» Articles » PMID: 33898645

Heart-Healthy Integrative Nutritional Counseling Group Education Sessions Among Chinese Americans With Cardiovascular Risk Factors or Disease: A Primary Care Quality Improvement Pilot

Overview
Specialty Health Services
Date 2021 Apr 26
PMID 33898645
Citations 1
Authors
Affiliations
Soon will be listed here.
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.

Citing Articles

An App-Based Physical Activity Intervention in Community-Dwelling Chinese-, Tagalog-, and Vietnamese-Speaking Americans: Single-Arm Intervention Study.

Nguyen A, Yu F, Park L, Fukuoka Y, Wong C, Gildengorin G JMIR Form Res. 2024; 8:e56373.

PMID: 38857065 PMC: 11196906. DOI: 10.2196/56373.

References
1.
Deng F, Zhang A, Chan C . Acculturation, Dietary Acceptability, and Diabetes Management among Chinese in North America. Front Endocrinol (Lausanne). 2013; 4:108. PMC: 3753561. DOI: 10.3389/fendo.2013.00108. View

2.
Lee S, Martinez G, Ma G, Hsu C, Robinson E, Bawa J . Barriers to health care access in 13 Asian American communities. Am J Health Behav. 2009; 34(1):21-30. PMC: 6628721. DOI: 10.5993/ajhb.34.1.3. View

3.
OMalley A, Kerner J, Johnson L . Are we getting the message out to all? Health information sources and ethnicity. Am J Prev Med. 2000; 17(3):198-202. DOI: 10.1016/s0749-3797(99)00067-7. View

4.
Jiang S, Quave C . A comparison of traditional food and health strategies among Taiwanese and Chinese immigrants in Atlanta, Georgia, USA. J Ethnobiol Ethnomed. 2013; 9(1):61. PMC: 3846646. DOI: 10.1186/1746-4269-9-61. View

5.
Jose P, Frank A, Kapphahn K, Goldstein B, Eggleston K, Hastings K . Cardiovascular disease mortality in Asian Americans. J Am Coll Cardiol. 2014; 64(23):2486-94. PMC: 4274749. DOI: 10.1016/j.jacc.2014.08.048. View