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Cited by 0Down syndrome and intellectual disability researchObesity, Physical Activity, DietNutrition, Health and Food Behavior

The DOI matches its Crossref record; 44 of the 48 references it cites were found in a registry or an index, and 4 are not checked yet; 12 of the 60 sources its claims cite were checked for support.

A cooking skills intervention for long-term weight loss in young adults with intellectual disabilities: Rationale and design for a randomized trial

Open access
Ptomey, Lauren T., Danon, Jessica C., Catley, Delwyn, Washburn, Richard A., Bodde, Amy, Diaz, Francisco J., Helsel, Brian C., Rice, Anna M., Sherman, Joseph R., Koester, Madison, McKinney, Walker, Donnelly, Joseph E.·2026·Contemporary Clinical Trials
DOI 10.1016/j.cct.2026.108380PMC PMC13539593
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Abstract

Young adults with intellectual disability (ID) are an underserved population with a high prevalence of obesity, obesity-related health conditions, and reduced ability to complete instrumental and basic activities of daily living (I/ADLs). After leaving the structured environment of public school, many young adults with ID spend more time at home or in day programs, begin living more independently, or enter the workforce. These transitions may increase reliance on fast or processed foods and reduce opportunities for physical activity, contributing to accelerated weight gain. Previous research has demonstrated clinically meaningful short- and long-term weight loss (18-24 months) in adults with mild-to-moderate ID and overweight/obesity using multi-component behavioral interventions. However, similar approaches have not achieved long-term success in younger adults with ID. Limited evidence suggests that cooking-skills training is feasible and may improve diet quality in young adults with ID, yet no adequately powered trial has tested its impact on long-term weight loss in this population. This randomized trial will evaluate whether adding a cooking-skills program to a multicomponent weight-management intervention improves long-term weight loss in young adults with ID and overweight/obesity. We will randomize 114 participants (1:1) to a standard weight-loss program or a standard weight-loss program plus cooking skills sessions for an 18-month intervention with a 6-month no-contact follow-up period. The primary aim is to compare weight loss at 18 months; Secondarily, we will compare between-arm changes in body composition, cardiometabolic biomarkers, I/ADLs, cooking skills, and caregiver strain. Exploratory analyses will examine mediators and moderators of weight change.

Verified 2026-11-09 · 4 references not checked yet

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This protocol describes a randomized trial testing whether adding the Chef-ID cooking-skills program to an enhanced Stop Light Diet (eSLD) weight-management intervention improves long-term weight loss in young adults with intellectual disability and overweight/obesity. It will randomize 114 participants 1:1 and compare weight and secondary outcomes over 18 months, with a 6-month no-contact follow-up.

Key findings

  • The trial is powered to detect a hypothesized 3 kg between-arm difference in weight change at 18 months: the eSLD arm is expected to lose 5 kg by 6 months and regain 3 kg by 18 months, while the eSLD+Chef-ID arm is expected to lose 6 kg and regain 1 kg; 114 participants (57 per arm) provide at least 80% power at p=0.05 with 20% expected attrition.
  • A prior 12-week single-arm pilot of Chef-ID in 21 young adults with mild-to-moderate ID showed significant improvements in cooking independence and skill acquisition and modest significant mean weight loss (−1.1 kg, p=0.04), with high weekly session attendance (≥89%) and high participant/caregiver satisfaction.
  • The primary aim compares weight loss at 18 months; secondary comparisons include weight at 24 months, cooking skills, body composition, cardiometabolic biomarkers, I/ADLs, and caregiver strain; exploratory analyses examine mediators and moderators of weight change.
  • The paper states this is the first trial to evaluate a cooking-skills intervention on long-term weight loss in young adults with ID and extends prior research by assessing body composition and cardiometabolic biomarkers.

