Diabetes Mellitus Type 2
Conditions
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.
Interventions
DIETARY_SUPPLEMENTChinese-canadian specific cooking classes
Series of four, four-hour cooking classes, occurring monthly for four months. Each of the cooking classes in the series will have diabetes self-management learning objectives: food choices, meal planning and preparation, portion control, self-monitoring of blood glucose levels and physical activity.
OTHERDiabetes educational classes
Series of two, four-hour diabetes education classes, occurring weekly for two weeks. Each class is run by a registered dietitian and nurse, trained as clinical diabetes educators, as per standards of the canadian diabetes association. Classes include focused teaching of the background of diabetes, dietary recommendations for diabetes, lifestyle recommendations for diabetes, medications for diabetes, and general standard of living recommended for diabetes mellitus type 2.
Sponsors
Vancouver General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glycemic control | 6 months | Change in Hemoglobin A1C |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fasting lipid profile | 6 months | Change in fasting lipid profile |
| Renal function | 6 months | Change in Glomerular filtration rate |
| Albuminuria screen | 6 months | Change in urinary Albumin to Creatinine ratio |
Other
| Measure | Time frame | Description |
|---|---|---|
| Diabetes self care activities | 3 months post intervention | Summary of Diabetes Self-Care Activities Measure (SDSCA) model |
| Diabetes self knowledge assessment | 3 months post intervention | Michigan Diabetes Knowledge Test |
Countries
Canada
Outcome results
None listed