mad dog cooking class series: effects on dietary self-efficacy, eating behaviors and health outcomes

Conditions: Spinal Cord Injuries; Multiple Sclerosis; Diet, Healthy; Inflammation; Depression; Adherence, Treatment

Summary: spinal cord injury (sci) and multiple sclerosis (ms) are both conditions characterized by chronic inflammation as indicated by elevated levels of circulating pro-inflammatory cytokines. these cytokines can have a wide array of negative impacts such as increasing the risk of depression and the intensity and frequency of neuropathic pain. recent work in the investigator's laboratory has shown that a 3-month anti-inflammatory diet is not only effective in reducing pro-inflammatory cytokines, but also in reducing depression and neuropathic pain, by approximately 55% and 40%, respectively. however, a one-year follow-up study from the investigator's lab showed such adherence to be very challenging and therefore, strategies are required to address barriers to healthy eating in those with neurological disability. accordingly, the investigators have developed a modified anti-inflammatory diet (mad dog diet) that is more palatable, less expensive and less demanding, as well as a 2-part pre-diet consultation that effectively increased self-efficacy for dietary adherence, and actual adherence one month post-consult. still, participant feedback suggests that further efforts are needed to help ensure long term adherence to anti-inflammatory diets for those with neurological disability. as such, the investigators have developed the 6-week mad dog cooking series. this series consists of a once-weekly cooking class and educational session where a group of individuals with neuromuscular disability can come together to learn about the health benefits of an anti-inflammatory diet, receive instruction on how to cook selected anti-inflammatory recipes, and experiment with various pieces of accessible kitchen equipment that may increase their meal preparation skills. the purpose of this study is to test the 6-week mad dog cooking series in individuals with neuromuscular disability to gauge consumer satisfaction and make preliminary measures on self-efficacy for adhering to the mad dog anti-inflammatory diet, as well as actual adherence 6 months after the series has been completed. the investigators will also determine if the series has any effect on depressive symptoms.

as mentioned above, the mad dog cooking series consists of 6 once-weekly cooking classes and educational sessions where a group of individuals with neuromuscular disability can come together to learn about the health benefits of an anti-inflammatory diet, receive instruction on how to cook selected anti-inflammatory recipes, and experiment with various pieces of accessible kitchen equipment that may increase their meal preparation skills. these classes will take place in the kitchen in the brock research and innovation centre (130 lockhart drive) which is a completely accessible building. the classes will be led by a brock university graduate student and take approximately 90 minutes each, and each class will have a different theme (see below). this series will also allow participants to share a meal together once per week which the investigators expect (based on past feedback) to foster a sense of community and belonging, improve mood and increase the likelihood of long term adherence to the anti-inflammatory diet. schedule: week 1: introduction to anti-inflammatory eating (veggies and pita with mad dog hummus, mad dog thai curry, mad dog nut mix) week 2: focus on breakfast (chocolate protein smoothie, poached eggs potato hash and wilted kale, overnight oats) week 3: healthy flavors of the globe (baked plantain and sweet potato chips, lentil tacos with rice and beans, sugarless sticky toffee pudding) week 4: tribute to canada (split pea soup, chicken tourtière with roasted veggies, nanaimo bars) week 5: anti-inflammatory powerhouses (green juice, chicken breast with kale and wild rice salad, turmeric coconut bites) week 6: protein positive (white bean dip with veggies and crackers, vegetarian chili, sweet potato protein pudding)

Eligibility criteria:
inclusion criteria: * to be eligible for this study, participants are required to be over 18 years of age, fluent in english and at least one year removed from either spinal cord injury (sci) or diagnosis of multiple sclerosis (ms). participants with sci can have any level or severity of injury while participants with ms can have had any type of ms. exclusion criteria: * younger than 18 * not fluent in english * no sci or diagnosis of ms