Cooking Matters® for Diabetes: Practical Application of Diabetes Self-Management Education

Cooking Matters® for Diabetes: Practical Application of Diabetes Self-Management Education

Bibliographic Details
Main Author: Radabaugh, Jessica Nan Clarke
Language:English
Published: The Ohio State University / OhioLINK 2020
Subjects:
Health Education
Nutrition
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=osu1586902384417885
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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-osu15869023844178852021-08-03T07:14:18Z Cooking Matters® for Diabetes: Practical Application of Diabetes Self-Management Education Radabaugh, Jessica Nan Clarke Health Education Nutrition Despite both pharmacological and lifestyle-based treatment options, almost half of U.S. adults diagnosed with diabetes fall short of recommended glycemic targets. Evidence shows diabetes self-management education and support (DSMES) increases adherence to DSM behaviors resulting in improved glycemic control and increased quality of life. One of the core content areas in DSMES curriculum is healthy eating. Home meal preparation, associated with higher diet quality, has been steadily declining in the U.S. over the past 30 years. Incorporating evidence-based cooking interventions into DSMES may be a feasible and efficacious approach for promotion of positive behavior change, however current research in this area is limited. The objective of this study was to determine whether a cooking course augmented with a DSMES component (Cooking Matters® for Diabetes) improves glycemic control (primary outcome), adherence to DSM behaviors, health-related QOL (HRQOL), diet quality, and food security (secondary outcomes) compared to standard of care (SOC). Twenty-eight adult participants diagnosed with type 1 or type 2 diabetes were randomized to a 6-week Cooking Matters® for Diabetes (CMFD) intervention or SOC at an urban outpatient clinic. Hemoglobin A1c (A1c), validated measurements of DSM behaviors (Summary of Diabetes Self-Care Activities, Diabetes Self-Management Questionnaire, Diabetes Empowerment Scale Short Form, Stanford Diabetes Self-Efficacy scale), HRQOL (SF-12), diet quality (HEI-2015), and food security (U.S. Adult Food Security Module) were evaluated at baseline, post-intervention, and 3-months post-intervention. Between group differences in mean measurements adjusted for sex and baseline measures were compared via linear regression modeling. A1c trended lower (-0.45%) in CMFD participants compared to control at 3-months post-intervention (p=0.098). Glucose testing (+1.68, 0-7 scale), general diet (+1.98, 0-7 scale), foot care (+1.63, 0-7 scale), glucose management (+2.89, 0-10 scale), overall DSM (+1.42, 0-10 scale), and mental HRQOL (+8.28, 0-100 scale) were significantly higher (all p≤0.05) in the CMFD arm post-intervention. Participants in CMFD also showed positive trends in self-efficacy, empowerment, diet quality, and food security. However, most differences declined at 3-months post-intervention. The positive impacts of CMFD observed in this study support the incorporation of evidence-based cooking interventions as part of DSMES, while the declining impact of the intervention over time suggests the need for extended programming to maintain effects and future research to improve long-term efficacy. 2020-10-01 English text The Ohio State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=osu1586902384417885 http://rave.ohiolink.edu/etdc/view?acc_num=osu1586902384417885 restricted--full text unavailable until 2025-05-13 This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Health Education
Nutrition
spellingShingle Health Education
Nutrition
Radabaugh, Jessica Nan Clarke
Cooking Matters® for Diabetes: Practical Application of Diabetes Self-Management Education
author Radabaugh, Jessica Nan Clarke
author_facet Radabaugh, Jessica Nan Clarke
author_sort Radabaugh, Jessica Nan Clarke
title Cooking Matters® for Diabetes: Practical Application of Diabetes Self-Management Education
title_short Cooking Matters® for Diabetes: Practical Application of Diabetes Self-Management Education
title_full Cooking Matters® for Diabetes: Practical Application of Diabetes Self-Management Education
title_fullStr Cooking Matters® for Diabetes: Practical Application of Diabetes Self-Management Education
title_full_unstemmed Cooking Matters® for Diabetes: Practical Application of Diabetes Self-Management Education
title_sort cooking matters® for diabetes: practical application of diabetes self-management education
publisher The Ohio State University / OhioLINK
publishDate 2020
url http://rave.ohiolink.edu/etdc/view?acc_num=osu1586902384417885
work_keys_str_mv AT radabaughjessicananclarke cookingmattersfordiabetespracticalapplicationofdiabetesselfmanagementeducation
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