protocolSection identificationModule nctId: NCT06387797, orgStudyIdInfo id: UNLV-2023-321, briefTitle: Primary and Secondary Prevention of Type 2 Diabetes Mellitus in Clark County, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-06-01, primaryCompletionDateStruct date: 2025-05-30, completionDateStruct date: 2025-05-31, studyFirstPostDateStruct date: 2024-04-29, lastUpdatePostDateStruct date: 2024-04-29, sponsorCollaboratorsModule leadSponsor name: University of Nevada, Las Vegas, class: OTHER, collaborators name: University of Nevada, Reno, descriptionModule briefSummary: This pilot and feasibility study aims to assess the effectiveness of a nutrition education intervention using the Cooking Matters for Adults Curriculum (SNAP-Ed). The study compares this standard curriculum with an enhanced version that includes the same curriculum but has additional components, incorporating specific information related to type 2 diabetes. Additionally, participants in the enhanced group will receive continuous glucose monitors to wear during the study for 10 days. The primary outcomes of the study include evaluating the acceptability of the intervention, and the feasibility of conducting the intervention at the UNLV Nutrition Center. The investigators will also assess participants' Knowledge, Attitudes, and Intentions regarding produce consumption. Alongside feasibility and acceptability, the study aims to explore the preliminary effectiveness of the intervention in increasing fruit and vegetable consumption, reducing HbA1c, managing cardiometabolic risk, and improving gut microbiome composition and diversity among participants in the program. The investigators will also assess changes in other lifestyle behaviors from baseline to post-intervention (6 weeks) (sleep, stress, physical activity, and sedentary behavior)., conditionsModule conditions: At Risk for Type 2 Diabetes Mellitus, conditions: Pre Diabetes, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: Participants will be randomized to one of two parallel study arms.1. Cooking Matters for Adults (CMA) Curriculum Delivery over 6 weeks2. CMA + Enhanced cooking classes with added components comprising cooking practices specific to diabetes prevention, online information as well as short assignments and activities regarding sleep, stress, physical activity, and sedentary behaviors. The CMA+ arm will also have the opportunity to use a continuous glucose monitor (CGM) for 10 days immediately following the baseline assessment visit. This will be an optional component and participants will not be excluded if they do not wish to use the CGM. (6 weeks), primaryPurpose: PREVENTION, maskingInfo masking: SINGLE, maskingDescription: Because of the parallel arm differences, it would not be possible to mask the arm assignment for the participant or investigator. However, we will mask the arm assignment for the outcomes assessor, in particular for the HbA1c% assessment., whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 120, type: ESTIMATED, armsInterventionsModule interventions name: Cooking Matters for Adults (CMA+), interventions name: Cooking Matters for Adults (CMA), outcomesModule primaryOutcomes measure: Feasibility of conducting the intervention, primaryOutcomes measure: Acceptability of the intervention, primaryOutcomes measure: Acceptability of each cooking class, secondaryOutcomes measure: Knowledge about the importance of produce consumption, secondaryOutcomes measure: Attitudes toward produce consumption, secondaryOutcomes measure: Intentions to consume recommended amounts of produce during and after intervention, secondaryOutcomes measure: Changes in fruit and vegetable consumption in servings per day, secondaryOutcomes measure: HbA1c%, secondaryOutcomes measure: Body weight in kg, secondaryOutcomes measure: Gut Microbiota composition, secondaryOutcomes measure: waist circumference in cm, secondaryOutcomes measure: body fat percentage (%), secondaryOutcomes measure: non fat mass in kg, otherOutcomes measure: blood pressure in mmHg, otherOutcomes measure: fasting blood glucose in mg/dL, otherOutcomes measure: fasting total cholesterol in mg/dL, otherOutcomes measure: fasting LDL cholesterol in mg/dL, otherOutcomes measure: fasting HDL cholesterol in mg/dL, otherOutcomes measure: fasting triglyceride level in mg/dL, otherOutcomes measure: Usual dietary quality, otherOutcomes measure: Week 6 dietary quality, otherOutcomes measure: physical activity energy expenditure average kcals per day, otherOutcomes measure: Time spent in sedentary behavior in minutes per day, otherOutcomes measure: physical activity intensity distribution as minutes per day and average percentage of day, otherOutcomes measure: sleep quantity in hours per day, otherOutcomes measure: sleep quality, otherOutcomes measure: stress levels, otherOutcomes measure: Nutrition Security, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: University of Nevada, Las Vegas, city: Las Vegas, state: Nevada, zip: 89154, country: United States, contacts name: Sara K Rosenkranz, PhD, role: CONTACT, phone: 702-895-0938, email: Sara.Rosenkranz@unlv.edu, contacts name: Richard Rosenkranz, PhD, role: CONTACT, phone: 702-895-5198, email: Richard.Rosenkranz@unlv.edu, contacts name: Keren Morales, B.S., RD, role: SUB_INVESTIGATOR, contacts name: Donya Shahamati, B.S., role: SUB_INVESTIGATOR, contacts name: Laura Kruskall, PhD, RD, role: SUB_INVESTIGATOR, contacts name: Elika Nematian, M.S., role: SUB_INVESTIGATOR, geoPoint lat: 36.17497, lon: -115.13722, hasResults: False