The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.
Provider Counseling, Health Education, and Community Health Workers: The Arizona WISEWOMAN Project
Open accessAbstract
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 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”
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“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.”
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“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”
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“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.”
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Metadata
- 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)
- 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
- 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
- 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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