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Patient Educ Couns. 2018 Dec;101(12):2202-2208. doi: 10.1016/j.pec.2018.08.011. Epub 2018 Aug 9.

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

Author information

1
University of San Francisco, Department of Communication Studies, 2130 Fulton St., KA 313, San Francisco, CA, 94117, USA; Asian American Research Center on Health, San Francisco, USA. Electronic address: eyho@usfca.edu.
2
Independent Researcher, Taichidoctor, San Francisco, USA. Electronic address: taimaster@sbcglobal.net.
3
University of California San Francisco, Nutrition and Food Services, San Francisco, USA. Electronic address: Cewin.Chao@ucsf.edu.
4
University of San Francisco, Department of Rhetoric & Language, San Francisco, USA. Electronic address: gleung2@usfca.edu.
5
University of California San Francisco, Division of General Internal Medicine, San Francisco, USA; Asian American Research Center on Health, San Francisco, USA. Electronic address: Don.Ng@ucsf.edu.
6
University of California San Francisco, Division of General Internal Medicine, San Francisco, USA; University of California San Francisco, Osher Center for Integrative Medicine, San Francisco, USA; Asian American Research Center on Health, San Francisco, USA. Electronic address: Maria.Chao@ucsf.edu.
7
University of California San Francisco, School of Medicine, San Francisco, USA. Electronic address: Abby.Wang@ucsf.edu.
8
University of San Francisco, Department of Communication Studies, 2130 Fulton St., KA 313, San Francisco, CA, 94117, USA. Electronic address: hku@dons.usfca.edu.
9
University of San Francisco, Department of Communication Studies, 2130 Fulton St., KA 313, San Francisco, CA, 94117, USA. Electronic address: wchen54@dons.usfca.edu.
10
University of San Francisco, Department of Communication Studies, 2130 Fulton St., KA 313, San Francisco, CA, 94117, USA. Electronic address: cyu32@dons.usfca.edu.
11
University of San Francisco, Department of Communication Studies, 2130 Fulton St., KA 313, San Francisco, CA, 94117, USA. Electronic address: sxu31@dons.usfca.edu.
12
University of San Francisco, Department of Communication Studies, 2130 Fulton St., KA 313, San Francisco, CA, 94117, USA. Electronic address: mchen57@dons.usfca.edu.
13
University of California San Francisco, Division of General Internal Medicine, San Francisco, USA; Asian American Research Center on Health, San Francisco, USA. Electronic address: Jane.Jih@ucsf.edu.

Abstract

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.

KEYWORDS:

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

PMID:
30126680
PMCID:
PMC6309274
[Available on 2019-12-01]
DOI:
10.1016/j.pec.2018.08.011
[Indexed for MEDLINE]

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