Diabetes Inspired Culinary Education (DICE): Culinary Medicine Intervention for At-Risk Youth With Type 1 Diabetes

• Diabetes Inspired Culinary Education (DICE) - Phase 1 (Behavioral): The DICE intervention is a 10-lesson family-and community-based culinary nutrition and diabetes education program. Intervention Mapping, a protocol for developing theory- and evidence-based health promotion programs, was utilized to develop the DICE intervention. Rooted in the Social Cognitive Theory, the DICE intervention targets key personal, behavioral, and environmental constructs as mechanistic pathways for eliciting change in the consequential health outcomes of poor glycemic control in children and adolescents with type 1 diabetes.
• Diabetes Inspired Culinary Education (DICE) - Phase 2 (Behavioral): The DICE intervention is a 10-lesson family-and community-based culinary nutrition and diabetes education program. Intervention Mapping, a protocol for developing theory- and evidence-based health promotion programs, was utilized to develop the DICE intervention. Rooted in the Social Cognitive Theory, the DICE intervention targets key personal, behavioral, and environmental constructs as mechanistic pathways for eliciting change in the consequential health outcomes of poor glycemic control in children and adolescents with type 1 diabetes.

Primary outcomes

• Hemoglobin A1c [9 months]: Blood glucose management

Sex: All, ages: 8 Years to 14 Years, accepts healthy volunteers

Child Inclusion Criteria:

* Type 1 diabetes diagnosis for at least 12 months by study completion
* Poor glycemic control (1 HbA1c test results ≥ 7.0 % over the past 12 months or blood sugar levels > 155 mg/dL 3 or more times a week
* 8-14 years old
* English speaking

Caregiver Inclusion Criteria:

* Must be the primary caregiver of the participating child, (i.e., the individual who takes the lead role in helping the child manage their type 1 diabetes (e.g., monitoring blood sugars, planning meals/snacks, carbohydrate counting, etc.)
* 18 years of age or older
* English speaking

Child Exclusion Criteria:

* Not aged 8-14
* No demonstration of poor glycemic control
* Diagnosis of type 1 diabetes for less than 1 year by program completion
* Not English speaking

Caregiver Exclusion Criteria:

* Not the child's primary caregiver, (i.e., the individual who takes the lead role in helping the child manage their type 1 diabetes)
* Less than 18 years of age
* Not English speaking

• Catherine R McManus, PhD, RDN, LD, Principal investigator, Case Western Reserve University