Clinical trial NCT04509206: Virtual Teaching Kitchen
Official title: A Virtual Nutritional Education Delivered Through a Hospital Teaching Kitchen : a Proof-of-concept Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cardiac Health
Metabolic Syndrome
Keywords: virtual nutritional education
teaching kitchen
food insecurity
zoom media
Lead sponsor: Boston University
Sponsor class: OTHER
First posted: 2020-08-11
Enrollment: 16
Sex: ALL
Minimum age (years): 30
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: A novel way of delivering nutritional education is through experiential learning in a teaching kitchen setting. Studies have shown that patients with metabolic syndrome who underwent a series of classes that featured nutrition recommendations and cooking classes had improved cardiac health.

Boston Medical Center (BMC) serves many underserved, low-income patients and has developed an innovative strategy to combat food insecurity and its consequences. This includes a preventative food pantry, a teaching kitchen, and a rooftop farm that provides fresh produce directly to the patients. The presence of this well-established three-pronged approach places our institution in an ideal position to develop a nutritional education intervention that supports experiential learning in this high-risk population.

Given the increasing focus on providing remote experiences to minimize contact and risk of infection with Sars-COV-2, the investigators are proposing a study where patients can benefit from nutritional education virtually. Patients with food insecurity and metabolic syndrome who utilize the food pantry will be invited to an educational program conducted on zoom. The program will be run by a registered dietician and chef who will deliver education virtually. Data will be collected using surveys, phone interviews, chart review, and home monitoring to test both the feasibility of running such an intervention virtually and to explore whether attending this program improves cardiac health in patients.


Eligibility criteria: Inclusion Criteria:

* Users of the food pantry
* English speaking
* Must have one of following on their EPIC problem list (Diabetes mellitus, obesity, hypertension, hyperlipidemia or obstructive sleep apnea)
* Must have documented measured blood pressure, weight, height in the 12 months prior to the intervention.

Exclusion Criteria:

* Patients with advanced dementia or uncontrolled psychiatric disease
* Non-english speakers since education delivered in the pilot in English
* Uncontrolled medical illness including hypertension, recent acute coronary syndrome, active malignancy or other condition that would make the subject unable to complete the study procedures

Primary outcomes:
measure: recruitment rates
timeFrame: 12 months
measure: retention rates
timeFrame: 12 months
measure: facilitators for nutritional education
timeFrame: 12 months
measure: barriers to nutritional education
timeFrame: 12 months
Secondary outcomes:
measure: knowledge of healthy foods
timeFrame: 12 months
measure: change in blood pressure (BP)
timeFrame: baseline, up to 6 months
measure: change in blood glucose
timeFrame: baseline, up to 6 months
measure: change in hemoglobin A1c
timeFrame: baseline, 6 months
measure: change in weight
timeFrame: baseline, up to 6 months
Other outcomes:
Locations:
city: Boston
country: United States
facility: Boston Medical Center
state: Massachusetts
Study officials:
affiliation: Dept of Cardiology, BU School of Medicine
name: Naomi M Hamburg, MD
role: PRINCIPAL_INVESTIGATOR
References: