WISEWOMAN Program Locations
Missouri

Background: The Missouri Department of Health and Senior Services has been awarded WISEWOMAN funding since 2003. Services began in March of 2004.

Lifestyle Intervention: Missouri’s primary lifestyle education intervention tool is A New Leaf…Choices for Healthy Living. This manual provides women with information and strategies to improve their diet, increase physical activity, and be tobacco free. The Missouri WISEWOMAN lifestyle intervention emphasizes individual tailoring based on assessments of clients’ problem habits and motivation to change. Motivational interviewing techniques assist clients’ in identifying and resolving barriers and establishing goals for adapting heart healthy lifestyles.

Screening: Risk factor screening includes blood pressure, glucose, cholesterol and other lipids testing as well as assessing weight, medical history, tobacco use, poor diet, and physical inactivity.

Sites: WISEWOMAN services are provided at 63 clinics who provide Show Me Healthy Women breast and cervical cancer screenings located throughout the state.

Key Partners: Missouri Heart and Stroke Program, the American Heart Association, and the Regional Arthritis Centers through Missouri’s Arthritis and Osteoporosis Program.

For more information, please contact: Rita Reeder, MS, RD, LD WISEWOMAN Program Manager Phone: (573) 522–2871 E-mail: Rita.Reeder@health.mo.gov Visit Missouri's WISEWOMAN program at http://www.health.mo.gov/WISEWOMAN

Program Highlights

Direct Services

• The Missouri WISEWOMAN program provides services through 70 clinics, that also offer Show Me Healthy Women (Missouri's Breast and Cervical Cancer Early Detection Program) services. The WISEWOMAN program conducted 2,777 screenings during the 2009–2010 reporting period, which represented 93% of its screening goal.¹
• The Missouri WISEWOMAN program conducted 3,088 lifestyle intervention sessions during the 2009–2010 reporting period.

Partnerships

• The Missouri WISEWOMAN program is piloting a collaborative effort with the Department of Social Services for Community Health Workers to assist with client navigation to the lifestyle intervention and rescreening appointments.

Evaluation

• During 2009–2010, Missouri’s WISEWOMAN program evaluated provider satisfaction and the use of lifestyle intervention tools used in its program. The program found strong satisfaction and perceived utility for client manuals and the Hispanic cookbook; however, the results showed limited use of the exercise bands, which were provided as a lifestyle intervention tool. In response to the evaluation results, the WISEWOMAN program will continue providing the client manual and Hispanic cookbook and discontinue distribution of the exercise bands.

Reference

1. Data are reported from the preliminary WISEWOMAN Minimum Data Elements report (October 2010). Screening includes any WISEWOMAN-funded screening (blood pressure, cholesterol, or diabetes) provided from July 1, 2009, to June 30, 2010. Lifestyle interventions refer to the number of lifestyle intervention sessions conducted from July 1, 2009, to June 30, 2010.