Methods

  • Design: 24-month randomized trial (6-month weight loss, 12-month maintenance, 6-month no-contact follow-up) in 114 young adults aged 18–35 with mild-to-moderate ID and BMI ≥25 kg/m² and <400 lbs, randomized 1:1 stratified by Down syndrome status and biological sex to eSLD or eSLD+Chef-ID; a parent/caregiver serves as study partner.
  • Interventions: both arms receive identical orientation, eSLD diet recommendations (1,200–1,500 kcal/d for women; 1,500–1,800 kcal/d for men; portion-controlled entrées, low-calorie shakes, fruits/vegetables), physical activity goals (120 min/wk moderate-to-vigorous aerobic activity and 30 min/wk resistance training), and monthly Zoom behavioral counseling; the eSLD arm receives motivational video messages, while the eSLD+Chef-ID arm receives in-person group cooking sessions twice monthly during weight loss and monthly during maintenance.
  • Outcomes/analysis: assessments at 0, 6, 12, and 18 months, plus a 24-month home visit for weight, I/ADLs, and caregiver strain; primary analysis uses a two-sided independent-samples t-test for weight change from baseline to 18 months and random-effects linear models for trajectories; secondary outcomes use t-tests with Bonferroni correction and random-effects models; exploratory analyses use structural equation modeling and LASSO regression.

Limitations

  • Stated: requiring caregiver participation may limit enrollment among families with fewer resources, limited schedule flexibility, or reduced social support, potentially limiting generalizability; the design evaluates Chef-ID as a multicomponent lifestyle intervention rather than isolating a single component, and an alternative in-person comparison condition was not used because Community Advisory Board feedback suggested alternatives were unlikely to provide meaningful benefit or could independently influence weight-related outcomes.
  • Evident from the text: this is a protocol/rationale and design paper, so no trial efficacy results are reported.
  • Evident from the text: cooking skills and caregiver strain are caregiver-reported, and dietary intake uses a screener and 24-hour recall, which may introduce reporting limitations; outcome assessors and investigators are blinded except one investigator overseeing interventionists, and participants cannot be blinded to the cooking sessions.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.cct.2026.108380

Cites

44 of 48 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

12 of 60 cited sources checked · 3 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Among young adults without ID, cooking skills and meal preparation interventions reduce fast food intake.

    “Among young adults without ID, cooking skills and meal preparation interventions have been shown to improve diet quality19, increase fruit and vegetable consumption20, and reduce fast food intake21.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [21] Utter J, Larson N, Laska MN, Winkler M, Neumark-Sztainer D. Self-perceived cooking skills in emerging adulthood predict better dietary behaviors and intake 10 years later: a longitudinal study. Journal of nutrition education and behavior. 2018; 50(5): 494– 500. 29525525 PMC6086120 source

      The Discussion (page not provided) reports that adequate cooking skills at ages 18–23 were associated with lower fast-food consumption later in life. The Methods describe a longitudinal analysis of associations, not a cooking-skills or meal-preparation intervention, so the paper does not show that an intervention reduced fast-food intake. (LLM, conf=0.89)

      Experimental — accuracy not yet measured
  • Premisecitation

    Fewer than 10% of adolescents or young adults with ID can independently prepare meals.

    “In contrast, fewer than 10% of adolescents or young adults with ID can independently prepare meals22, and more than half report difficulty with basic cooking tasks23.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [22] Krell K, Haugen K, Torres A, Santoro SL. Description of daily living skills and independence: A cohort from a multidisciplinary Down syndrome clinic. Brain Sciences. 2021; 11(8): 1012. 34439631 PMC8391843 source

      The Results report that 4% of adults with Down syndrome in this clinic cohort could cook independently. They do not establish that fewer than 10% of adolescents or young adults with intellectual disability generally can prepare meals; the measured group was adults with Down syndrome, and cooking was not distinguished from preparing simple meals (Results and Discussion; page numbers unavailable). (LLM, conf=0.87)

      Experimental — accuracy not yet measured
  • Premisecitation

    Young adults with ID have a high prevalence of obesity.

    “Young adults with ID represent an underserved segment of the population with a high prevalence of obesity and a high risk of excess weight gain7,8.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [7] King GA, Baldwin PJ, Currie M, Evans J. Planning successful transitions from school to adult roles for youth with disabilities. Children's Health Care. 2005; 34(3): 193– 216. source
    • cites [8] Jacobs P, MacMahon K, Quayle E. Transition from school to adult services for young people with severe or profound intellectual disability: A systematic review utilizing framework synthesis. Journal of Applied Research in Intellectual Disabilities. 2018; 31(6): 962– 982. doi: 10.1111/jar.12466 29932264 source

      The indexed passages describe a review of the transition from school to adult services for young people with severe or profound intellectual disability. Searches for obesity prevalence, overweight, and excess weight gain found no passage addressing the claimed high prevalence of obesity. (LLM, conf=0.70)

      Experimental — accuracy not yet measured
  • Premisecitation

    Young adults with intellectual disability (ID) are an underserved population.

