Clinical trial NCT02666924: Cooking Classes for Chinese Canadian Patients Living With Diabetes
Official title: The Effects of Attending Language and Culturally Appropriate Cooking Classes on Glycemic Control, Diabetes Knowledge and Self-management in Chinese-Canadian Patients Living With Diabetes Mellitus Type Two: A Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Diabetes Mellitus Type 2
Lead sponsor: Vancouver General Hospital
Sponsor class: OTHER
First posted: 2016-01-28
Enrollment: 81
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study aims to determine whether providing language and culturally appropriate cooking classes to Chinese Canadian individuals with diabetes will help to improve their diabetes control, knowledge and self care activities. The control group will receive current standard care of two diabetes education classes led by the dietitian and nurse. The intervention group will receive standard care and a series of four interactive cooking classes led by a dietitian, nurse and chef. We will compare the results of blood work, knowledge and self care questionnaires between the two groups to determine whether there are any benefits to attending these cooking classes.

Detailed description: This is a study attempting to investigate whether a cooking class intervention will lead to improved glycemic control in Chinese-Canadian people in the community of Richmond, British Columbia. By providing culturally appropriate cooking classes, tailored to Chinese foods, culture and population, we will be able to address specific challenges that affect ethnic Chinese patients with diabetes living in Canada. This innovative program would serve to meet a need that is currently unmet in the community, by providing a hands-on opportunity for participants to try different foods, learn various culturally appropriate recipes, prepare meals together and learn how the foods being eaten affects blood glucose. These classes would also serve as an avenue to reinforce various diabetes self-management activities - including self-monitoring of blood glucose and the effects of physical activity. Also, participants may benefit from peer support and the sharing of experiences and advice with each other. Through this research study, we hope to demonstrate improved diabetes knowledge, self-care management and glycemic control for patients who attend the cooking classes.

Eligibility criteria: Inclusion Criteria:

1. Enrolled in Type 2 Diabetes Education class in Mandarin or Cantonese at the Richmond Hospital Diabetes Education Centre.
2. Ability to understand and participate in all scheduled diabetes education classes and/or cooking classes;
3. Ability to complete the study questionnaires and standard of care glycemic bloodwork
4. Prior diagnosis of diabetes mellitus type 2
5. Persons who identify as chinese-canadian

Exclusion Criteria for this study includes:

1. Inability to provide informed consent;
2. Planned changes to diabetes medications during the study period, for example insulin titrations or oral medication adjustments;
3. Currently enrolled in another study involving interventions related to diabetes care and management

Primary outcomes:
measure: Glycemic control
timeFrame: 6 months
Secondary outcomes:
measure: Fasting lipid profile
timeFrame: 6 months
measure: Renal function
timeFrame: 6 months
measure: Albuminuria screen
timeFrame: 6 months
Other outcomes:
measure: Diabetes self care activities
timeFrame: 3 months post intervention
measure: Diabetes self knowledge assessment
timeFrame: 3 months post intervention
Locations:
city: Richmond
country: Canada
facility: Richmond Diabetes Education Center
state: British Columbia
Study officials:
affiliation: UBC, Vancouver Coastal Health
name: Graydon S Meneilly, MD, FRCPC
role: STUDY_DIRECTOR
References:
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citation: Yin Xu, Savage C, Toobert D, Wei Pan, Whitmer K. Adaptation and testing of instruments to measure diabetes self-management in people with type 2 diabetes in mainland China. J Transcult Nurs. 2008 Jul;19(3):234-42. doi: 10.1177/1043659608319239.
citation: Fitzgerald JT, Funnell MM, Hess GE, Barr PA, Anderson RM, Hiss RG, Davis WK. The reliability and validity of a brief diabetes knowledge test. Diabetes Care. 1998 May;21(5):706-10. doi: 10.2337/diacare.21.5.706.
citation: Fitzgerald JT, Funnell MM, Anderson RM, Nwankwo R, Stansfield RB, Piatt GA. Validation of the Revised Brief Diabetes Knowledge Test (DKT2). Diabetes Educ. 2016 Apr;42(2):178-87. doi: 10.1177/0145721715624968. Epub 2016 Jan 14.