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

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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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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 › Medicine › Public Health, Environmental and Occupational Health › 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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