    “Young adults with intellectual disability (ID) are an underserved population with a high prevalence of obesity, obesity-related health conditions, and reduced ability to complete instrumental and basic activities of daily living (I/ADLs).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [7] King GA, Baldwin PJ, Currie M, Evans J. Planning successful transitions from school to adult roles for youth with disabilities. Children's Health Care. 2005; 34(3): 193– 216. source
    • cites [8] Jacobs P, MacMahon K, Quayle E. Transition from school to adult services for young people with severe or profound intellectual disability: A systematic review utilizing framework synthesis. Journal of Applied Research in Intellectual Disabilities. 2018; 31(6): 962– 982. doi: 10.1111/jar.12466 29932264 source

      The Background describes little research emphasis on young people with severe or profound intellectual disability, and the Results identify barriers during their transition to adult services. This supports an underserved characterization for that subgroup in the transition context, but not for all young adults with intellectual disability. (LLM, conf=0.79)

      Experimental — accuracy not yet measured
  • Premisecitation

    Among young adults without ID, cooking skills and meal preparation interventions improve diet quality.

    “Among young adults without ID, cooking skills and meal preparation interventions have been shown to improve diet quality19, increase fruit and vegetable consumption20, and reduce fast food intake21.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [19] Hasan B, Thompson WG, Almasri J, The effect of culinary interventions (cooking classes) on dietary intake and behavioral change: a systematic review and evidence map. BMC nutrition. 2019; 5: 1– 9. 32153942 PMC7050805 source

      The Results section (‘Attitudes, self-efficacy and dietary intake’; page unavailable) reports improved healthy dietary intake after culinary interventions in adults and children, supporting the general dietary-improvement claim. It does not establish that result specifically for young adults without intellectual disabilities or report a diet-quality measure for that group. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • It may state two separate claims as one. 15
  • Probably not a substantial claim. 21

  • It may state two separate claims as one.

    Premisecitation

    Remote delivery of behavioral counseling/education sessions is effective in achieving clinically meaningful weight loss at lower delivery cost in individuals with ID.

    “We selected remote delivery based on the demonstrated effectiveness of this approach in achieving clinically meaningful weight loss at lower delivery cost in individuals with ID17,18.”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [17] Ptomey LT, Washburn RA, Goetz JR, A randomized trial comparing diet and delivery strategies for weight management in adolescents with intellectual disabilities. Pediatric Obesity. 2022; n/a(n/a): e12972. doi: 10.1111/ijpo.12972 PMC9940267 36054481 source
    • cites [18] Ptomey LT, Washburn RA, Goetz JR, Weight Loss Interventions for Adolescents With Intellectual Disabilities: An RCT. Pediatrics. Aug 19 2021;doi: 10.1542/peds.2021-050261 PMC8477713 34413247 source

      The Discussion reports clinically meaningful six-month weight loss in adolescents with mild to moderate IDD receiving the remotely delivered enhanced Stop Light Diet intervention (−6.4%; 53% lost at least 5%). The Introduction identifies travel costs as a potential barrier to attending on-site programs, but the paper does not establish that remote sessions had a lower delivery cost. The finding also concerns adolescents with overweight or obesity, rather than individuals with ID generally. (LLM, conf=0.88)

      Experimental — accuracy not yet measured

  • It may state two separate claims as one.

    Premisecitation

    Pilot results from 21 young adults with mild-to-moderate ID demonstrated significant improvements in cooking independence and skill acquisition.

