The WISEWOMAN Program provides chronic disease risk factor screening and healthy lifestyle behavior support to Michigan women. In order to be enrolled in WISEWOMAN, a woman must first be in the Michigan Breast and Cervical Cancer Control Navigation Program (BCCCNP).
The WISEWOMAN program has three main focus areas.
Identify and communicate risk factors for cardiovascular disease (CVD), stroke, diabetes, and other chronic diseases. The participant is better able to determine where she wants to focus her change efforts if she understands her chronic disease risk factors.
Encourage healthy lifestyle choices. Community Navigators help participants make lifestyle behavior changes that will positively impact their current chronic disease risk factors and symptoms as well as prevent or delay the development of new chronic disease risk factors.
- Address the Social Determinants of Health. Many women in the program find it difficult to think about making healthy lifestyle choices when they are having trouble meeting rent, paying for utilities, and buying food for their families. Michigan WISEWOMAN tries to address these issues through special projects that provide participants with opportunities to earn extra money while learning marketable skills.
For each participant, the WISEWOMAN Program begins with an accurate assessment of chronic disease risk factors by conducting a health risk assessment and a clinical screening.
The health risk assessment allows the participant to tell us about her personal medical history as well as her current health behaviors
Further participation in lifestyle interventions (follow-up by a lifestyle counselor) depends on self-reported readiness to make changes and risk factors as determined by the lifestyle counselor.
At the clinical screening, the clinical staff:
- measure the participant's height and weight in order to calculate her body mass index (BMI)
- measure her blood pressure
- collect a drop of blood from the patient's finger in order to determine her total cholesterol, high density lipoprotein (HDL) cholesterol, and glucose.
A Community Navigator at the screening site communicates the participant’s risk factors to her in a risk reduction counseling session and talks with the participant to determine her readiness to make behavior changes that will lead to better health.
A participant identified with hypertension is offered the opportunity to participate in a medication adherence program to help manage her blood pressure.
Each participant who is ready to make changes is encouraged to determine one priority area such as medication adherence for hypertension, nutrition, physical activity, or smoking cessation.
The Community Navigator works with her to develop a goal related to this area. The participant will receive one-on-one health coaching. She can also choose to participate in an evidence-based lifestyle program or a community-based program to assist her in making healthy lifestyle behavior changes.
The WISEWOMAN Program is currently offered by the following agencies:
- ACCESS Community Health & Research Center - Wayne County
- Catherine's Health Center - Kent County
- District Health Department #10 - Crawford, Kalkaska, Lake, Manistee, Mason, Mecosta, Missaukee, Newaygo, Oceana, and Wexford Counties
- Health Department of Northwest Michigan - Antrim, Charlevoix, Emmet, and Otsego Counties
- Huron County Health Department - Huron, Saginaw, and Tuscola Counties
- Ingham County Health Department - Ingham, Clinton, Eaton, Genesee, Gratiot, Ionia, Jackson, Lapeer, Livingston, Shiawassee and Washtenaw Counties
- Lenawee County Health Department - Lenawee, Hillsdale and Monroe Counties
- Public Health Delta & Menominee Counties
For more information about the WISEWOMAN Program, please visit http://www.cdc.gov/wisewoman/index.htm or call 517-335-1178.
Michigan Farmer's Market Association - www.mifma.org
American Heart Association - www.heart.org
American Stroke Association - www.strokeassociation.org
Go Red for Women - www.goredforwomen.org/
National Coalition for Women with Heart Disease - www.womenheart.org/
High Blood Pressure Information - www.cdc.gov/bloodpressure/
MDCH High Blood Pressure University - http://www.michigan.gov/mdch/0,1607,7-132-2940_2955_2959_55706---,00.html
High Cholesterol Information - www.cdc.gov/cholesterol/index.htm
MDCH High Blood Cholesterol University - http://www.michigan.gov/mdch/0,1607,7-132-2940_2955_2959_58073-252621--,00.html
Diabetes Information - www.cdc.gov/diabetes/
MDCH Diabetes Information - http://www.michigan.gov/mdch/0,4612,7-132-2940_2955_2980---,00.html
Get Help Quitting Smoking - http://www.michigan.gov/mdch/0,1607,7-132-2940_2955_2973_53244---,00.html