Going Beyond the Kitchen with Dining with Diabetes: Following Up a Face-to-Face Program

with On-line Classes to Support Behavior Change

Dan Remley MSPH PhD, Field Specialist, Food Nutrition, and WellnessCheryl Spires MS, RD, SNAP-Ed Program Specialist, West Region

Barb Hennard MS, Family and Consumer Sciences Extension Educator, Mercer and Auglaize Counties

Susan Zies MS, Family and Consumer Sciences Extension Educator, Wood County

EMPOWERMENT THROUGH EDUCATION

Today’s Objectives

• Participants will learn about the development and evaluation of Ohio State University Extension’s Dining with Diabetes Program.

• Participants will be introduced to OSU Extension’s Dining with Diabetes on-line supplemental classes.

• Participants will explore ways in which technology can support traditional face-to-face Extension programs.

OSU Extension Dining with Diabetes: Program and Evaluation

The Need in OhioOhio ranks 8th in the number of people diagnosed with diabetes, with an estimated 889,000 adult Ohioans, or 1 in 10, having the disease.

Diabetes costs Ohio $5.9 billion annually,including $3.9 billion in medical expenditures.

DWD (face to face) Program Objectives

• Increase knowledge about healthy foods• Present healthy versions of familiar foods• Demonstrate new cooking techniques• Provide taste testing of new recipes• Provide basic information regarding

diabetes and nutrition• Provide opportunities for sharing and

learning from one another and from diabetes health professionals

Carbohydrates & Sweeteners

Fats & Sodium

Vitamins, Minerals & Fiber

Reunion

Cooking Demonstrations

Presentations

Taste Testing

Evaluation

Evaluation

• Pre-, Post-, and 6-month follow up• Assesses:

• Knowledge of Carbohydrates, Healthy Oils, and Plate Method

• Nutrition and Physical Activity Behaviors

• Self Management Behaviors• Self-report Biometrics

Our Participants• 394 participants; 325 with matched pre-

and post-questionnaires; 28 who filled out pre-, post-, and 6-month follow up

• 71.1% female• 88.6% White• 87.5% over age 50 (25% over age 70)

Our Participants

• 65% with diagnosed diabetes• Average Blood Pressure: 128 +/- 12

over 75 +/- 10

Knowledge Changes

No Changes Positive Changes

Behavior Changes

Self Management Stages% in Prep, Action or Maintenance

“I actually read food labels now. They tell you the sugar content, the calories, the carbohydrates, the fiber—all these

things help you in making healthy choices, which can bring you back

from a diabetes situation.”

—Jim Parris, Buckeye Lake

Making a Difference!

Follow up sample (n=28) -trends only!

• Only 7% of sample• Knowledge did not change from post to

6 months• Using herbs and spices decreased 10%• 56% of participants still do not have a

meal plan at follow up

Challenges

• How can we help people maintain, or move them into action following the class?

• Small follow up – Does not allow us to evaluate sustained

behavior change after DWD– Does not allow us to evaluate public value

measures (decreased A1C)

Solution: follow up on-line class

• Will help people maintain behavior or move people into action

• Provides social support and encouragement

• Changes mindset of Extension Educators to think of DWD as a 6-month program rather than three weeks.

• Could expand audience

DWD: Beyond the Kitchen!

• Reviews DWD concepts• Helps Participants apply DWD concepts when

grocery shopping• Helps Participants apply DWD concepts when eating

out• Allows Participants to share ideas and strategies• Participants can interact virtually with Extension

Educators or OSU experts• 3 modules delivered over 6 months

Dining with Diabetes:Beyond the Kitchen

http://production.cfaes.ohio-state.edu/apps/courses/cfaes/course/vi

ew.php?id=94

Estore.osu-extension.org/productdetails.cfm?PC=2758

2013 Timeline

• March: Complete peer evaluation• April: Complete peer recommended

modifications; develop pilot test procedures

• May: Complete pilot test• June: Modify Moodle using pilot test

results; Plan implementation• July: Begin implementation

Pilot Test

• Was this class effective in enhancing your knowledge of diabetes?

• Was this class easy to navigate?• Was the web site visually appealing?• How fast is your computer?• Likes/ Dislikes• Demographics

Implementation questions

• What is the role of the local Extension Educator?

• Local vs. state implementation/ evaluation

• Can/ should we use independently of DWD class?

Contact us

We would love your input on our Moodle. To request ability to review and offer feedback,

please email Dan or Cheryl.

• Dan Remley– Remley.4@osu.edu

• Cheryl Spires– Spires.53@osu.edu