The WISEWOMAN manual is a practical guide describing program and research methods and protocols for integrating cardiovascular disease (CVD) risk factor screening, intervention, and evaluation programs into existing health services for uninsured and underinsured women. Topics include: guidelines for clinical services, the New Leaf lifestyle assessment and counseling program (diet, physical activity, smoking, and osteoporosis), and evaluation strategies. The monograph also includes examples of intervention and data collection tools. Click on the title above to see the Table of Contents.

Table of Contents

Click on Download beside each chapter below to download a PDF file of that chapter.

Introduction Download (208 KB)
Acknowledgments
Foreword
How to Use This Manual
List of Abbreviations
List of Appendices

Chapter 1: The North Carolina WISEWOMAN Program Download (292 KB) KB)
Overview
Foundations of WISEWOMAN
The NC WISEWOMAN Program
The NC WISEWOMAN Team
Key Points

Chapter 2: Clinical Services Download (744 KB)
Overview
Screening for High Blood Pressure
Management and Referral Criteria for High Blood Pressure
Initiating Drug Therapy for High Blood Pressure
Screening for High Blood Cholesterol
Assessing Coronary Heart Disease Risk
Management and Referral Criteria for High Blood Cholesterol
Consent Form
Baseline Screening Form
Baseline, Intervention, and Follow-up Visits
Informing Participants of Test Results
Medical Referral
Follow-up Care After One Year
Quality Assurance
Optional Components of the New Leaf Behavioral Intervention
Key Points

Chapter 3: New Leaf Intervention Download (1 MB)
Overview
New Leaf Participants
Origins of the New Leaf Behavioral Intervention
Theoretical Foundations
New Leaf Materials
How to Use New Leaf Materials
Options for Implementing the New Leaf Intervention
Training New Leaf Counselors
Spanish New Leaf
Key Points

Chapter 4: NC WISEWOMAN Maintenance Intervention Download (1.1 MB) 
Overview
The NC WISEWOMAN Maintenance Program
Developing Tailored Materials
Training Staff to Carry Out Maintenance: The NC WISEWOMAN Experience
Key Points

Chapter 5: Evaluation of the WISEWOMAN Program Download (240 KB) 
Overview
Planning an Evaluation
Evaluating Program Effectiveness
Evaluating Program Feasibility and Acceptability
Evaluating the NC WISEWOMAN Maintenance Intervention Program
Other Evaluation Components
A Word About Study Design and Data Analysis
Key Points

Chapter 6: WISEWOMAN in a Broader Context Download (188 KB) 
Overview
The Socioecological Model and Health Promotion
Cardiovascular Health Initiatives in North Carolina
Using the Socioecological Model
Key Points

Appendix Download (4 MB)
Appendix 1: Overview of Cardiovascular Disease
Overview
What is Cardiovascular Disease?
What is the Burden of CVD?
What are the Risk Factors for CVD?

Appendix 2: Sample Forms and Letters
Figure 2.4 Sample Clinical and Intervention Follow-up Form
Figure 2.5 Sample Letter to Participants for Baseline Screening Results
Figure 2.6 Sample Letter to Participants for Six-month and Twelve-month Follow-up Visit Results
Figure 2.7 Sample Medical Referral Letter at Baseline Screening
Figure 2.8 Sample Insert for Medical Referral Letter at Baseline Screening -- WISEWOMAN Program Sample Guidelines for Clinicians
Figure 2.9 Sample Medical Referral Letter at Six-month Follow-up
Figure 2.10 Sample Insert for Medical Referral Letter at Six-month and Twelve-month Follow-up -- WISEWOMAN Program Sample Guidelines for Clinicians
Figure 2.11 Sample Medical Referral Letter at Twelve-month Follow-up

Appendix 3: New Leaf Materials
New Leaf Table of Contents
Dietary Risk Assessment
Physical Activity Assessment
Sample Spanish/English Dietary Risk Assessment
Other Training Considerations

Appendix 4: Maintenance Intervention Materials
Sample Mailing
Sample Phone Call Guide

Glossary

References