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Self-reported effectiveness of an

online meal planning service forType 2 Diabetes self-managementP B Lamontagne*, MSc, Sukha Technologies Inc, Montreal, QC

R Gougeon, PhD, Crabtree Nutrition Laboratories, Faculty of Medicine, McGill University, Montreal, QCD Lamontagne, RD, Sukha Technologies Inc, Montreal, QC

CFDR Oral Research Presentation – Friday, June 14 @ 3:18 pmVictoria Conference Centre - Session 2, Oak Bay, Ground Level

Disclosure The data for this study were collected by

the owners of the SOSCuisine.com service, through questionnaires sent to subscribers to diabetes meal plans offered through said service

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Background1. Type 2 diabetes confers a two to fourfold

increase in vascular disease risk, Colbourn HM et al. The Lancet:685-96, 2004 that can be reduced with improved glycemic and weight control through intensive lifestyle intervention (ILI) Look-AHEAD Trial, Arch. Intern Med:1566-75, 2010

2. Provision of affordable menu plans, grocery lists, and time-saving preparation instructions are part of ILI but are difficult to provide in a dietitian’s clinical practice because of time constraints and client volume, Wing RR Int J Obesity, 1996

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Background3. Menu-planning websites are available but

evidence of their effectiveness in type 2 diabetes is lacking, Gold BC et al Obesity:155-64, 2007

4. Delivery of diabetes self-care education through electronic media was shown to be successful in Canada, Pacaud D et al Can J Diabetes:257-62, 2012

5. SOScuisine is a commercially available web-based menu planning service, adapted for Caucasians with type 2 diabetes and evaluated by a team of dietitians, researchers and physicians, Bader A et al ADA Conference, 2011 4

Background

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Hypotheses Online weekly meal plans that:

meet the Canadian Diabetes Association’s clinical practice guidelines for nutrition therapy

and include easy-to-prepare recipes and a matching grocery list

facilitate diabetes self-management

The effectiveness of the service is positively associated with frequency of use

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Objective Contribute to the body of evidence about

the effectiveness of online meal planning in type 2 diabetes

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Method Online questionnaire

http://fluidsurveys.com/s/diabetes-meal-plans/ Perceived importance of 9 goals

Glycemic control, Lose weight, Lower BP, Lower cholesterol, Simplify meal planning, Cook healthier, Cook tastier, Save time, and Save money

Perceived effectiveness of the meal planning service to achieve each goal

Degree of adherence to meal plans a.k.a. Frequency of use (# meals

prepared/week) Overall degree of satisfaction 8

Method The gamma statistic (Goodman and

Kruskal) was used: to analyse the ordinal level data that were

ranked in 5 response categories for computing the level of association

between questions Data are presented as median values

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Results Questionnaire completed by n=232

respondents 172 women, 60 men; aged 57±11 (SD) 80% reported preparing half or more of the

suggested meals 20% all, 35% most, 25% half, 17% few, 3% none

79% reported being either very satisfied or satisfied with the service

Frequency of use was positively associated with perceived effectiveness of program for all goals

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Results Perceived

importance of goals

Perceived effectivenessof service

Results

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# of

resp

onde

nts

gamma = 0.680p < 0.001

Effectiveness for Glycemic Control

gamma = 0.816p < 0.001

# of

resp

onde

nts

Effectiveness - Simplify Meal Planning

# of

resp

onde

nts

gamma = 0.692p < 0.001

Effectiveness for Saving Time

# of

Res

pond

ents

Overall satisfaction3-66-99-12>12<1# of Months subscribed

1-3

Gamma = 0.194P = 0.018

# of

Res

pond

ents

Frequency of Use Overall satisfaction

Gamma = 0.774P < 0.001

Association between Satisfaction andFreq of Use / Duration of subscription

Summary Online meal planning is an effective adjunct to

existing resources available to help people with T2D in adopting healthier eating habits

Frequency of use was positively associated with perceived effectiveness of program for all goals

Adherence was high with 80% of users reporting preparing half or more of the suggested meals

Overall satisfaction was high with 79% of users reporting being satisfied or very satisfied

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Interested to try it out ?

Free access for Registered Dietitians pierre@soscuisine.com

THANK YOU !

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