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首页> 外文期刊>Journal of women’s health >A lifestyle approach to reducing cardiovascular risk factors in underserved women: design and methods of the Illinois WISEWOMAN Program.
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A lifestyle approach to reducing cardiovascular risk factors in underserved women: design and methods of the Illinois WISEWOMAN Program.

机译：减少服务不足的妇女的心血管危险因素的生活方式：伊利诺伊州WISEWOMAN计划的设计和方法。

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BACKGROUND: Few lifestyle intervention programs address the needs of financially disadvantaged, low literacy populations. The overall goal of the Illinois WISEWOMAN Program (IWP) was to design such a program and test its effectiveness in reducing cardiovascular disease (CVD) risk, specifically physical activity and nutrition factors. The purpose of this paper is to describe the IWP study design and methods, development of the evidence-based curriculum appropriate for a low socioeconomic status (SES) population, and baseline characteristics of IWP participants. METHODS: The Cooper Institute, in collaboration with the Illinois Department of Public Health and the University of Illinois at Chicago, adapted evidence-based interventions for financially disadvantaged, low literacy populations. The study used a randomized, two-group, experimental design. In total, 1021 women were recruited from the Illinois Breast and Cervical Cancer Program, which serves uninsured and underinsured women, aged 40-64, at or below 200% of poverty. The women were randomized to either a minimum intervention (MI) or an enhanced intervention (EI) group. Both groups received CVD risk factor screening and educational materials. Additionally, the EI group received a 12-week lifestyle intervention. RESULTS: Baseline comparisons show equivalent groups. IWP participants had a higher prevalence of obesity and smoking than similar national samples. CONCLUSIONS: IWP addressed many of the cultural and implementation barriers in programs that seek to improve the health of financially disadvantaged, low literacy populations. Because of the high burden of disease, the unique study population, and the sound design, we anticipate that our future results will contribute to the translation literature, which has largely ignored significant health disparities.
机译：背景：很少有生活方式干预计划能够解决经济上处于劣势的低识字人群的需求。伊利诺伊州WISEWOMAN计划（IWP）的总体目标是设计这样的计划，并测试其在降低心血管疾病（CVD）风险，特别是体育锻炼和营养因素方面的有效性。本文的目的是描述IWP研究的设计和方法，适合低社会经济地位（SES）人群的循证课程的开发以及IWP参与者的基线特征。方法：库珀研究所与伊利诺伊州公共卫生部和芝加哥的伊利诺伊大学合作，为经济上处于劣势的低识字人群改编了循证干预措施。该研究使用了随机的两组实验设计。伊利诺伊州乳腺癌和宫颈癌计划总共招募了1021名妇女，该计划为40-64岁之间未保险和保险不足的妇女提供200％或以下的贫困率。这些妇女被随机分为最低干预组（MI）或加强干预组（EI）。两组均接受了CVD危险因素筛查和教育材料。此外，EI小组接受了为期12周的生活方式干预。结果：基线比较显示相同的组。与类似的国家样本相比，IWP参与者的肥胖和吸烟率更高。结论：IWP解决了计划中许多文化和实施方面的障碍，这些计划旨在改善经济上处于不利地位的低识字人群的健康。由于疾病的高负担，独特的研究人群和合理的设计，我们预计我们的未来结果将有助于翻译文献，而在很大程度上忽略了重大的健康差异。

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