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80  Cultural Competence in Health Education and Health Promotion




                            NCCAM has made a call to health professionals to educate the public on how to
                       select a CAM provider. Responsibility VI of responsibilities and competencies of
                       health educators says that these professionals should act as resource persons in
                       health education (NCHEC, 2002). Health educators should be knowledgeable about
                       CAM so they can educate others. An important goal in this educational process is to
                       educate consumers on how to select CAM practitioners. Selecting the appropriate
                       CAM provider will protect the consumer and increase the likelihood of success in
                       treatment. The NCCAM guidelines for selecting a CAM practitioner may need to be
                       transmitted by health educators to their clients. These guidelines are presented in
                       Exhibit  4.6 .
                            Currently, the body of knowledge on the application of CAM in the field of health

                       education is limited. Patterson and Graf (2000), Chng et al. (2003), Johnson and
                        Johnson (2004), Pinzon - P é rez (2005), and Synovitz, Gillan, Wood, Martin - Nordness,
                       and Kelly (2006) have published valuable articles or presented papers at national con-
                       ferences or on the importance of CAM in health education. Synovitz et al. (2006) have
                       conducted research on college students ’  complementary and alternative medicine use

                       in relation to health locus of control and spirituality level. Their findings indicated that
                       internal locus of control was positively associated with use of CAM therapies and with
                       spirituality level.
                           Pinzon - P é rez (2005) discusses the applications of the studies conducted by Patter-
                       son and Graf; Chng, Neill, and Fogle; and Johnson and Johnson and provides valuable
                       insights on the applications and challenges for health education posed by these emerg-

                       ing fields (see Exhibit  4.7 ).
                            The nursing profession could serve as a valuable example to health educators on
                       the importance of establishing formal education programs and standards of practice
                       on CAM, traditional medicine, and holistic health. The American Holistic Nurses
                       Association (AHNA), an organization founded in 1981, has served as a bridge between
                       the biomedical perspective in nursing and the alternative and complementary healing
                       paradigm (AHNA, 2004). This organization has developed philosophical principles
                       that can be adopted by health educators interested in CAM, traditional medicine, and
                       holistic health.



                          EXHIBIT 4.6.  NCCAM Guidelines for Selecting a CAM Practitioner.

                          ■  If you are seeking a CAM practitioner, speak with your primary health care provider(s)
                             or someone you believe to be knowledgeable about CAM regarding the therapy in
                             which you are interested. Ask if he or she has a recommendation for the type of
                             CAM practitioner you are seeking.
                          ■  Make a list of CAM practitioners and gather information about each one before

                             making your first visit. Ask basic questions about their credentials and practice.









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