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The WISEWOMAN projects: lessons learned from three states.

Claire I Viadro1, Rosanne P Farris, Julie C Will

  • 1Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, USA.

Journal of Women'S Health (2002)
|July 20, 2004
PubMed
Summary

The Well-Integrated Screening, Risk Reduction, and Health Promotion for Women Across the Nation (WISEWOMAN) program successfully reached underserved women. However, integrating interventions and resources presented challenges for this chronic disease prevention initiative.

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Services Research

Background:

  • The WISEWOMAN program offers chronic disease screening and lifestyle interventions to low-income women in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP).
  • Phase One involved three states: Arizona, Massachusetts, and North Carolina, running from 1995 to 1998.

Purpose of the Study:

  • To compare the design and execution of WISEWOMAN projects across three participating states.
  • To identify challenges and successes in implementing chronic disease prevention programs for underserved women.

Main Methods:

  • A case study approach was utilized, involving document review and telephone interviews.
  • Interviews were conducted in mid-2002 with a convenience sample (n=9) of project staff and a CDC project officer.

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Main Results:

  • Providers found the research component overwhelming and inflexible; high-quality evaluation requires dedicated resources.
  • Challenges included integrating WISEWOMAN with state NBCCEDP programs, necessitating changes in organizational culture and practices.
  • Successful implementation requires adequate planning, buy-in, training, support, and outreach; projects were labor-intensive.

Conclusions:

  • WISEWOMAN projects faced challenges integrating clinical/lifestyle interventions and resources within healthcare settings.
  • Projects successfully reached underserved women, enhanced women's health models, and improved primary care linkages.
  • The program fostered innovative behavioral interventions and utilized women's community roles.