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Going Beyond the Kitchen: Dining with Diabetes
1. 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 Wellness
Cheryl 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
2. 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.
4. The Need in Ohio
Ohio 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.
5. 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
11. 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
12. 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)
13. Our Participants
• 65% with diagnosed diabetes
• Average Blood Pressure: 128 +/- 12
over 75 +/- 10
17. “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!
18. 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
19. 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)
20. 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
21.
22. 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
23. Dining with Diabetes:
Beyond the Kitchen
http://production.cfaes.ohio-
state.edu/apps/courses/cfaes/course/vi
ew.php?id=94
25. 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
26. 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
27. Implementation questions
• What is the role of the local Extension
Educator?
• Local vs. state implementation/
evaluation
• Can/ should we use independently of
DWD class?
28. 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
