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改善有心血管代谢疾病风险的成年人的烹饪技能、生活方式行为和临床结局:一项随机教学厨房多中心试验(TK-MT)方案

Improving Cooking Skills, Lifestyle Behaviors, and Clinical Outcomes for Adults at Risk for Cardiometabolic Disease: Protocol for a Randomized Teaching Kitchen Multisite Trial (TK-MT).

作者信息

Massa Jennifer, Sapp Candace, Janisch Kate, Adeyemo Mopelola A, McClure Auden, Heredia Natalia I, Hoelscher Deanna M, Moin Tannaz, Malik Shaista, Slusser Wendelin, Eisenberg David M

机构信息

Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.

Department of Nutrition, University of Tennessee, Knoxville, TN 37996, USA.

出版信息

Nutrients. 2025 Jan 16;17(2):314. doi: 10.3390/nu17020314.

DOI:10.3390/nu17020314
PMID:39861444
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11768256/
Abstract

BACKGROUND/OBJECTIVES: This protocol describes a study to investigate the feasibility and preliminary efficacy of a novel Teaching Kitchen Multisite Trial (TK-MT) for adults with cardiometabolic abnormalities. The TK-MT protocol describes a hybrid lifestyle intervention combining in-person and virtual instruction in culinary skills, nutrition education, movement, and mindfulness with community support and behavior change strategies. This 18-month-long randomized controlled trial aims to evaluate the feasibility of implementing a 12-month, 24 class program, assess preliminary study efficacy, and identify barriers and facilitators to implementation.

METHODS

The intervention program includes 16 weeks of intensive hands-on culinary and lifestyle education classes followed by eight monthly virtual classes. Psychometric assessments and biometric data will be collected at baseline, 4, 12, and 18 months. Semi-structured interviews and open-ended surveys will be conducted during the 12-month follow-up assessment.

RESULTS

Feasibility will be assessed through recruitment, attendance, and fidelity data. Secondary outcomes will analyze changes in health behaviors, biometric data, and anthropometric measures using mixed-effects regression models. Qualitative data will undergo thematic analysis.

CONCLUSIONS

As envisioned and described in detail in this manuscript, this study will inform the development and implementation of reproducible, scalable teaching kitchen interventions. The protocol described here is intended to set the stage for future investigations to evaluate evidence for the impact of teaching kitchen interventions on dietary habits, physical activity, and overall health and well-being.

摘要

背景/目的:本方案描述了一项针对患有心脏代谢异常的成年人的新型教学厨房多地点试验(TK-MT)的可行性和初步疗效的研究。TK-MT方案描述了一种混合生活方式干预措施,将烹饪技能、营养教育、运动和正念方面的面对面指导与虚拟指导相结合,并提供社区支持和行为改变策略。这项为期18个月的随机对照试验旨在评估实施一个为期12个月、共24节课程的项目的可行性,评估初步研究疗效,并确定实施过程中的障碍和促进因素。

方法

干预项目包括16周的密集实践烹饪和生活方式教育课程,随后是8节每月一次的虚拟课程。将在基线、第4个月、第12个月和第18个月收集心理测量评估和生物特征数据。在12个月的随访评估期间将进行半结构化访谈和开放式调查。

结果

将通过招募、出勤和保真度数据评估可行性。次要结果将使用混合效应回归模型分析健康行为、生物特征数据和人体测量指标的变化。定性数据将进行主题分析。

结论

正如本手稿所设想和详细描述的,本研究将为可重复、可扩展的教学厨房干预措施的开发和实施提供信息。此处描述的方案旨在为未来的研究奠定基础,以评估教学厨房干预措施对饮食习惯、身体活动以及整体健康和幸福的影响的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51c9/11768256/59a313ae9831/nutrients-17-00314-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51c9/11768256/59a313ae9831/nutrients-17-00314-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51c9/11768256/59a313ae9831/nutrients-17-00314-g001.jpg

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