Provider counseling, health education, and community health workers: The Arizona WISEWOMAN project

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

Research output: Contribution to journalArticle

79 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)547-556
Number of pages10
JournalJournal of women's health (2002)
Volume13
Issue number5
DOIs
StatePublished - Jun 2004
Externally publishedYes

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Health Education
Counseling
Vegetables
Fruit
Exercise
Hispanic Americans
Hematologic Tests
Waist Circumference
Uterine Cervical Neoplasms
Blood Glucose
Hip
Triglycerides
Chronic Disease
Eating
Cholesterol
Breast Neoplasms
Blood Pressure
Weights and Measures

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Staten, L., Gregory-Mercado, K. Y., Ranger-Moore, J., Will, J. C., Giuliano, A. R., Ford, E. S., & Marshall, J. (2004). Provider counseling, health education, and community health workers: The Arizona WISEWOMAN project. Journal of women's health (2002), 13(5), 547-556. https://doi.org/10.1089/1540999041281133

Provider counseling, health education, and community health workers : The Arizona WISEWOMAN project. / Staten, Lisa; Gregory-Mercado, Karen Y.; Ranger-Moore, James; Will, Julie C.; Giuliano, Anna R.; Ford, Earl S.; Marshall, James.

In: Journal of women's health (2002), Vol. 13, No. 5, 06.2004, p. 547-556.

Research output: Contribution to journalArticle

Staten, L, Gregory-Mercado, KY, Ranger-Moore, J, Will, JC, Giuliano, AR, Ford, ES & Marshall, J 2004, 'Provider counseling, health education, and community health workers: The Arizona WISEWOMAN project', Journal of women's health (2002), vol. 13, no. 5, pp. 547-556. https://doi.org/10.1089/1540999041281133
Staten, Lisa ; Gregory-Mercado, Karen Y. ; Ranger-Moore, James ; Will, Julie C. ; Giuliano, Anna R. ; Ford, Earl S. ; Marshall, James. / Provider counseling, health education, and community health workers : The Arizona WISEWOMAN project. In: Journal of women's health (2002). 2004 ; Vol. 13, No. 5. pp. 547-556.
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