Jasmin Woo1,2, Evelyn Y Ho3,4, Jane Jih1,4,5. 1. Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA. 2. School of Nursing, University of California, San Francisco, San Francisco, CA. 3. Department of Communication Studies, University of San Francisco, San Francisco, CA. 4. Asian American Research Center on Health, San Francisco, CA. 5. Multiethnic Health Equity Research Center, University of California, San Francisco, San Francisco, CA.
Abstract
PURPOSE: Current biomedical cardiovascular disease nutrition counseling does not incorporate Chinese medicine principles. METHODS: A heart-healthy integrative nutritional counseling (H2INC) curriculum consistent with Chinese medicine principles and biomedical nutrition guidelines was taught to Chinese Americans in group education sessions. Chinese-speaking patients with cardiovascular disease or risk factors from an urban general medicine practice were recruited to attend a 90-minute group session. Participants completed pre-post surveys to assess the impact of H2INC on their perceived heart-healthy nutrition knowledge and empowerment, as well as the cultural relevance of H2INC. RESULTS: A total of 47 participants (mean age: 74 years; 63.8% female) attended a session. In response to the statement "I am able to choose heart-healthy Chinese foods to eat," on a 5-point Likert scale for which "strongly disagree" = 1 and "strongly agree" = 5, the presession survey mean response was 3.87 ± 0.69 and the postsession survey mean response was 4.13 ± 0.58 (P=0.05). Postsession, 87% of participants agreed or strongly agreed that they felt confident using what they learned and 94% agreed or strongly agreed that H2INC fit their culture. CONCLUSIONS: H2INC had a positive impact on perceived heart-healthy nutrition knowledge and empowerment and rated high in cultural relevance. Culturally relevant education sessions like H2INC could be a promising primary care health education intervention.
PURPOSE: Current biomedical cardiovascular disease nutrition counseling does not incorporate Chinese medicine principles. METHODS: A heart-healthy integrative nutritional counseling (H2INC) curriculum consistent with Chinese medicine principles and biomedical nutrition guidelines was taught to Chinese Americans in group education sessions. Chinese-speaking patients with cardiovascular disease or risk factors from an urban general medicine practice were recruited to attend a 90-minute group session. Participants completed pre-post surveys to assess the impact of H2INC on their perceived heart-healthy nutrition knowledge and empowerment, as well as the cultural relevance of H2INC. RESULTS: A total of 47 participants (mean age: 74 years; 63.8% female) attended a session. In response to the statement "I am able to choose heart-healthy Chinese foods to eat," on a 5-point Likert scale for which "strongly disagree" = 1 and "strongly agree" = 5, the presession survey mean response was 3.87 ± 0.69 and the postsession survey mean response was 4.13 ± 0.58 (P=0.05). Postsession, 87% of participants agreed or strongly agreed that they felt confident using what they learned and 94% agreed or strongly agreed that H2INC fit their culture. CONCLUSIONS: H2INC had a positive impact on perceived heart-healthy nutrition knowledge and empowerment and rated high in cultural relevance. Culturally relevant education sessions like H2INC could be a promising primary care health education intervention.
Authors: Bradford W Hesse; David E Nelson; Gary L Kreps; Robert T Croyle; Neeraj K Arora; Barbara K Rimer; Kasisomayajula Viswanath Journal: Arch Intern Med Date: 2005 Dec 12-26
Authors: Powell O Jose; Ariel T H Frank; Kristopher I Kapphahn; Benjamin A Goldstein; Karen Eggleston; Katherine G Hastings; Mark R Cullen; Latha P Palaniappan Journal: J Am Coll Cardiol Date: 2014-12-16 Impact factor: 24.094