    “Pilot results from 21 young adults with mild-to-moderate ID demonstrated significant improvements in cooking independence and skill acquisition and modest, but significant, mean weight loss (−1.1 kg, p=0.04) 26.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [26] Danon JC, Koon L, Sherman JR, Feasibility and preliminary efficacy of a skill-based lifestyle intervention for enhancing cooking abilities and physical fitness in young adults with intellectual disabilities. Disability and health journal. 2025; 18(2): 101767. 39648079 PMC11884991 source

  • Probably not a substantial claim. It may state two separate claims as one.

    Study design and conductnone given

    All education/behavioral counseling sessions will be recorded, and investigators will review a random 20% sample of recordings and compare the information presented with the information scheduled using a checklist.

    “All education/behavioral counseling sessions will be recorded. Investigators will review a random 20% sample of recordings and compare the information presented with the information scheduled using a checklist.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Study design and conductnone given

    Investigators and outcome assessors will be blinded to randomization, with the exception of one investigator who will be responsible for overseeing the interventionists.

    “Investigators and outcome assessors will be blinded to randomization, with the exception of one investigator who will be responsible for overseeing the interventionists.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Study design and conductnone given

    Interventionists falling below 80% delivery of scheduled content will be counseled and reevaluated and removed from the trial if they fall below 80% delivery on 3 occasions.

    “Interventionists falling below 80% delivery of scheduled content will be counseled and reevaluated and removed from the trial if they fall below 80% delivery on 3 occasions.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim.

    Study design and conductcitation

    Cooking skills will be assessed using the Assessment of Functional Living Skills (AFLS): Independent Living Skills.

    “Cooking skills will be assessed using the Assessment of Functional Living Skills (AFLS): Independent Living Skills39.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [39] Partington JW. The Assessment of Functional Living Skills-The AFLSTM. 2013;

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim. It may state two separate claims as one.

    Study design and conductnone given

    Investigators will attend a random sample (25%) of Chef-ID sessions and will complete a checklist to document the fidelity of Chef-ID intervention.

    “Additionally, investigators will attend a random sample (25%) of Chef-ID sessions and will complete a checklist to document the fidelity of Chef-ID intervention.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim.

    Interpretationreasoning

    The requirement for caregiver participation may limit enrollment among families with fewer resources, limited schedule flexibility, or reduced social support.

    “We acknowledge that the requirement for caregiver participation may limit enrollment among families with fewer resources, limited schedule flexibility, or reduced social support.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim. It may state two separate claims as one.

    Study design and conductnone given

    Staff performing all assessments will be blinded to the intervention and complete refresher training and reliability assessments 2-3x/yr.

    “Staff performing all assessments will be blinded to the intervention and complete refresher training and reliability assessments 2–3x/yr.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Study design and conductnone given

    Interventionists for the delivery of education/behavioral counseling sessions will be assigned to participants in both arms to minimize interventionist bias.

    “Interventionists for the delivery of the education/behavioral counseling sessions will be assigned to participants in both arms to minimize interventionist bias.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Study design and conductnone given

    The study statistician will create stratified randomization lists (1:1), which will be uploaded to a REDCap database prior to randomization of the first participant.

    “The study statistician will create stratified randomization lists (1:1), which will be uploaded a REDCap database prior to randomization of the first participant.”
    Quote in the paperNot a substantial claim

  • It may state two separate claims as one.

    Premisecitation

    Pilot results from 21 young adults with mild-to-moderate ID demonstrated modest, but significant, mean weight loss (−1.1 kg, p=0.04).

    “Pilot results from 21 young adults with mild-to-moderate ID demonstrated significant improvements in cooking independence and skill acquisition and modest, but significant, mean weight loss (−1.1 kg, p=0.04) 26.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [26] Danon JC, Koon L, Sherman JR, Feasibility and preliminary efficacy of a skill-based lifestyle intervention for enhancing cooking abilities and physical fitness in young adults with intellectual disabilities. Disability and health journal. 2025; 18(2): 101767. 39648079 PMC11884991 source

      Checked before — its earlier verdict is held back until a new check runs.

  • Probably not a substantial claim. The paper may give no reason why it holds. It may state two separate claims as one.

    Interpretationreasoning

    The eSLD+Chef-ID arm includes in-person, hands-on cooking sessions that may provide additional benefits beyond cooking skill acquisition, including increased structured routine, social support, participant engagement, and changes in caregiver involvement or strain.

