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Diabetes Nutrition Education and A Food Security Resource for American Indian and Alaska Native Adults With Type 2
Sarah A Stotz1, Luciana Hebert2, Kelli Begay3
1Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO.
Objective:
To evaluate the feasibility and effects of the What Can I Eat? (CIE) Healthy Choices for American Indians and Alaska Native (AI/AN) Adults with Type 2 Diabetes (T2D) curriculum augmented by a food security resource.
Methods:
A 3-arm pilot randomized controlled trial (n = 67) was conducted at an urban AI/AN clinic with adults with T2D. The groups were as follows: (1) WCIE and food security resource, (2) WCIE alone, or (3) food security resource alone. Feasibility outcomes were collected throughout the study. Baseline and 3-month assessments included sociodemographic, clinical, dietary (24-hour recall), food security, and nutrition behavior measures. Data were analyzed using linear mixed models.
Results:
Feasibility outcomes were strong: 90% class attendance, 93% retention, > 99% data completeness, and high satisfaction. Randomization and recruitment were successful. Trends suggest improved self-efficacy for healthy eating (Δ = 0.3-0.6, P < 0.05) and use of the American Diabetes Association Diabetes Plate (Δ = 0.7-1.0, P < 0.05).
Conclusions And Implications:
What Can I Eat? Healthy Choices for American Indians and Alaska Natives With Type 2 Diabetes is feasible and may enhance healthy eating and self-efficacy among AI/AN adults with T2D.
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