Supports Within the Canada Prenatal Nutrition Program Prior to the Pandemic During the Pandemic and in the Future: A Cross\u2010sectional Survey.https:\/\/childnutrition.utoronto.ca\/canada-prenatal-nutrition-program-survey."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.11.080"},{"key":"e_1_2_9_5_1","volume-title":"2024 Update on Child and Family Poverty in Canada","author":"Campaign 2000","year":"2024"},{"key":"e_1_2_9_6_1","volume-title":"The CPNP Guidebook: A CPNP Worker's Guide to Running a Great Community Program","author":"Canada Prenatal Nutrition Program, First Nations and Inuit Health Branch, & Health Canada","year":"2009"},{"key":"e_1_2_9_7_1","unstructured":"Children First Canada. (2025). Raising Canada 2025: A Generation at Risk: How Childhood in Canada has Deteriorated.https:\/\/childrenfirstcanada.org\/wp-content\/uploads\/2025\/08\/Raising-Canada-Report-2025-FINAL_WEB.pdf."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.187179"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-1629"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12957"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-021-01386-6"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.111"},{"key":"e_1_2_9_13_1","unstructured":"Health Canada & Public Health Agency of Canada.2016. Evaluation of the Community Action Program for Children Canada Prenatal Nutrition Program and Associated Activities 2010\u20102011 to 2014\u20102015.https:\/\/www.canada.ca\/content\/dam\/phac-aspc\/documents\/corporate\/transparency\/corporate-management-reporting\/evaluation\/2010-2011-2014-2015-evaluation-community-action-program-children-canada-prenatal-nutrition-program-associated-activities\/pub-eng.pdf."},{"key":"e_1_2_9_14_1","volume-title":"Designing and Conducting Focus Group Interviews","author":"Krueger R. A.","year":"2002"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2215-0366(18)30060-9"},{"key":"e_1_2_9_16_1","volume-title":"An Assessment of the Economic Impact of the Canada Prenatal Nutrition Program (CPNP)","author":"McMurchy D.","year":"2009"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1368980023000459"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/bf03404456"},{"key":"e_1_2_9_19_1","unstructured":"Muhajarine N. J.Ng K.Green et al.2009. Understanding the Impact of the Canada Prenatal Nutrition Program: A Quantitative Evaluation.https:\/\/spheru.ca\/publications\/files\/CPNP-Evaluation-Report.pdf."},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0304651"},{"key":"e_1_2_9_21_1","volume-title":"Evaluation of PHAC's Community Action Program for Children (CAPC) and Canada Prenatal Nutrition Program (CPNP) \u2212 2015\u201016 to 2019\u201020","author":"Office of Audit and Evaluation, Health Canada, & Public Health Agency of Canada","year":"2021"},{"key":"e_1_2_9_22_1","unstructured":"PRA Inc. Information Info Strategy.2004. Health Canada Evaluation of the Canada Prenatal Nutrition Program (CPNP): Final Report.https:\/\/publications.gc.ca\/collections\/collection_2016\/sc-hc\/H14-163-2004-eng.pdf."},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.55310"},{"key":"e_1_2_9_24_1","volume-title":"The Canada Prenatal Nutrition Program: A Decade of Promoting the Health of Mothers, Babies and Communities","author":"Public Health Agency of Canada","year":"2007"},{"key":"e_1_2_9_25_1","volume-title":"The Impact of the Canada Prenatal Nutrition Program (CPNP) on the Health and Wellbeing of Program Participants","author":"Public Health Agency of Canada","year":"2018"},{"key":"e_1_2_9_26_1","unstructured":"Public Health Agency of Canada.2025. Canada Prenatal Nutrition Program (CPNP).https:\/\/www.canada.ca\/en\/public-health\/services\/child-infant-health\/supports-programs-pregnancy\/prenatal-nutrition-program-cpnp.html."},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-016-0210-7"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.2910"},{"issue":"3","key":"e_1_2_9_29_1","first-page":"14","article-title":"A Tale of Two Evaluations: CAPC and CPNP","volume":"1","author":"Schewndt S.","year":"2002","journal-title":"Health Policy Research Bulletin"},{"key":"e_1_2_9_30_1","unstructured":"Statistics Canada.2019. Maternal Mental Health in Canada 2018\/2019. Retrieved From Ottawa.https:\/\/www150.statcan.gc.ca\/n1\/daily-quotidien\/190624\/dq190624b-eng.htm."},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(14)61277-0"},{"key":"e_1_2_9_32_1","volume-title":"Nutrition for Every Child","author":"UNICEF","year":"2020"},{"key":"e_1_2_9_33_1","volume-title":"Worlds Apart: Canadian Companion to UNICEF Report Card 16","author":"UNICEF Canada","year":"2020"},{"key":"e_1_2_9_34_1","unstructured":"UNICEF Canada.2025.UNICEF Report Card 19: Canadian Companion Childhood Interrupted: How Canada's Child Well\u2010Being Compares to Other Wealthy Countries. Retrieved fromToronto.https:\/\/www.unicef.ca\/sites\/default\/files\/2025-06\/UNICEF_RC19_Canadian_Companion_EN_Jun5.pdf."}],"container-title":["Maternal &amp; Child Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.70257","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/mcn.70257","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.70257","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:40:43Z","timestamp":1792053643000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/mcn.70257"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/mcn.70257"],"URL":"https:\/\/doi.org\/10.1111\/mcn.70257","archive":["Portico"],"relation":{},"ISSN":["1740-8695","1740-8709"],"issn-type":[{"value":"1740-8695","type":"print"},{"value":"1740-8709","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2025-11-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70257"}}