Cooking for Health
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Diabetes, Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - 60 |
| Updated: | 11/4/2018 |
| Start Date: | April 1, 2019 |
| End Date: | November 30, 2021 |
| Contact: | Amanda M Fretts, PhD |
| Email: | amfretts@uw.edu |
| Phone: | 206-543-9236 |
Cooking for Health in a Large American Indian Community in the North-Central United States
Type 2 diabetes is a leading cause of morbidity and mortality among American Indians (AIs) in
the United States. Although healthy diet is a key component of diabetes management programs,
many AIs face barriers to adopting a healthy diet including: difficulty budgeting for food on
low-incomes, low literacy and numeracy when purchasing food, and limited cooking skills. The
proposed project will evaluate a culturally-targeted healthy foods budgeting, purchasing, and
cooking skills intervention aimed at improving the cardio-metabolic health of AIs with type 2
diabetes who live in rural areas.
the United States. Although healthy diet is a key component of diabetes management programs,
many AIs face barriers to adopting a healthy diet including: difficulty budgeting for food on
low-incomes, low literacy and numeracy when purchasing food, and limited cooking skills. The
proposed project will evaluate a culturally-targeted healthy foods budgeting, purchasing, and
cooking skills intervention aimed at improving the cardio-metabolic health of AIs with type 2
diabetes who live in rural areas.
The research activities proposed in this application address a pressing need in American
Indian (AI) communities - the evaluation of a culturally-tailored healthy food budgeting,
purchasing, and cooking intervention to see whether it can improve diet and health among AIs
with type 2 diabetes.
This randomized clinical trial will compare the efficacy of a culturally-tailored healthy
food budgeting, purchasing, and cooking program on: (1) diet quality (i.e., intake of
sugar-sweetened beverages, processed foods) and (2) healthy food budgeting and cooking
skills, among AIs with type 2 diabetes who reside in a large AI community in the
north-central United States. Additionally, the investigators will conduct a mixed methods
process evaluation to assess intervention reach, fidelity, and participant satisfaction.
Curriculum will be tailored to an AI population with diabetes, and directly address major
barriers to healthy eating that were identified by community members and tribal leaders in
recent focus groups including: (1) difficulty budgeting for food on low-incomes; (2) low
literacy and numeracy when purchasing food (e.g., inability to use in-store scales to convert
foods priced "per pound" to dollar values); (3) limited cooking skills. The investigators
expect that implementation of a culturally-tailored diet intervention will be effective in
promoting positive diet change, and increase healthy food budgeting and cooking skills.
Poorly controlled diabetes affects the health/longevity of those afflicted, and has profound
effects on healthcare costs. Greater efforts are needed to encourage healthy eating in
underserved communities with a high burden of diabetes. Improving healthy food budgeting,
purchasing, and cooking skills among AIs with diabetes should improve diet and diabetes
management. If successful, this program can be extended to other AI communities.
Indian (AI) communities - the evaluation of a culturally-tailored healthy food budgeting,
purchasing, and cooking intervention to see whether it can improve diet and health among AIs
with type 2 diabetes.
This randomized clinical trial will compare the efficacy of a culturally-tailored healthy
food budgeting, purchasing, and cooking program on: (1) diet quality (i.e., intake of
sugar-sweetened beverages, processed foods) and (2) healthy food budgeting and cooking
skills, among AIs with type 2 diabetes who reside in a large AI community in the
north-central United States. Additionally, the investigators will conduct a mixed methods
process evaluation to assess intervention reach, fidelity, and participant satisfaction.
Curriculum will be tailored to an AI population with diabetes, and directly address major
barriers to healthy eating that were identified by community members and tribal leaders in
recent focus groups including: (1) difficulty budgeting for food on low-incomes; (2) low
literacy and numeracy when purchasing food (e.g., inability to use in-store scales to convert
foods priced "per pound" to dollar values); (3) limited cooking skills. The investigators
expect that implementation of a culturally-tailored diet intervention will be effective in
promoting positive diet change, and increase healthy food budgeting and cooking skills.
Poorly controlled diabetes affects the health/longevity of those afflicted, and has profound
effects on healthcare costs. Greater efforts are needed to encourage healthy eating in
underserved communities with a high burden of diabetes. Improving healthy food budgeting,
purchasing, and cooking skills among AIs with diabetes should improve diet and diabetes
management. If successful, this program can be extended to other AI communities.
Inclusion Criteria:
- 18-60 years
- self-reported type 2 diabetes
- reside on reservation where study is being conducted
- self-identify as person who holds the most responsibility for household budgeting,
shopping, and cooking
Exclusion Criteria:
- pregnant
- history of bariatric surgery
- chronic kidney disease
- on dialysis
- cognitively impaired
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