Milette Siler

Culinary Medicine and Medical Nutrition Therapy Interventions to Improve Glycemic Control in Type 2 Diabetes: A Pragmatic Trial During the COVID-19 Pandemic

Carolyn Smith-Morris, Vincent C. Merrill, Jaclyn Albin, Molly McGuire et autres

OBJECTIVE To conduct a pragmatic, randomized controlled trial (RCT) of the effectiveness of six registered dietitian–led medical nutrition therapy (MNT) sessions compared with six virtual, hands-on culinary medicine (CM) sessions for improving glycemic control among patients with uncontrolled diabetes in a safety-net …

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Culinary Medicine and Medical Nutrition Therapy Interventions to Improve Glycemic Control in Type 2 Diabetes: A Pragmatic Trial During the COVID-19 Pandemic

Carolyn Smith-Morris, Vincent C. Merrill, Jaclyn Albin, Molly McGuire et autres

Objective: To conduct a pragmatic, randomized controlled trial (RCT) comparing effectiveness of six Registered Dietician-led Medical Nutrition Therapy (MNT) sessions to six virtual, hands-on Culinary Medicine (CM) sessions for improving glycemic control among patients with uncontrolled diabetes in a safety-net healthcare system. …

Breaking Bread, Breaking Barriers: Qualitative Insights into Support and Challenges in Culinary Medicine and Medical Nutrition Therapy Delivery for Diabetes Management

Jaclyn Albin, Michael E. Bowen, Miguel López, Milette Siler et autres

PurposeThis study explores patient experience in dietary behavior change after nutrition and culinary medicine interventions.DesignThe qualitative study uses in-depth, semi-structured interviews and thematic analysis.SettingResearchers collected participant feedback after nutrition interventions in an urban, safety-net health clinic.SubjectsTwenty-six adults with uncontrolled type 2 diabetes …

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From Food to Finances: Early Phase Qualitative Evaluation of a Novel Resource-Coaching Program

Carla Pezzia, Jaclyn Albin, Michael Bowen, Kelseanna Hollis‐Hansen et autres

Abstract: In this paper, we document the early-phase process and outcome evaluation of From Food to Finances (FFF) within the context of a high-capacity food pantry; FFF is a novel resource-coaching program stemming from guiding principles of financial coaching that may be …

Design, Implementation, and Feasibility of a Community Co-Led Culinary Medicine Shared Medical Appointment Model

Amulya Agrawal, Willis Wong, Abigail Knowles, Milette Siler et autres

Dietary interventions for disease prevention have been well studied, yet standard American diets often fall short. Limited culinary skills and nutritional literacy are key contributors. Shared medical appointments (SMAs) with culinary education offer one solution to enhance culinary and nutrition literacy. In …

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A Novel Culinary Medicine Service Line: Practical Strategy for Food as Medicine

Jaclyn Albin, Willis Wong, Milette Siler, Michael E. Bowen et autres

Evidence-based, practical nutrition and cooking guidance is seen as a strategy to address rising chronic disease burden.However, this resource remains limited in health care settings due to lack of time, expertise, funding, and access to registered dietitian nutritionists (RDNs).To address this challenge …

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A Case Study of Food Insecurity Screening and Referral: Implementation Barriers, Facilitators, and Lessons from a Healthcare–Food Bank Partnership

Sanjna Bhatia, Milette Siler, Kelseanna Hollis‐Hansen, Katrin Schröder et autres

BACKGROUND: Routine food insecurity screening in healthcare is recommended, yet the impact of community referrals remains uncertain. This study examined whether food-insecure patients identified through a free cancer screening program were successfully connected to resources via a local food bank partnership. METHODS: …

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Providing medically tailored groceries and food resource coaching through the charitable food system to patients of a safety-net clinic in Dallas, Texas: a randomised controlled trial protocol

Jaclyn Albin, Tammy Leonard, Willis Wong, Milette Siler et autres

INTRODUCTION: Linking patients living with chronic, diet-related diseases and food insecurity to charitable food assistance, medically tailored groceries (MTGs) and food resource coaching may empower patients to better manage their health in a way that is economically sustainable. This protocol paper describes …

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Abstract 4144549: Proof of Concept of a Novel Culinary Medicine Service Line to Address Diet-Related Cardiovascular Disease Risk Factors

Willis Wong, Amulya Agrawal, Tin Khine, Milette Siler et autres

Background: Poor diet has emerged as a top contributor to cardiovascular disease (CVD) in the United States. Evidence-based dietary strategies have been shown to decrease CVD risk by addressing comorbid conditions such as hypertension and diabetes, and there is a growing demand …

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From Clinic to Kitchen to Electronic Health Record: The Background and Process of Building a Culinary Medicine eConsult Service

Jaclyn Albin, Alexandra Mignucci, Milette Siler, David D. Dungan et autres

Abstract: Diet plays a pivotal role in health outcomes, influencing various metabolic pathways and accounting for over 20% of risk-attributable disability adjusted life years (DALYs). However, the limited time during primary care visits often hinders comprehensive guidance on dietary and lifestyle modifications. …

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Connecting patients identified as food insecure with programs at a food bank: Were food insecure patients linked with food?

Sanjna Bhatia, Kelseanna Hollis‐Hansen, Milette Siler, Rebecca Eary

Context: Food insecurity is associated with several adverse health outcomes. Patients can be screened for food insecurity through the healthcare system and connected with appropriate resources which may improve clinical care outcomes. Objective: To evaluate if patients who were identified as food …

Redesigning Recruitment and Engagement Strategies for Virtual Culinary Medicine and Medical Nutrition Interventions in a Randomized Trial of Patients with Uncontrolled Type 2 Diabetes

Molly McGuire, Patricia M. Chen, Carolyn Smith‐Morris, Jaclyn Albin et autres

In-person culinary medicine (CM) can improve health behaviors, but its translation to virtual platforms and impact on diabetes outcomes are not well described. We designed a pragmatic trial comparing the effectiveness of virtual CM (eCM) to Medical Nutrition Therapy on diabetes outcomes …

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