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Completed

NCT Number: NCT05385016

Cooking Classes for Young Adults With ID

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.

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Key information

Conditions

Intellectual Disability, Mild to Moderate Intellectual Disability Mental Disorders Nervous System Diseases Neurobehavioral Manifestations Neurodevelopmental Disorders Neurologic Manifestations Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Kansas Medical Center

Kansas City, Kansas, 66160, United States

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • Actively participating in another research study

Treatment and study plan

Cooking Skills

Behavioral

This session will consist of a hands-on cooking demonstration in a demo kitchen. Skills addressed in this portion of the session will include proper kitchen utensil and appliance use, measuring dry and wet ingredients, following/reading a recipe, preparing ingredients, cooking a meal, etc. The participant will follow a visual recipe that provides a breakdown of each skill needed to complete each step of the recipe. Additionally, during the cooking session investigators will address nutrition topics related to food/kitchen safety, basic nutrition education (i.e., portion sizes, food groups, reading food labels, meal planning etc.) in a discussion format.

Physical activity

Behavioral

This session will consist of a group functional fitness class. Each session will include a warm-up (~5 min) moderate-to-vigorous intensity aerobic and resistance exercise (~20 min) and cool-down/stretching (~5 min). Exercises may be accompanied by music and will include walking/jogging, dancing, imitating animal movements, vertical/horizontal jumps, squats, hurdles, walking on balance beam etc. Thera-Band, kettle bells, free weights, and medicine balls will be used during strength exercises for major muscle groups. These sessions will be led by certified personal trainers with experience in adaptive physical activity.

Primary outcomes

  1. Attendance

    Time frame: 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.

  2. Retention

    Time frame: Across 12 weeks

    We will calculate the percent of participants who complete the 12 week intervention.

Secondary outcomes

  1. Cooking Skills

    Time frame: 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.

  2. Fitness

    Time frame: Change from Baseline to 12 weeks

    Fitness will be assessed using the 2 minute step test.

  3. Lower Body Strength

    Time frame: 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.

  4. Upper Body Strength

    Time frame: Change from Baseline to 12 weeks

    Upper body strength will be assessed by grip strength, measured using a hand dynamometer.

  5. Height

    Time frame: Change from Baseline to 12 weeks

    Standing height will be measured in duplicate with a portable stadiometer.

  6. Weight

    Time frame: Change from Baseline to 12 weeks

    Participants will be weighed in duplicate, on a calibrated scale to the nearest 0.1 kg.

  7. Waist circumference

    Time frame: 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.

  8. Body Mass Index

    Time frame: Change from Baseline to 12 weeks

    Body Mass Index will be calculated as weight (kg)/height(m) squared.

  9. Caregiver Stress

    Time frame: 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.

  10. Accelerometer

    Time frame: 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

  11. Daily Physical Activity

    Time frame: 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

  12. Individual Goals

    Time frame: 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.

  13. Work Capacity

    Time frame: 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).

Other outcomes

  1. Semi Structure Interview

    Time frame: Week 12

    Semi-structured interviews (audio recorded) will be conducted with the participant and their study partner following completion of the intervention to gather information on the overall ease and enjoyment of the program, changes in self-determination and healthy lifestyles, and suggestions to improve the intervention

Sponsors and collaborators

Lead sponsor

University of Kansas Medical Center

Other

Registry information

Official study title

The Promotion of Healthy Lifestyles for Young Adults With Intellectual Disabilities

Acronym: ChefBoyID

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
May 23, 2022
Registry last updated
Mar 28, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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