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Hypertension Prevalence, Health Service Utilization, and Participant Satisfaction: Findings From a Pilot Randomized Controlled Trial in Aged Chinese Canadians.

Abstract Responding to high prevalence of hypertension and patients' preference of integrating traditional Chinese medicine for blood pressure control, the Dietary Approach to Stop Hypertension With Sodium Reduction for Chinese Canadian (DASHNa-CC) intervention was newly designed as a culturally sensitive dietary educational intervention to facilitate middle-aged and senior Chinese Canadians' blood pressure control in community. The aim of this study was to report the hypertension prevalence rate according to the data from blood pressure screening events, to describe the characteristics of health service utilization among aged Chinese Canadians, and to report the evaluation of participant satisfaction to the DASHNa-CC intervention. This study was designed as a pilot randomized controlled trial with a sample size of 60. Among 618 Chinese Canadians participated in blood pressure screening events, 54.5% (n = 337) having various levels of hypertension. Across 2 months, 38 (63.3%) participants made a total of 47 visits to see their family physicians; 20 (33.3%) participants consulted their family members 224 times for lifestyle modifications and hypertension self-management. Various forms of Chinese media were frequently used as sources of health care information, and English media were rarely accessed. Participants highly satisfied with the contents, delivery approaches, and integration of traditional Chinese medicine in the intervention. Results indicated that middle-aged and senior Chinese Canadians have high hypertension prevalence and specific characteristics of health service utilization. It is important to implement interventions, which are culturally tailored, language appropriate, using proper technology and incorporating traditional Chinese medicine, in Chinese Canadian community for hypertension control.
PMID
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Authors

Mayor MeshTerms

Patient Satisfaction

Pilot Projects

Keywords

Canada

Chinese

health services utilization

hypertension

immigrants

patient satisfaction

pilot study

randomized controlled trial

Journal Title inquiry : a journal of medical care organization, provision and financing
Publication Year Start




PMID- 28853303
OWN - NLM
STAT- MEDLINE
DA  - 20170830
DCOM- 20170911
LR  - 20170911
IS  - 1945-7243 (Electronic)
IS  - 0046-9580 (Linking)
VI  - 54
DP  - 2017 Jan 01
TI  - Hypertension Prevalence, Health Service Utilization, and Participant
      Satisfaction: Findings From a Pilot Randomized Controlled Trial in Aged Chinese
      Canadians.
PG  - 46958017724942
LID - 10.1177/0046958017724942 [doi]
AB  - Responding to high prevalence of hypertension and patients' preference of
      integrating traditional Chinese medicine for blood pressure control, the Dietary 
      Approach to Stop Hypertension With Sodium Reduction for Chinese Canadian
      (DASHNa-CC) intervention was newly designed as a culturally sensitive dietary
      educational intervention to facilitate middle-aged and senior Chinese Canadians' 
      blood pressure control in community. The aim of this study was to report the
      hypertension prevalence rate according to the data from blood pressure screening 
      events, to describe the characteristics of health service utilization among aged 
      Chinese Canadians, and to report the evaluation of participant satisfaction to
      the DASHNa-CC intervention. This study was designed as a pilot randomized
      controlled trial with a sample size of 60. Among 618 Chinese Canadians
      participated in blood pressure screening events, 54.5% (n = 337) having various
      levels of hypertension. Across 2 months, 38 (63.3%) participants made a total of 
      47 visits to see their family physicians; 20 (33.3%) participants consulted their
      family members 224 times for lifestyle modifications and hypertension
      self-management. Various forms of Chinese media were frequently used as sources
      of health care information, and English media were rarely accessed. Participants 
      highly satisfied with the contents, delivery approaches, and integration of
      traditional Chinese medicine in the intervention. Results indicated that
      middle-aged and senior Chinese Canadians have high hypertension prevalence and
      specific characteristics of health service utilization. It is important to
      implement interventions, which are culturally tailored, language appropriate,
      using proper technology and incorporating traditional Chinese medicine, in
      Chinese Canadian community for hypertension control.
FAU - Zou, Ping
AU  - Zou P
AD  - 1 Nipissing University, Toronto, Ontario, Canada.
FAU - Dennis, Cindy-Lee
AU  - Dennis CL
AD  - 2 University of Toronto, Toronto, Ontario, Canada.
FAU - Lee, Ruth
AU  - Lee R
AD  - 3 McMaster University, Hamilton, Ontario, Canada.
FAU - Parry, Monica
AU  - Parry M
AD  - 2 University of Toronto, Toronto, Ontario, Canada.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Inquiry
JT  - Inquiry : a journal of medical care organization, provision and financing
JID - 0171671
SB  - IM
MH  - Canada/epidemiology
MH  - China/ethnology
MH  - Emigrants and Immigrants
MH  - Female
MH  - Health Services/*utilization
MH  - Humans
MH  - Hypertension/*epidemiology
MH  - Male
MH  - Medicine, Chinese Traditional
MH  - Middle Aged
MH  - Patient Education as Topic
MH  - *Patient Satisfaction
MH  - *Pilot Projects
MH  - Prevalence
OTO - NOTNLM
OT  - Canada
OT  - Chinese
OT  - health services utilization
OT  - hypertension
OT  - immigrants
OT  - patient satisfaction
OT  - pilot study
OT  - randomized controlled trial
EDAT- 2017/08/31 06:00
MHDA- 2017/09/12 06:00
CRDT- 2017/08/31 06:00
AID - 10.1177/0046958017724942 [doi]
PST - ppublish
SO  - Inquiry. 2017 Jan 1;54:46958017724942. doi: 10.1177/0046958017724942.