Background Type 2 diabetes (T2D) among youth is a public health problem where there is great potential to improve primary and secondary prevention. Impaired glucose tolerance (IGT) is often diagnosed prior to the development of overt T2D, and without treatment, approximately 50% of patients with IGT will go on to develop T2D within 5 years. The first line of therapy for both conditions is healthy eating and regular physical activity. The Canadian Diabetes Association (CDA) developed Cooking for Your Life! (CFYL!): classes that teach healthy cooking and eating for adults with T2D. For the pediatric population, there are currently very few nutrition education programs. Previous studies have shown that family-based behavior management strategies are effective interventions for weight management in children.
Objective To assess the attendance rate and educational satisfaction of adolescents with T2D or IGT and their family members during a CFYL! youth and family program.
Design The existing CDA CFYL! course was modified for adolescents with T2D or IGT and their families. The CFYL! program consists of three 3-hour cooking classes and a 2-hour class involving a Shop Smart Tour. This 4-week community-based hands-on nutrition and cooking program is co-facilitated by a dietitian and a cook on Saturday afternoons. Attendance was tracked at each of the classes. At the end of the 4 classes, each participant answered a questionnaire to assess their satisfaction with the classes.
Results A total of 32 people from 16 families participated; 16 adolescents with T2D or IGT and 17parents/grandparents/siblings. 26/33 participants (79%) attended at least 3 of the 4 classes, and 15/16 adolescents attended at least 3 of the 4 classes. 28/31 were mostly or completely satisfied with the teaching, 28/31 enjoyed the program's recipes, and 22/31 indicated that they would be interested in attending a second set of classes.
Conclusion The youth and family CFYL! program is one of the few nutritional education programs available to youth with T2D and IGT. The program had good attendance from both the adolescents and their families. The majority of the participants were satisfied with the course, enjoyed the recipes, and would be interested in taking a second set of classes. These results suggest that both adolescents and their families can commit to this CFYL! educational program.
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