Provider Counseling, Health Education, and Community Health Workers: The Arizona WISEWOMAN Project

Staten, Lisa K.; Gregory-Mercado, Karen Y.; Ranger-Moore, James; Will, Julie C.; Giuliano, Anna R.; Ford, Earl S.; Marshall, James

doi:10.1089/1540999041281133

Cited by 110Health Promotion and Cardiovascular PreventionWomen's cancer prevention and managementCommunity Health and Development

Provider Counseling, Health Education, and Community Health Workers: The Arizona WISEWOMAN Project

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Staten, Lisa K., Gregory-Mercado, Karen Y., Ranger-Moore, James, Will, Julie C., Giuliano, Anna R., Ford, Earl S., Marshall, James·2004·Journal of Women's Health

DOI 10.1089/1540999041281133

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Abstract

BACKGROUND: The Arizona Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) project used provider counseling, health education, and community health workers (CHWs) to target chronic disease risk factors in uninsured, primarily Hispanic women over age 50. METHODS: Participants were recruited from two Tucson clinics participating in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). Women were randomly assigned into one of three intervention groups: (1) provider counseling, (2) provider counseling and health education, or (3) provider counseling, health education, and CHW support. At baseline and 12 months (1998-2000), participants were measured for height, weight, waist and hip circumference, and blood pressure. Blood tests were conducted to check blood glucose, cholesterol, and triglyceride levels. At each time point, participants also completed 24-hour dietary recalls and questionnaires focusing on their physical activity levels. RESULTS: A total of 217 women participated in baseline and 12-month follow-up. Three fourths were Hispanic. All three intervention groups showed an increase in self-reported weekly minutes of moderate-to-vigorous physical activity, with no significant differences between the groups. Significantly more women who received the comprehensive intervention of provider counseling, health education, and CHW support progressed to eating five fruits and vegetables per day, compared with participants who received only provider counseling or provider counseling plus health education. CONCLUSIONS: All three interventions increased moderate-to-vigorous physical activity but not fruit and vegetable consumption. The intervention group with provider counseling, health education, and CHW support significantly increased the number of women meeting national recommendations for fruit and vegetable consumption.

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Of the 25 reviewed trials, 3 tested lay-led group or individual interventions and 4 tested combined professional and lay educator interventions.
“Of the 25 trials reviewed (Table 3), 3 tested lay-led group or individual-level interventions,43,48,74 and 4 tested interventions that combined professional and lay educators.52,53,55,76”
From Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults: A Scientific Statement From the American Heart Association (2010) · cites this paper as [53]
Among 16 multicomponent intervention trials involving minority populations, most showed some positive changes in dietary and/or physical activity behavior.
“Among the 16 multicomponent intervention trials involving minority populations (Table 3), most 47–53,55,74–76,81,102,112 demonstrated some positive changes in either dietary and/or PA behavior.”
From Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults: A Scientific Statement From the American Heart Association (2010) · cites this paper as [53]
Trials using both professionals and lay leaders led to positive outcomes in diet, blood cholesterol and blood pressure, physical activity, and hemoglobin A1c at follow-up.
“The trials using both professionals and lay leaders also further led to positive outcomes in diet,55,76 blood cholesterol and BP,53,55 PA,53 and hemoglobin A1c at follow-up.52”
From Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults: A Scientific Statement From the American Heart Association (2010) · cites this paper as [53]
Trials that did not include culturally sensitive interventions showed within-group and/or between-group differences in diet, physical activity, or related metabolic or vascular biomarkers.
“the results of the trials not including culturally sensitive interventions42,48,49,51,53,54,112 demonstrated within-and/or between-group differences in diet, PA, or related metabolic/vascular biomarkers.”
From Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults: A Scientific Statement From the American Heart Association (2010) · cites this paper as [53]

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Authors: Staten, L. K., Gregory-Mercado, K. Y., Ranger-Moore, J., Will, J. C., Giuliano, A. R., Ford, E. S., & Marshall, J.
Affiliations: University of Arizona (US)
Division of Epidemiology &Biostatistics and Arizona Cancer Center, University of Arizona, Tucson, Arizona
Centers for Disease Control and Prevention (US)
Roswell Park Comprehensive Cancer Center (US)
ORCID: Staten, Lisa K.
Giuliano, Anna R.
Marshall, James
Venue: Journal of Women's Health
Publisher: SAGE Publications
Published: 2004-06
Volume: 13
Issue: 5
Pages: 547-556
ISSN: 1059-7115 (ISSN-L)
1540-9996
1931-843X
DOI: 10.1089/1540999041281133
OpenAlex: W2095034079
Cited by: 110
References: 26
Citations by year: 2026: 1 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 6 · 2016: 7 · 2015: 5 · 2014: 6 · 2013: 11 · 2012: 11
FWCI: 4.75
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/ (tdm)
Locations: Journal of Women s Health (publishedVersion)
PubMed (publishedVersion)
Purdue University Indianapolis (Indiana University) (submittedVersion)
IUScholarWorks (Indiana University) (submittedVersion)
Funders: University of Minnesota
University of Arizona
Centers for Disease Control and Prevention
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Health Sciences › Health Professions › General Health Professions › Community Health and Development
Keywords: community health workers, provider counseling, health education, chronic disease risk factors, Hispanic women, older women, uninsured women, physical activity, fruit and vegetable intake, blood pressure, cholesterol, blood glucose
MeSH terms: Aged, Arizona, Cardiovascular Diseases, Counseling, Female, Follow-Up Studies, Health Education, Health Promotion, Health Status Indicators, Hispanic or Latino, Humans, Middle Aged, Poverty, Primary Prevention, Time Factors, Women's Health Services, Prevalence, Women's Health, Medically Uninsured, Risk Reduction Behavior

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Provider Counseling, Health Education, and Community Health Workers: The Arizona WISEWOMAN Project

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