Wise at Every Size (WAES) was designed to provide support for women to increase fitness and reduce risks of chronic disease. The eight-session WAES group intervention curriculum included a combination of patient-centered nutrition counseling, social support, self-esteem and positive body image education using a Health at Every Size® emphasis. Physical activity promotion through collaboration with the WISEWOMAN program was an important element.
Outcome evaluation included analysis of pre- and post-intervention clinical screening measures, cardiorespiratory fitness measure changes, and participant satisfaction evaluations of the intervention experience.
Conclusions and Implications
Out of 200 participants, 176 women completed pre-and post-screenings. Proxy fitness scores (2 minute step-test) improved by 18%, and the mean 10 year CVD All Risk (Framingham formula) Score decreased by 2.33 points. The majority of participants reported acquiring new knowledge, improved body image, and increased time spent being physically active. In 2010, The Indian Health Service recognized WAES as a best-practice in diabetes prevention.
CDC-WISEWOMAN, HRSA, Southeast Alaska Regional Health Consortium.