OBJECTIVES : To use an innovative and comprehensive health care model to manage the risk of cardiovascular diseases among clients of a health care center in Hainan Province, China.

METHODS : Based on 14 years of experience in medical practice, the Six-Solution (6S) Health Care Model has been developed at the health care center. It includes six dimensions of diet, customized nutritional supplement, physical activity, habitual behavior, spiritual care, and medical treatment. A total of 1,377 clients were enrolled for the study. They visit the center and take 6S interventions every three months. Descriptive statistics were reported, and Chi-square tests were performed between pre- and post-6S interventions. Study subjects with missing data were excluded in analyses.

RESULTS : The study sample included 1,141 clients, with an average age of 51.5, and 66.5% of them were female. The percentage of clients who were on unhealthy diet was declined from 89.5% to 3.6% at the end of five consecutive visits to the center; meanwhile, the percentage of clients with a healthy diet increased from 10.5% to 96.4% (P<0.01). The percentage of clients who lacked physical activity declined from 85.6% to 9.8% at the end of five consecutive visits, and the percentage of clients who had adequate physical activity increased from 14.4% to 90.2% (P<0.01). Spiritual care was significantly associated with the clients’ lifestyle, habitual behavior, social relationship, emotion, and cognition (P<0.01). In addition, the 6S interventions were significantly associated with habitual behavior change of smoking, drinking, and sleeping (P<0.01). Moreover, along with the other five dimensions of 6S interventions, the guideline-based medical treatment achieved success rates of 16.9%, 40.5%, 50.5%, and 42.4%, for diabetes, hypercholesterolemia, high LDL cholesterol, and hypertension, respectively.

CONCLUSIONS : The Six-Solution (6S) Health Care Model is a valid framework to properly manage the risk of cardiovascular disease among study subjects.