Identifying Best Practices for WISEWOMAN Programs Using a Mixed-Methods Evaluation.

Because recommendations on best practices for public health programs typically are drawn from unique settings, they can be challenging to implement in programs already in operation. The authors describe a mixed-methods evaluation that integrated quantitative and qualitative inquiry to identify best practices in implementing lifestyle interventions in the Center for Disease Control and Prevention's WISEWOMAN program. The program involves screening for risk factors associated with cardiovascular disease and lifestyle interventions for participants, who must be uninsured and ineligible for Medicaid, and discusses lessons learned in using the approach.