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Naturopathic approaches to caring for people with CVD and CVD risk

Please take a few minutes to complete the survey below. Your responses help us learn more about the contributions of Naturopaths to the care of people with cardiovascular disease (CVD) and CVD risk factors.

Thank you for contributing to this research project!

Please review the attached "Participant Information/Informed Consent ND CVD Survey" form for additional information about this survey, your rights participating in the survey, and how the information gathered will be used.

Your consent is implied by continuing the survey beyond this Statement.

Attachment:Participant Information Statement.pdf

Select the most appropriate response(s) to the following:

People seek my naturopathic care specifically to treat the following risk factors and/or conditions:

Obesity/weight loss

Diabetes

High blood pressure

Smoking cessation

Excessive alcohol consumption

Physical inactivity

High cholesterol

People generally do not seek my care for specific CV risk factors or conditions rather they come for a holistic approach to general health and well-being that may happen to include any of the conditions listed above

Other

None of the above

If "Other", please provide additional information on the risk factors/conditions related to Cardiovascular Disease you care for in your practice:

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Thank you for your time and we have no further questions to ask.

What do you believe the expectations of your clients are when they first come to see you? (Select all those that are relevant)

To "cure" or "fix" them

To complement the standard care provided by their doctor

To reduce the number of prescription medicines they are taking

To reduce the side effects of the prescription medicines they are taking

To replace the prescription medications they are taking

To reduce the risk of developing cardiovascular disease

To better understand their health condition

To receive an alternate opinion about their treatment options

Other

If "Other", please provide more details regarding what you believe to be the expectations of your patients:

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Which of the following assessments do you typically include in your evaluation of an individual presenting with a cardiovascular risk factor?

Blood pressure

Body Mass Index

Waist:Hip measurement ratio

Weight

Blood glucose levels

Serum cholesterol levels

Insulin levels

Family History of CVD

Prescription and over the counter pharmaceutical medicine use

Current complementary medicine use

Other

If "Other", please provide additional information on the assessments you use in your practice:

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What therapies or treatments do you employ in your care of people with known risk factors?

Dietary advice

Dietary supplements (vitamins and minerals and nutritional agents)

Herbal Medicine

Physical activity counselling

Stress Management

Psychological counselling (e.g. grief, anxiety, depression)

Sleep Hygiene counselling

Other

If "Other", please provide additional information on the therapies/treatments you use in your practice:

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What nutritional or herbal medicines do you recommend for CVD risk factors?

Fish oils

Vitamin E

Magnesium

Vitamin C

Vitamin D

Resveratrol

Turmeric/curcumin

Zinc

B vitamins (except niacin), e.g., B6, B12, folic acid

Garlic (aged)

Garlic (fresh)

Hawthorn (Crataegus spp.)

Motherwort (Leonurus spp.)

Gingko biloba

CoQ10

L-carnitine

D-ribose

Red rice yeast

Plant sterols/stanols

Niacin

Psyllium or other supplemental fiber

Personalized herbal medicine compounded in my practice

Other

If "Other", please provide more information on the herbs and nutritional supplements you use in your practice:

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For what indications do you use Fish Oil?

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Vitamin E?

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Magnesium?

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Vitamin C?

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Vitamin D?

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Resveratrol?

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Turmeric/curcumin?

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Zinc?

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Niacin:

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use other B vitamins (not including niacin), i.e., B6, folic acid, B12?

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use aged garlic:

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use fresh garlic:

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Hawthorne (Crataegus spp.):

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Motherwort (Leonurus spp.):

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Gingko biloba:

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use CoQ10:

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use L-carnitine:

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use D-ribose:

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Red Rice Yeast:

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Plant sterols/stanols:

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use Psyllium or other supplemental fiber:

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

For what indications do you use personalized herbal medicine compounded in my clinic:

To reduce blood pressure

To reduce cholesterol

To reduce blood glucose levels

To reduce insulin levels

To promote weight loss

To reduce the risk of cardiovascular disease

How often do you consult a drug/herb or drug nutrient interaction database to ascertain the safety of any combinations?

Always

Often

Sometimes

Seldom

Never

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What resource(s) do you use to determine potential drug/herb interactions?

When a client is under your care, how often do you recommend they seek advice from their doctor, cardiologist, or other specialist?

Always

Often

Sometimes

Seldom

Never

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Never

Sometimes

Often

Always

Medical doctors and naturopaths share medical information received from, and delivered to, the patient.

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Naturopaths are aware of the medical information that was delivered to patients by other health care professionals.

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Medical doctors and naturopaths consult in advance to decide what medical information should be delivered to the patients.

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It's easy to discuss patients with medical doctors.

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Communication is very easy between naturopaths and other healthcare professionals.

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It's easy to discuss patients with advanced practice nurses.

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Highly unimportant

Unimportant

Somewhat unimportant

Neutral

Somewhat important

Important

Highly important

How important is trust in the relationship you have with your clients?

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How important is engagement in the relationship you have with your clients?

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How important is relationship quality with your clients?

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How important is it that your clients are committed to the relationship?

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How important is it that your clients feel empowered in their relationship with you?

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Strongly disagree

Disagree

Somewhat disagree

Neutral

Somewhat agree

Agree

Strongly agree

My clients feel I have assisted them to achieve their health goals

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My clients believe I show a genuine care and interest in their personal circumstances

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My clients are comfortable depending on me

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My clients feel I know how to help them achieve their health goals

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I base my treatments mostly on traditional clinical experience to achieve client goals

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I maintain reassuring contact with clients after implementing a plan

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Expectations of what was required from clients are clear and well communicated

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I communicate well to clients

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I take time to learn clients' personal situation

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I have performed well as a clinician through adopting an individualised approach to clients treatment plans

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I have performed well in providing the best outcomes through employing treatments targeted at individual situations rather than generic protocols

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My clients believe I am professional

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Where do you practice?

Australia

United States

Canada

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What state(s) do you practice in?

NSW

Victoria

Queensland

Tasmania

ACT

What U.S. state(s) do you practice in? Enter abbreviation(s).

What Canadian province do you practice in?

British Columbia

Alberta

Nova Scotia

Saskatchewan

Manitoba

Quebec

New Brunswick

Ontario

Newfoundland/Labrador

Prince Edward Island

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What is your gender?

Male

Female

Other

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What is your age range?

20-29

30-39

40-49

50-59

60-69

70-79

80+

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Please select all degrees/qualifications you currently hold:

Certificate IV

Diploma

Advanced diploma

Bachelor's degree

Graduate certificate

Graduate diploma

Masters degree

Professional Doctorate (e.g., Doctor of Naturopathy/ND)

Doctor of Philosophy (PhD)

How many years ago did you receive your highest practice qualification?

5-9

10-14

15-19

20+

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On average, how many clients do you provide care for per week for established cardiovascular risk factors?

1-3

4-6

7-9

10+

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On average, how many clients do you provide care for per week for medically diagnosed cardiovascular disease?

1-3

4-6

7-9

10+

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Are you a solo practitioner?

Yes

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What other types of practitioners are in your practice?

Other naturopath

Medical doctor or other medical provider

Osteopath (traditional)

Herbalist

Chiropractor

Massage therapist

Acupuncturist

TCM provider

Ayurvedic provider

Yoga teacher or therapist

Physical therapist

Occupational therapist

Health coach

Nutritionist (RD or other)

Hypnotist

Clinical psychologist

Other

What other type(s) of practitioner are in your practice?

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Do you consult in a language other than English?

Yes

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Please specify other language(s):

Are you a member of a professional practice association?

Yes

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