Evidence map›Paper›PMID 30126680›Full record

ArticlePatient education and counseling2018

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

Evelyn Y Ho, Joseph Acquah, Cewin Chao, Genevieve Leung, Don C Ng, Maria T Chao, Abby Wang, Shannon Ku, Wanyi Chen, Choi Kwun Yu and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Evelyn Y HoUniversity 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.
Joseph AcquahIndependent Researcher, Taichidoctor, San Francisco, USA. Electronic address: taimaster@sbcglobal.net.
Cewin ChaoUniversity of California San Francisco, Nutrition and Food Services, San Francisco, USA. Electronic address: Cewin.Chao@ucsf.edu.
Genevieve LeungUniversity of San Francisco, Department of Rhetoric & Language, San Francisco, USA. Electronic address: gleung2@usfca.edu.
Don C NgUniversity 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.
Maria T ChaoUniversity 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.
Abby WangUniversity of California San Francisco, School of Medicine, San Francisco, USA. Electronic address: Abby.Wang@ucsf.edu.
Shannon KuUniversity of San Francisco, Department of Communication Studies, 2130 Fulton St., KA 313, San Francisco, CA, 94117, USA. Electronic address: hku@dons.usfca.edu.
Wanyi ChenUniversity of San Francisco, Department of Communication Studies, 2130 Fulton St., KA 313, San Francisco, CA, 94117, USA. Electronic address: wchen54@dons.usfca.edu.
Choi Kwun YuUniversity of San Francisco, Department of Communication Studies, 2130 Fulton St., KA 313, San Francisco, CA, 94117, USA. Electronic address: cyu32@dons.usfca.edu.
Shuwen XuUniversity of San Francisco, Department of Communication Studies, 2130 Fulton St., KA 313, San Francisco, CA, 94117, USA. Electronic address: sxu31@dons.usfca.edu.
Melissa ChenUniversity of San Francisco, Department of Communication Studies, 2130 Fulton St., KA 313, San Francisco, CA, 94117, USA. Electronic address: mchen57@dons.usfca.edu.
Jane JihUniversity 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.
University of San Francisco · USUniversity of California, San Francisco · USCenter for Asian American Media · USTaibah University · SA

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
Identifying and Assessing Food Insecurity In Older Diverse Primary Care PatientsR03AG050880 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JIH, JANE · 2015 to 2016
$238k
NCATS NIH HHS KL2 TR001870NIA NIH HHS R03 AG050880NIMHD NIH HHS L60 MD009289
6 · The paper itself

Abstract

objectivesCurrent 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.

methodsWe 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.

resultsStakeholders 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.

conclusionBy 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.

Indexed as

AsianCounselingMedicine, Chinese TraditionalNutrition PolicyCurriculumFemaleHealth EducationHumansIntegrative MedicineInterviews as TopicMalePatient Education as TopicQualitative ResearchCardiovascular diseaseCardiovascular healthChinese AmericansChinese medicineDietary guidelinesHealth educationIntegrative medicineNutritionPrevention

Identifiers

PMID30126680
PMCPMC6309274
OpenAlexW2886291823

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.