Heart healthy integrative nutritional counseling (H2INC): Creating a Chinese medicine plus western medicine patient education curriculum for Chinese Americans

PATIENT EDUCATION AND COUNSELING

卷:101

Article

Ho, Evelyn Y.^1,7  Chao, Cewin²  Leung, Genevieve³  Ng, Don C.^4,7  Chao, Maria T.^4,5,7  Wang, Abby⁶  Ku, Shannon¹  Chen, Wanyi¹  Yu, Choi Kwun¹  Xu, Shuwen¹  Chen, Melissa¹  Jih, Jane^4,7 

[1] Univ San Francisco, Dept Commun Studies, 2130 Fulton St,KA 313, San Francisco, CA 94117 USA

[2] Univ Calif San Francisco, Nutr & Food Serv, San Francisco, CA 94143 USA

[3] Univ San Francisco, Dept Rhetor & Language, San Francisco, CA 94117 USA

[4] Univ Calif San Francisco, Div Gen Internal Med, San Francisco, CA 94143 USA

[5] Univ Calif San Francisco, Osher Ctr Integrat Med, San Francisco, CA 94143 USA

[6] Univ Calif San Francisco, Sch Med, San Francisco, CA 94143 USA

[7] Asian Amer Res Ctr Hlth, San Francisco, CA USA

关键词: Nutrition;    Integrative medicine;    Cardiovascular health;    Cardiovascular disease;    Health education;    Dietary guidelines;    Chinese medicine;    Prevention;    Chinese Americans;   

DOI  :  10.1016/j.pec.2018.08.011

来源: Elsevier

【 摘 要 】

Objectives: Current cardiovascular disease (CVD) nutrition guidelines do not take into account Chinese medicine (CM) principles. We created a heart healthy integrative nutritional counseling (H2INC) curriculum consistent with CM principles and current nutrition guidelines. Methods: We conducted three phases of semi-structured interviews with key stakeholders (CM and biomedical providers and Chinese American (CAs) patients with CVD) followed by iterative development of H2INC. First, we interviewed licensed CM providers (n = 9) and laypeople with CM foods expertise (n = 1). Second, we interviewed biomedical providers (n = 11) and licensed CM providers (n = 3). Third, we conducted four focus groups with CAs (n = 20) with CVD. Results: Stakeholders emphasized different principles for creating H2INC. Phase one emphasized alignment of CM diagnoses to biomedical CVD conditions. Phase two overlaid CM concepts like the nature of foods and constitution (hot/neutral/cool) with heart healthy nutrition recommendations such as MyPlate, and avoiding excess salt, fat, and sugars. Phase three demonstrated patient acceptability. Conclusion: By integrating CM foods principles with biomedical nutrition, this integrative approach yields culturally relevant health education for an underserved population. Practice Implications: Integrative nutritional counseling shows promise for CAs and could support biomedical providers with little knowledge about patients' use of CM for CVD. (C) 2018 Elsevier B.V. All rights reserved.

【 授权许可】

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