{"id":14472,"date":"2023-08-22T14:16:44","date_gmt":"2023-08-22T14:16:44","guid":{"rendered":"https:\/\/lifestylemedicine.org\/?p=14472"},"modified":"2023-08-25T23:22:57","modified_gmt":"2023-08-25T23:22:57","slug":"community-health-centers-approach-to-lifestyle-medicine","status":"publish","type":"post","link":"https:\/\/lifestylemedicine.org\/articles\/community-health-centers-approach-to-lifestyle-medicine\/","title":{"rendered":"Meeting people where they are: A Community Health Center\u2019s Approach to Lifestyle Medicine"},"content":{"rendered":"<section class=\"l-section wpb_row height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h1>Meeting People Where They Are: A Community Health Center&#8217;s Approach to Lifestyle Medicine<\/h1>\n<blockquote>\n<p>Medical students from A.T. Still School of Osteopathic Medicine collaborated with Kent, Washington&#8217;s Pacific Islander community to improve their health through culturally sensitive dietary changes, resulting in a 67% increase in vegetable and fruit consumption and 83% positive feedback on dietary choices and education.<\/p>\n<\/blockquote>\n<\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"w-image align_none\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"1024\" height=\"660\" src=\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-1024x660.jpg\" class=\"attachment-large size-large\" alt=\"All,you,need,to,make,a,nice,potage\" srcset=\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-1024x660.jpg 1024w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-300x193.jpg 300w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-400x258.jpg 400w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-600x387.jpg 600w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-500x322.jpg 500w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-350x226.jpg 350w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-700x451.jpg 700w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-800x516.jpg 800w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-450x290.jpg 450w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-200x129.jpg 200w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-650x419.jpg 650w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-750x483.jpg 750w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-177x114.jpg 177w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/shutterstock_587765-1-230x148.jpg 230w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p><strong>An Article Written by: Ruth Michaelis, MD, DipABLM, FAIHM<\/strong><\/p>\n<p>Each year, our Community Health Center\u2019s (CHC) embedded osteopathic medical students from A.T. Still School of Osteopathic Medicine in Mesa, Arizona, work with CHCs across the country to address health-related issues impacting historically medically underserved communities. At any given year, Health Point, the clinic that I\u2019ve worked at for the last 21 years, hosts up to 30 medical students from A.T. Still.<\/p>\n<p>This year, the third-year medical students placed at our clinic chose to work with the local Pacific Islander community near our Kent, Washington, Community Health Center after data from our clinic showed that these patients had higher hemoglobin A1c (HbA1c) levels than other patients. Pacific Islanders represent five percent of my clinic\u2019s patient population, yet nearly 10 percent of those patients have been diagnosed with diabetes.<\/p>\n<p>Our medical students wanted to learn more about this unique patient population as a way to inform a strategy to help them make healthier lifestyle changes. Starting with a visit to a Pacific Islander neighborhood grocery store, they got first-hand accounts of this ethnic group\u2019s preference when it came to traditional ingredients.<\/p>\n<p>\u201cTo effectively connect with a community, it&#8217;s essential to immerse within culturally resonant dietary options while placing emphasis on patient autonomy,\u201d said Adam Martorana, A.T. Still School of Osteopathic Medicine medical student. \u201cThis creates a powerful tool for empowering individuals within the population, driving lasting and meaningful change.\u201d<\/p>\n<p>In addition, Martorana and the other rising physicians met with local church leaders to find out more about culturally relevant recipes and the community needs around health and nutrition. There were several emerging themes, but the dominant one was the notion around honoring what individuals from the Pacific Islander community consider to be \u201ctraditional foods.\u201d<\/p>\n<\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"w-image align_none meta_simple\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"950\" height=\"512\" src=\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved.png\" class=\"attachment-large size-large\" alt=\"A group of smiling medical students at the A.T. Still University of osteopathic medicine\" srcset=\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved.png 950w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-300x162.png 300w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-400x216.png 400w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-600x323.png 600w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-500x269.png 500w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-350x189.png 350w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-700x377.png 700w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-800x431.png 800w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-450x243.png 450w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-200x108.png 200w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-650x350.png 650w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-750x404.png 750w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-177x95.png 177w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/08\/Serving-the-underserved-230x124.png 230w\" sizes=\"(max-width: 950px) 100vw, 950px\" \/><\/div><div class=\"w-image-meta\"><div class=\"w-image-title\">Osteopathic medical students from A.T. Still School of Osteopathic Medicine in Mesa, Arizona.