Nourishing the Community Through Culinary Medicine- Acres Homes

Study Overview
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Brief Summary
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The purpose of this study is to to implement adapted virtual Culinary Medicine (CM) curriculum among target population, to assess if program participation improves participant dietary behaviors, nutrition knowledge, and cooking skills and behaviors above standard of care, to assess if program participation improves patient levels of HbA1c, Body Mass Index, Blood Pressure, HDL, LDL and Triglycerides above standard of care and to determine the feasibility and reproducibility of virtual synchronous CM classes.

Official Title
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Nourishing the Community Through Culinary Medicine- Acres Homes

Conditions
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Diabetes, Elevated Body Mass Index

Intervention / Treatment
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* Behavioral: Virtual Culinary Medicine


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Receiving care at UT Physicians clinics diagnosed with type 2 diabetes and elevated body mass index (>=25) HbA1c labs and clinic-assessed weight completed within the last 3 months; English speaking or Spanish speaking. Can obtain groceries before each class (intervention group only) Exclusion Criteria: Patients without the technological support needed to participate (e.g., reliable internet and device - cell phone, tablet or laptop); Patients with an uncontrolled impairment that interferes with ability to participate.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 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: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention clinics<br>Participants will be recruited from those receiving care at University of Texas (UT) Physician Clinics serving the Acres Homes neighborhood in Houston | Behavioral: Virtual Culinary Medicine<br>* The virtual curriculum will include five 90-minute sessions (to be held weekly or bi-weekly). Participants will also be expected to shop for groceries ahead of the sessions to participate in the program. A gift card will be provided for groceries ($30 per class = $150 total).Asynchronous virtual educational content (cooking skills videos, animated nutrition education videos, and additional recipes) will be provided to engage and retain participants beyond initial sessions<br>|
| No Intervention: Control Clinics<br>Participants will be recruited from UT Physicians clinics outside of the Acres Homes service area | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Hemoglobin A1c (HbA1c) |  | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Body Mass Index |  | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in systolic Blood Pressure |  | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in diastolic Blood Pressure |  | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in High-density lipoprotein (HDL) |  | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in low-density lipoprotein (LDL) |  | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in Triglyceride |  | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in perceived health as assessed by the Nourishing the Community Through Culinary Medicine survey (NCCM | This is a 1 item questionnaire and is scored from 1(excellent) to 6(poor) for a maximum score of 6, a higher number indicating better health | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in fruit and vegetable consumption as assessed by the Nourishing the Community Through Culinary Medicine survey (NCCM | This is a 2 item questionnaire and is scored from 0(no servings per day ) to 5(4+ servings per day), maximum score of 10 a higher number indicating more consumption of fruit and vegetables | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in whole grain consumption as assessed by the Nourishing the Community Through Culinary Medicine survey (NCCM | This is a 1 item questionnaire and is scored from 0(no servings per day ) to 5(4+ servings per day), maximum score of 5 a higher number indicating more consumption of whole grains | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in typical food consumption behaviors as assessed by the Nourishing the Community Through Culinary Medicine survey (NCCM | This consists of 7 items that are scored from 1 [Not at all] to 5 [More than once a day] for a maximum score of 35, a higher number indicating better outcome. | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in Perceived Barriers of Eating Fruits and Vegetables as assessed by the Nourishing the Community Through Culinary Medicine survey (NCCM | This consists of 13 items that are scored from 0( strongly agree) to 4( strongly disagree) for a maximum score of 52, a higher number indicating better outcome | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in Eating/cooking/using nutrition labels by the Nourishing the Community Through Culinary Medicine survey (NCCM) | This consists of 10 items that are scored from 1( never) to 5( always) for a maximum score of 50, a higher number indicating better outcome | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in Barriers to Healthy Eating by the Nourishing the Community Through Culinary Medicine survey (NCCM) | This consists of 4 items that are scored from 1( strongly agree) to 5( strongly disagree) for a maximum score of 20, a higher number indicating better outcome | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in Self-efficacy in cooking food and meal planning by the Nourishing the Community Through Culinary Medicine survey (NCCM) | This consists of 5 items that are scored from 0( not at all sure) to 4( extremely sure ) for a maximum score of 20, a higher number indicating more self efficacy | baseline (within 90 days of starting the NCCM program), at program completion (within 90 days of NCCM program completion) | 
| Change in Diabetes Management by the Nourishing the Community Through Culinary Medicine survey (NCCM) | This consists of 18 items. The first 16 items that are scored from 1 [Does not apply to me] to 4 [Applies to me very much] and the remaining 2 items are dichotomous scored [Yes=1] to [No=0], for a maximum score of 68, with a higher number indicates a better diabetes self-management. | Baseline, post intervention (upto 10 weeks after baseline) |