Cooking Classes for Young Adults With ID
- Conditions
- Intellectual Disability, Mild to Moderate
- Interventions
- Behavioral: Cooking SkillsBehavioral: Physical Activity
- Registration Number
- NCT05385016
- Lead Sponsor
- University of Kansas Medical Center
- Brief Summary
The purpose of this study is to examine the feasibility and initial efficacy of a healthy lifestyles intervention for the prevention of weight gain and the promotion of basic life skills related to improving health in transition age young adults with intellectual disabilities.
- Detailed Description
This is a single arm, longitudinal trial. 30 young adults with intellectual disabilities will be recruited to participate in a 12-week, healthy lifestyles intervention, delivered in person to a group of individuals with ID at the Center for Children's Healthy Lifestyles and Nutrition. Participants will be asked to attend one 2 hr group session each week (\~5-6 participants per group). All sessions will have an education component, a hands-on nutrition/cooking lesson, and a group exercise session. Additionally, participants will be asked to attend a 20-minute monthly individual goal setting session conducted remotely over Zoom video conferencing. All sessions will be conducted by a trained health educator experienced in working with individuals with intellectual disabilities. Tablet computers and Fitbit wireless activity monitors will be provided to all participants, with study issued HIPPA compliant Zoom and Fitbit accounts. Outcome assessments will be collected at baseline and after the 12-week intervention.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 21
- Diagnosis of an Intellectual Disability.
- Age: 18-30 yrs.
- Functional ability sufficient to understand directions and to communicate through spoken language.
- Reside in a supported living condition either at home or with no more than 1-4 residents and have a study partner (i.e., parent, staff who agrees to serve as support partner).
- Wireless Internet access in the home.
- Ability to walk without assistance.
- Consent from physician to do physical activity.
- Actively participating in another research study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Education Arm Physical Activity Participants will attend weekly two hour small group instruction sessions. All sessions will have an education component, a hands-on nutrition/cooking lesson, and a group exercise session. Two health educators will be present during group sessions with one leading Education Arm Cooking Skills Participants will attend weekly two hour small group instruction sessions. All sessions will have an education component, a hands-on nutrition/cooking lesson, and a group exercise session. Two health educators will be present during group sessions with one leading
- Primary Outcome Measures
Name Time Method Retention Across 12 weeks We will calculate the percent of participants who complete the 12 week intervention.
Attendance Across 12 weeks The health coach will record attendance at all sessions. The outcome variable will be the percentage of attendance out of the total 12 scheduled exercise sessions attended.
- Secondary Outcome Measures
Name Time Method Height Change from Baseline to 12 weeks Standing height will be measured in duplicate with a portable stadiometer.
Fitness Change from Baseline to 12 weeks Fitness will be assessed using the 2 minute step test.
Lower Body Strength Change from Baseline to 12 weeks Lower body muscle strength will be assessed using a standard 5-repetition maximum protocol on a Cybex plate-loaded leg press calculated with the Brzycki et al. 1-repetition maximum prediction equation. Grip strength will be measured using a hand dynamometer.
Waist circumference Change from Baseline to 12 weeks Waist circumference will be assessed. Three measurements will be obtained with the outcome recorded as the average of the closest 2 measures.
Individual Goals Across 12 weeks Individual participant goals will be created and measured using The Goal Attainment Scale template during the individual education sessions. At least one physical activity goal and one nutrition goal will be measured per participant. The Goal Attainment Scale is an individualized outcome measure involving goal selection and goal scaling that is standardized in order to calculate the extent to which a participant's goals are met. Scores range from -2 to 2, which a higher scale indicating the most favorable outcome.
Upper Body Strength Change from Baseline to 12 weeks Upper body strength will be assessed by grip strength, measured using a hand dynamometer.
Daily Physical Activity Across 12 weeks Daily physical activity across the 12 week study activity will be assessed using a Fitbit Versa 3 monitor worn on the non-dominant wrist during each day of the intervention
Cooking Skills Change from Baseline to 12 weeks Cooking skills will be assessed by select questions from The Assessment of Functional Living Skills: Independent Living Skills. Parents/caregivers will fill this survey out on behalf of the participant.
Weight Change from Baseline to 12 weeks Participants will be weighed in duplicate, on a calibrated scale to the nearest 0.1 kg.
Body Mass Index Change from Baseline to 12 weeks Body Mass Index will be calculated as weight (kg)/height(m) squared.
Caregiver Stress Change from Baseline to 12 weeks Caregiver stress will be assessed using the Parental Stress Scale. The Parental Stress Scale is an 18-item questionnaire assessing parents' feelings about their parenting role, exploring both positive aspects (e.g., emotional benefits, personal development, etc.) and negative aspects of parenthood (e.g., demands on resources, feelings of stress, etc.).Parental stress scores range from 18 to 90, with lower scores indicating lower levels of parental stress.
Work Capacity Across 12 weeks Changes to fitness-related outcomes will be assessed by work capacity, once per month during the group exercise sessions. Performance will be evaluated based on the total number of rounds and repetitions (i.e., volume) of all movements completed during a 10-minute period (e.g., 3 rounds + 12 repetitions).
Accelerometer Change from Baseline to 12 weeks. Physical activity will be assessed by accelerometer. Participants will be asked to wear the accelerometer around their waist for 7 days and than return in a pre-paid envelope
Trial Locations
- Locations (1)
University of Kansas Medical Center
🇺🇸Kansas City, Kansas, United States