Clinic-Based Nutrition and Lifestyle Counseling for Hispanic Women Delivered by Community Health Workers: Design of the California WISEWOMAN Study

Abstract

With its unique study design and large number of enrolls, Heart of the Family will enable future public health efforts to better meet the health needs of Hispanic women by addressing education levels, economic considerations, and cultural and linguistic needs.

Readiness to Be Physically Active and Self-Reported Physical Activity in Low-Income Latinas, California WISEWOMAN, 2006-2007

“…Details on study design, eligibility, recruitment, enrollment, and initial study outcomes are described elsewhere (8,10). The California WISEWOMAN study protocol was approved by the Centers for Disease Control and Prevention (CDC) and the California Committee for the Protection of Human Subjects institutional review boards.…”

“…We screened 1,332 Latinas for eligibility; 1,093 women met the inclusion criteria (8,10). Women were recruited through the NBCCEDP by telephone calls, cards and letters, and face-to-face invitations during NBCCEDP appointments.…”

“…The program was created by the University of North Carolina at Chapel Hill (UNC-Chapel Hill) for use by the North Carolina Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) program (8). Behavior-change theory, especially as interpreted through the transtheoretical and socioecological models (9), was a critical foundation of the original program and of our adaptation.…”

“…Behavior-change theory, especially as interpreted through the transtheoretical and socioecological models (9), was a critical foundation of the original program and of our adaptation. All aspects of the California program were delivered by bicultural, bilingual community health workers (CHWs) (8). The program resulted in improvements in the CVD risk profile, as measured by the 10-year coronary heart disease risk, of women who participated in the intervention group compared with women in usual care (10).…”

“Las penas con pan duelen menos”: The role of food and culture in Latinas with disordered eating behaviors

“…Some recommendations have been made for adapting sound nutritional interventions for Latino populations. Nutritional interventions for this population should, beyond the aforementioned, be culturally sensitive including bilingual and bicultural facilitators and materials, incorporate traditional Latino values – such as confianza (trust), simpatía (harmony), and respeto (respect) – and traditional foods, and include a client's family and support network (Farrell et al, 2009; Mier, Ory, & Medina, 2010). These and other adaptations were made as part of a cultural adaptation of eating disorder treatment for Latinas in the U.S.…”