<\/div><\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Lifestyle medicine can address up to 80% of chronic diseases. Lifestyle medicine certified clinicians are trained to apply\u00a0evidence-based,\u00a0whole-person, prescriptive lifestyle change to treat and, when used intensively, often reverse such conditions. Undoubtedly, food and nutrition are gamechangers when it comes to treating diabetes and lowering HbA1c levels. The nutritional aspect coupled with the other pillars of lifestyle medicine\u2014physical activity, restorative sleep, stress management, avoidance of risky substances and positive social connections\u2014are also effective in treating cardiovascular diseases and obesity.<\/p>\n<p>When working with historically medically underserved groups, who are at a higher risk for lifestyle-related chronic disease, it is important to understand their cultural norms and how to work within those means to make realistic nutritional plans and adaptations to their diets. That said, the medical students decided to adapt traditional recipes to incorporate many of the same foods (even meat) and with a healthier ingredient list.<\/p>\n<p>They cooked the foods, taste-tested them, and offered the meals to the community, for free, after a church service. There, they gathered more feedback about the food and created modified recipes for breakfast, lunch, dinner, and even snacks. We created handouts of the recipes and a healthy food flyer that were available for congregants.<\/p>\n<\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h1>The Results:<\/h1>\n<p>When the students called the patients a few weeks later, they found their daily reported consumption of vegetables and fruits increased by 67%. Additionally, half of respondents started or increased the practice of measuring food portions, and 83% stated the provided information helped them improve dietary choices and interested them in further education.<\/p>\n<p>&nbsp;<\/p>\n<p>Seeing this project come full circle, I am\u00a0proud to serve as advisor for our medical students, who set out to better understand the patient population and launch a pilot that would put their cultural values first. We see from the data that pilots like this one have great potential because they\u2019re created with realistic goals and in observance of and respect for cultural differences\u2014a cornerstone of cultural competence.<\/p>\n<p>\u201cNormally, we are told what to change in our diets and lifestyles, which usually requires getting rid of our culture,\u201d said a participant from the pilot. \u201cProviding education and being willing to help us make smarter choices, while not changing our culture, opens up a lot more options and willingness from our community.&#8221;<\/p>\n<\/div><\/div><div class=\"w-separator size_medium\"><\/div><div class=\"w-image align_none\"><a href=\"https:\/\/portal.lifestylemedicine.org\/ACLM\/Education\/Campaigns\/White-House\/WHconference-SignIn.aspx?utm_source=BLOG&amp;utm_medium=ACLMBlogAd&amp;utm_campaign=Essentials\" aria-label=\"Essentials Free 5.5 Hours Cmece\" class=\"w-image-h\"><img decoding=\"async\" width=\"1024\" height=\"256\" src=\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg-1024x256.webp\" class=\"attachment-large size-large\" alt=\"Essentials Free 5 5 Hours Cmece Jpg\" srcset=\"https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg-1024x256.webp 1024w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg-300x75.webp 300w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg-400x100.webp 400w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg-600x150.webp 600w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg-500x125.webp 500w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg-350x88.webp 350w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg-700x175.webp 700w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg-800x200.webp 800w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg-450x113.webp 450w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg-254x64.webp 254w, https:\/\/lifestylemedicine.org\/wp-content\/uploads\/2023\/03\/ESSENTIALS-FREE-5.5-HOURS-CMECE.jpg.webp 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/div><div class=\"w-separator size_medium\"><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"Meeting People Where They Are: A Community Health Center&#8217;s Approach to Lifestyle Medicine Medical students from A.T. Still School of Osteopathic Medicine collaborated with Kent, Washington&#8217;s Pacific Islander community to improve their health through culturally sensitive dietary changes, resulting in a 67% increase in vegetable and fruit consumption and 83% positive feedback on dietary choices&hellip; <a class=\"continue\" href=\"https:\/\/lifestylemedicine.org\/articles\/community-health-centers-approach-to-lifestyle-medicine\/\">Continue Reading<span> Meeting people where they are: A Community Health Center\u2019s Approach to Lifestyle Medicine<\/span><\/a>","protected":false},"author":20,"featured_media":14516,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[51,57,11,10],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Meeting people where they are: A Community Health Center\u2019s Approach to Lifestyle Medicine - American College of Lifestyle Medicine<\/title>\n<meta name=\"description\" content=\"Medical students from A.T. 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