A Culinary-Based Intensive Lifestyle Program for Patients With Obesity

Number of classes Participants attend

Calculated using the following formula: (# completing all classes / # enrolled).

Calculated using the following formula: (# completing all assessments / # enrolled).

Calculated using the following formula: [# enrolled / (# referred & eligible)].

Number of enrolled participants officially withdrawing from the study and reason for withdrawal

Number who failed to attend sessions and could not be contacted for follow-up

Program acceptability will be assessed through participant semi-structured participant interviews assessing program strengths/weaknesses.

Program acceptability will be assessed through participant surveys assessing program strengths/weaknesses. Based on [1-5] likert scale.

kg

Height (cm) and Weight (kg) will be used to calculate body mass index (kg/m^2)

Waist circumference will be measured (cm)

Percent Body Fat

Visceral fat area (cm2)

skeletal muscle mass (lbs)

The Teaching Kitchen Collaborative Curriculum (TKCC) survey is an investigator created, non-validated Health Habits Survey that assesses nutrition, exercise, cooking habits, sleep behaviors, basic medical information, readiness to change, mindfulness, and telehealth experience. Individual survey questions have variable response categories (examples: commitment to change) is assessed using a 1 to 10 scale with 1 being a less favorable response, and 10 is a more favorable response.

The Mindful Easting Questionnaire (MEQ) is a widely used instrument that assesses trait mindfulness.

Short Form RAND Survey. Quality of life will be assessed using the 20-item Short Form Survey Instrument (SF-20). It was developed by the RAND corporation. The SF-20 is a well accepted and valid survey used to assess overall health measuring 8 different dimensions including physical and social functionality and limitations, mental health, vitality, pain, general health perception, and health change.

University Rhode Island Change Assessment Scale (URICA). Self-reported survey of respondents' feelings about changing their weight problem. Total score is also called the Readiness Score, ranging from -2 to +14 (worse to better), calculated by subtracting the mean from the precontemplation responses from the summation of the means of responses to contemplation, action, and the struggling to maintain items.

US PDQS. As measured by participants self-reported eating habits on fruits, vegetables, and other diet habits.Scores associated with the healthier dietary pattern are higher and lower for unhealthy patterns.

Hunger Vital Signs. 2-questions to assess food insecurity as recommended by the American Academy of Pediatrics:

"We worried whether our food would run out before we got money to buy more." Was that often true, sometimes true, or never true for your household in the last 12 months? "The food we bought just didn't last, and we didn't have money to get more." Was that often true, sometimes true, or never true for your household in the last 12 months? A response of "often true" or "sometimes true" to either question = positive screen for Food Insecurity.

Cooking attitudes as measured by self reported attitudes about cooking and the use of the provided fresh fruits and vegetables to provide food to themselves and or their families.

The Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance instruments assess self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep. This includes perceived difficulties and concerns with getting to sleep or staying asleep, as well as perceptions of the adequacy of and satisfaction with sleep

Exercise vital sign: (EVS is calculated by multiplying responses to "On average, how many days per week do you engage in moderate to strenuous exercise (like a brisk walk)?" and 2) "On average, how many minutes per day do you engage in exercise at this level?" in order to display minutes per day of moderate or strenuous exercise.

Fasting glucose mg/dl

Fasting insulin mg/dl

Cholesterol mg/dl

Hemoglobin A1c mmol/mol

Hemoglobin ALT mg/dl

Hemoglobin AST mg/dl

stool samples

Qualitative semi-structured interviews will ensure the appropriateness of the pilot and its strengths/weaknesses.