Details:

• Alternative Title:
  J Public Health Manag Pract
• Personal Author:
  Zimmermann, Kristine ; Cui, Liyong ; Kaur, Ravneet ; Ford, Chloe ; Carnahan, Leslie R. ; ... More +

  Zimmermann, Kristine ; Cui, Liyong ; Kaur, Ravneet ; Ford, Chloe ; Carnahan, Leslie R. ; Jefferies, Pam ; Curtis, Phalllisha ; Khare, Manorama M. Less -
• Description:
  Context:
  
  Cardiovascular disease (CVD) is the leading cause of mortality for US women; lack of health insurance contributes to poor control of risk factors and increased mortality. Health coaching including motivational interviewing can support primary and secondary CVD prevention, but among uninsured women, improving health outcomes is dependent on successfully reaching priority populations.
  
  Objective:
  
  We evaluated the implementation and reach of health coaching with motivational interviewing among clients in the Illinois WISEWOMAN Program (IWP), a CVD screening and risk-reduction program for uninsured women aged 40–64.
  
  Intervention:
  
  Following CVD screening, motivational interviewing is offered to all IWP clients via four 30-minute one-on-one health coaching sessions to offer personalized guidance on setting and achieving health behavior goals.
  
  Setting:
  
  Our analysis included clients from the 8 community-based Illinois agencies that implemented IWP from 2019–2023.
  
  Design & Measures:
  
  We assessed client demographic and baseline health characteristics among all IWP clients, those who participated in health coaching by attending at least one session, and those who completed health coaching by attending at least three of four sessions. We also assessed health coaching participation and completion by agency and examined agency-specific associations between client characteristics and health coaching participation and completion.
  
  Results:
  
  Among IWP enrollees (n = 3,094), 89.7% participated in at least one health coaching session but only 31.4% completed health coaching by attending at least three sessions. Over 90% of IWP clients participated in at least one health coaching session at four IWP agencies. Further, over 85% of health coaching participants completed health coaching at four agencies. Across agencies, no client-level characteristics were consistently associated with health coaching participation or completion.
  
  Conclusions:
  
  High motivational interviewing participation rates support its acceptability among uninsured women, but agency-level community-level barriers likely prevent client engagement in multiple sessions. Reducing CVD risk requires working with partner agencies to address barriers to reaching the priority population.
  
  
• Subjects:
  [+]

  Adult Cardiovascular Diseases Female Health Promotion Humans Illinois Medically Uninsured Mentoring Middle Aged Motivational Interviewing
• Keywords:
  [+]

  Cardiovascular Disease Community Health Services Primary Prevention Secondary Prevention Women’s Health Services
• Source:
  J Public Health Manag Pract. 30:S152-S161
• Pubmed ID:
  39041751
• Pubmed Central ID:
  PMC11268789
• Document Type:
  Journal Article
• Funding:
  NU58DP006648/DP/NCCDPHP CDC HHSUnited States/ ; NU58DP006648/ImCDC/Intramural CDC HHSUnited States/

  NU58DP006648/DP/NCCDPHP CDC HHSUnited States/ ; NU58DP006648/ImCDC/Intramural CDC HHSUnited States/ Less -
• Volume:
  30
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  [+]

  urn:sha-512:7c3b8455dce8b27a719f8321b57560e16d8d23f62735a83d0e88d23e15e6ecf01804dc191433cf32f16bdb35457b3724523efa2ba63f563f44190707fec4f49b
• File Type:

• Supporting Files:
  No Additional Files