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Titre : | Outcomes of Cooking Matters for Diabetes: A 6-week Randomized, Controlled Cooking and Diabetes Self-Management Education Intervention (2023) |
Auteurs : | Amaris Williams ; Jennifer C. Shrodes ; Jessica N. Radabaugh ; Ashlea Braun ; David Kline ; Songzhu Zhao ; Guy Brock ; Timiya S. Nolan ; Jennifer A. Garner ; Colleen K. Spees ; Joshua J. Joseph |
Type de document : | Article |
Dans : | Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) |
Article en page(s) : | p. 477-491 |
Note générale : | https://doi.org/10.1016/j.jand.2022.07.021 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Approvisionnement en nourriture ; Autogestion ; Contrôle glycémique ; Cuisine (activité) ; Déterminants sociaux de la santé ; Diabète de type 2 |
Mots-clés: | Éducation et soutien à l'autogestion du diabète |
Résumé : | Background Diabetes self-management education and support is the cornerstone of diabetes care, yet only 1 in 2 adults with diabetes attain hemoglobin A1c (HbA1c) targets. Food insecurity makes diabetes management and HbA1c control more difficult. Objective Our aim was to test whether a cooking intervention with food provision and diabetes self-management education and support improves HbA1c and diabetes management. Design This was a waitlist-controlled, randomized trial. Participants/setting Participants were 48 adults with type 1 or type 2 diabetes. Intervention Cooking Matters for Diabetes was adapted from Cooking Matters and the American Diabetes Association diabetes self-management education and support intervention into a 6-week program with weekly food provision (4 servings). Main outcome measures Surveys (ie, Summary of Diabetes Self-Care Activities; Medical Outcomes Study Short Form Health Survey, version 1; Diet History Questionnaire III; 10-item US Adult Food Security Survey Module; and Stanford Diabetes Self-Efficacy Scale) were administered and HbA1c was measured at baseline, post intervention, and 3-month follow-up. Statistical analysis Mixed-effects linear regression models controlling for sex and study wave were used. Results Mean (SD) age of participants was 57 (12) years; 65% identified as female, 52% identified as White, 40% identified as Black, and 19 (40%) were food insecure at baseline. Intervention participants improved Summary of Diabetes Self-Care Activities general diet score (0 to 7 scale) immediately post intervention (+1.51; P = .015) and 3 months post intervention (+1.23; P = .05), and improved Medical Outcomes Study Short Form Health Survey, version 1, mental component score (+6.7 points; P = .025) compared with controls. Healthy Eating Index 2015 total vegetable component score improved at 3 months (+0.917; P = .023) compared with controls. At baseline, food insecure participants had lower self-efficacy (5.6 vs 6.9 Stanford Diabetes Self-Efficacy Scale; P = .002) and higher HbA1c (+0.77; P = .025), and demonstrated greater improvements in both post intervention (+1.2 vs +0.4 Stanford Diabetes Self-Efficacy Scale score; P = .002, and ?0.12 vs +0.39 HbA1c; P = .25) compared with food secure participants. Conclusions Cooking Matters for Diabetes may be an effective method of improving diet-related self-care and health-related quality of life, especially among food insecure patients, and should be tested in larger randomized controlled trials. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222007195 |