Diabetes Inspired Culinary Education

Study Overview
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Brief Summary
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The aim of this study is to assess the feasibility and efficacy of a community-based culinary nutrition education program (Diabetes Inspired Culinary Education, DICE) on improving the diabetes management and dietary intake of 6-14 year old children with type I diabetes mellitus (TIDM).

Official Title
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Diabetes Inspired Culinary Education

Conditions
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Type I Diabetes

Intervention / Treatment
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* Behavioral: DICE


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children: 6-14 years old; diagnosed with type I diabetes within the past 5 years; English speaking Adults: primary caregiver of a 6-14 year old child diagnosed with type I diabetes within the past 5 years; English speaking Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 6 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Interventional Model Description: Single group pretest-poshest study design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Participate in the DICE program, which entails culinary and diabetes educational programming delivered weekly for 10 consecutive weeks. | Behavioral: DICE<br>* 10-week culinary and nutrition education program for children with type I diabetes<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| % Change in Hemoglobin A1c | Blood glucose/diabetes management | Baseline/pretest, 3 months/posttest | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in daily servings of fruit | Daily fruit intake assessed via 3, 24-hour dietary recalls collected electronically using the Automated Self-Assessment 24-hour (ASA-24) dietary assessment tool | Baseline/pretest, 3 months/posttest | 
| Change in daily servings of vegetables | Daily vegetable intake assessed via 3, 24-hour dietary recalls collected electronically using the Automated Self-Assessment 24-hour (ASA-24) dietary assessment tool | Baseline/pretest, 3 months/posttest | 
| Change in daily servings of whole grains | Daily whole grain intake assessed via 3, 24-hour dietary recalls collected electronically using the Automated Self-Assessment 24-hour (ASA-24) dietary assessment tool | Baseline/pretest, 3 months/posttest | 
| Change in daily servings of sugar-sweetened beverages | Daily sugar-sweetened beverage intake assessed via 3, 24-hour dietary recalls collected electronically using the Automated Self-Assessment 24-hour (ASA-24) dietary assessment tool | Baseline/pretest, 3 months/posttest | 
| Change in daily total caloric intake | Daily caloric intake assessed via 3, 24-hour dietary recalls collected electronically using the Automated Self-Assessment 24-hour (ASA-24) dietary assessment tool | Baseline/pretest, 3 months/posttest | 
| Change in primary caregiver body mass index (kg/m2) | Assessment of weight status using calibrated stadiometer and electronic scale. | Baseline/pretest, 3 months/posttest | 
| Change in child body mass index z-score | Assessment of weight status using calibrated stadiometer and electronic scale. | Baseline/pretest, 3 months/posttest | 
| Change in child blood pressure z-score | Includes systolic and diastolic blood pressure z-scores | Baseline, 3 months, 6 months, 9 months | 
| Change in child food preparation attitude, self-efficacy and frequency of involvement | Scale 0-132 (higher score indicates more positive attitude, higher self-efficacy, greater frequency of involvement) | Baseline/pretest, 3 months/posttest | 
| Change in child adherence to TIDM management regimen score | Assessed via Diabetes Management Questionnaire - Scale of 14-70 (higher score indicating greater adherence to management regimen) | Baseline/pretest, 3 months/posttest | 
| Change in child quality of life score | Assessed via Diabetes Quality of Life for Youth questionnaire - Scale of 41-205 (higher score indicating better quality of life) | Baseline/pretest, 3 months/posttest | 
| Change in primary caregiver self-efficacy for diabetes management score | Assessed via Maternal Self-Efficacy for Diabetes Management Scale - Scale of 8-40 (higher score indicating greater self-efficacy for diabetes management) | Baseline/pretest, 3 months/posttest | 
| Change in primary caregiver self-efficacy for healthy meal planning and eating score | Assessed via Parent Mealtime Self-Efficacy Questionnaire - Scale of 11-55 (higher score indicating greater self-efficacy for healthy meal planning and eating) | Baseline/pretest, 3 months/posttest |