Enhancing Chronic-Disease Education through Integrated Medical and Social Care: Exploring the Beneficial Role of a Community Teaching Kitchen in Oregon
Teaching kitchens (TKs) are rapidly being utilized as models to integrate culinary education and chronic-disease education into healthcare settings. Our observational study details the structure and organizational processes (e.g., referral, services, medical and social care integration) of the Commu...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/15/20/4368 |
| _version_ | 1797572716154322944 |
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| author | Jacob P. Tanumihardjo Heidi Davis Mengqi Zhu Helen On Kayla K. Guillory Jill Christensen |
| author_facet | Jacob P. Tanumihardjo Heidi Davis Mengqi Zhu Helen On Kayla K. Guillory Jill Christensen |
| author_sort | Jacob P. Tanumihardjo |
| collection | DOAJ |
| description | Teaching kitchens (TKs) are rapidly being utilized as models to integrate culinary education and chronic-disease education into healthcare settings. Our observational study details the structure and organizational processes (e.g., referral, services, medical and social care integration) of the Community TK at Providence Milwaukie Hospital in Portland, OR. We utilize electronic medical-record data from engaged TK participants (<i>n</i> = 3077) to evaluate between the association of engagement and clinical outcomes (e.g., HbA1c, blood pressure, weight and cholesterol). Mean baseline HbA1c of Highly Engaged TK patients with diabetes (<i>n</i> = 88) reduced from 9.8% to 8.6% at 6 months (<i>p</i> < 0.0001) and sustained significant reductions at 12, 18, 24, 30, and 36 months (<i>p</i> < 0.05). Highly Engaged patients with hypertension (<i>n</i> = 152) had significant, sustained reductions in blood pressure (<i>p</i> < 0.0001). Engaged patients in the same high-risk groups also had significant improvements in HbA1c and blood pressure. Both engagement subgroups had moderate improvements in weight change and cholesterol. This study shows promising associations of TK services that promote chronic-disease self-management with improved clinical outcomes among higher risk patients (e.g., high blood pressure, high HbA1c, high low-density lipoprotein) with different medical issues (e.g., diabetes, obesity) and social barriers (e.g., food insecurity). |
| first_indexed | 2024-03-10T20:59:37Z |
| format | Article |
| id | doaj.art-6733d5047bc64e2292c0c49e73076ced |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T20:59:37Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-6733d5047bc64e2292c0c49e73076ced2023-11-19T17:37:48ZengMDPI AGNutrients2072-66432023-10-011520436810.3390/nu15204368Enhancing Chronic-Disease Education through Integrated Medical and Social Care: Exploring the Beneficial Role of a Community Teaching Kitchen in OregonJacob P. Tanumihardjo0Heidi Davis1Mengqi Zhu2Helen On3Kayla K. Guillory4Jill Christensen5Section of General Internal Medicine, University of Chicago, Chicago, IL 60637, USACommunity Teaching Kitchen, Providence Milwaukie Hospital, Providence Health & Services, Milwaukie, OR 97222, USASection of General Internal Medicine, University of Chicago, Chicago, IL 60637, USAPopulation Health Division, Providence Health & Services, Portland, OR 97213, USACommunity Teaching Kitchen, Providence Milwaukie Hospital, Providence Health & Services, Milwaukie, OR 97222, USACommunity Teaching Kitchen, Providence Milwaukie Hospital, Providence Health & Services, Milwaukie, OR 97222, USATeaching kitchens (TKs) are rapidly being utilized as models to integrate culinary education and chronic-disease education into healthcare settings. Our observational study details the structure and organizational processes (e.g., referral, services, medical and social care integration) of the Community TK at Providence Milwaukie Hospital in Portland, OR. We utilize electronic medical-record data from engaged TK participants (<i>n</i> = 3077) to evaluate between the association of engagement and clinical outcomes (e.g., HbA1c, blood pressure, weight and cholesterol). Mean baseline HbA1c of Highly Engaged TK patients with diabetes (<i>n</i> = 88) reduced from 9.8% to 8.6% at 6 months (<i>p</i> < 0.0001) and sustained significant reductions at 12, 18, 24, 30, and 36 months (<i>p</i> < 0.05). Highly Engaged patients with hypertension (<i>n</i> = 152) had significant, sustained reductions in blood pressure (<i>p</i> < 0.0001). Engaged patients in the same high-risk groups also had significant improvements in HbA1c and blood pressure. Both engagement subgroups had moderate improvements in weight change and cholesterol. This study shows promising associations of TK services that promote chronic-disease self-management with improved clinical outcomes among higher risk patients (e.g., high blood pressure, high HbA1c, high low-density lipoprotein) with different medical issues (e.g., diabetes, obesity) and social barriers (e.g., food insecurity).https://www.mdpi.com/2072-6643/15/20/4368teaching kitchensfood insecuritychronic diseasesocial determinants of healthnutrition |
| spellingShingle | Jacob P. Tanumihardjo Heidi Davis Mengqi Zhu Helen On Kayla K. Guillory Jill Christensen Enhancing Chronic-Disease Education through Integrated Medical and Social Care: Exploring the Beneficial Role of a Community Teaching Kitchen in Oregon Nutrients teaching kitchens food insecurity chronic disease social determinants of health nutrition |
| title | Enhancing Chronic-Disease Education through Integrated Medical and Social Care: Exploring the Beneficial Role of a Community Teaching Kitchen in Oregon |
| title_full | Enhancing Chronic-Disease Education through Integrated Medical and Social Care: Exploring the Beneficial Role of a Community Teaching Kitchen in Oregon |
| title_fullStr | Enhancing Chronic-Disease Education through Integrated Medical and Social Care: Exploring the Beneficial Role of a Community Teaching Kitchen in Oregon |
| title_full_unstemmed | Enhancing Chronic-Disease Education through Integrated Medical and Social Care: Exploring the Beneficial Role of a Community Teaching Kitchen in Oregon |
| title_short | Enhancing Chronic-Disease Education through Integrated Medical and Social Care: Exploring the Beneficial Role of a Community Teaching Kitchen in Oregon |
| title_sort | enhancing chronic disease education through integrated medical and social care exploring the beneficial role of a community teaching kitchen in oregon |
| topic | teaching kitchens food insecurity chronic disease social determinants of health nutrition |
| url | https://www.mdpi.com/2072-6643/15/20/4368 |
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