    “Specifically, the eSLD+Chef-ID arm includes in-person, hands-on cooking sessions that may provide additional benefits beyond cooking skill acquisition, including increased structured routine, social support, participant engagement, and changes in caregiver involvement or strain.”
    Quote in the paperNot a substantial claim

  • It may state two separate claims as one.

    Interpretationcitation

    The Chef-ID intervention is feasible and acceptable.

    “Attendance at weekly intervention sessions was high (≥89%) and participants and caregivers reported high satisfaction, supporting the feasibility and acceptability of the Chef-ID intervention26.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [26] Danon JC, Koon L, Sherman JR, Feasibility and preliminary efficacy of a skill-based lifestyle intervention for enhancing cooking abilities and physical fitness in young adults with intellectual disabilities. Disability and health journal. 2025; 18(2): 101767. 39648079 PMC11884991 source

      Checked before — its earlier verdict is held back until a new check runs.

  • It may state two separate claims as one.

    Premisecitation

    Extending eSLD strategies to younger populations has been less successful, with adolescents and young adults with ID regaining weight after 12 months.

    “However, extending these strategies to younger populations has been less successful, with adolescents and young adults with ID regaining weight after 12 months17,18, underscoring the need for interventions that support long-term behavior change.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [17] Ptomey LT, Washburn RA, Goetz JR, A randomized trial comparing diet and delivery strategies for weight management in adolescents with intellectual disabilities. Pediatric Obesity. 2022; n/a(n/a): e12972. doi: 10.1111/ijpo.12972 PMC9940267 36054481 source

      Checked before — its earlier verdict is held back until a new check runs.

    • cites [18] Ptomey LT, Washburn RA, Goetz JR, Weight Loss Interventions for Adolescents With Intellectual Disabilities: An RCT. Pediatrics. Aug 19 2021;doi: 10.1542/peds.2021-050261 PMC8477713 34413247 source

      Checked before — its earlier verdict is held back until a new check runs.

  • Probably not a substantial claim. It may be too vague to check against evidence. The paper may give no reason why it holds.

    Interpretationreasoning

    By targeting the cognitive, behavioral, and environmental challenges that uniquely influence diet and activity patterns in young adults with ID, the Chef-ID intervention is well-positioned to promote meaningful and sustained weight loss.

    “By targeting the cognitive, behavioral, and environmental challenges that uniquely influence diet and activity patterns in young adults with ID, the Chef-ID intervention is well-positioned to promote meaningful and sustained weight loss.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: Evidence-based and sustainable strategies for achieving long-term weight loss in young adults with ID remain largely unavailable.
    • Rests on an assumption: The prevalence of obesity and associated health complications is high in young adults with ID.
    • Rests on an assumption: Few interventions have been adapted to the unique cognitive, behavioral, and social needs of young adults with ID.
    • Rests on an assumption: Many individuals with ID are dependent on caregivers.

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Study design and conductnone given

    Bonferroni corrections for multiple comparisons will be made at a nominal 0.05 significance level.

    “Bonferroni corrections for multiple comparisons will be made at a nominal 0.05 significance level.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim. The paper may give no reason why it holds.

    Study design and conductnone given

    Randomized allocation with concealed assignment minimizes selection bias.

    “Randomized allocation with concealed assignment minimizes selection bias, while delivery of both interventions by the same trained interventionists reduces variability.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim. The paper may give no reason why it holds.

    Study design and conductnone given

    Delivery of both interventions by the same trained interventionists reduces variability.

    “Randomized allocation with concealed assignment minimizes selection bias, while delivery of both interventions by the same trained interventionists reduces variability.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Study design and conductnone given

    The analytic plan accounts for key biological and demographic variables and explores mediators and moderators of weight change to maximize data interpretation.

    “The analytic plan accounts for key biological and demographic variables and explores mediators and moderators of weight change to maximize data interpretation.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Study design and conductcitation

    The 17-item Waisman Activities of Daily Living survey was specifically developed for and validated in adolescents and adults with ID.

    “Basic and instrumental ADLs will be assessed using the 17-item Waisman Activities of Daily Living survey43, which was specifically developed for and validated in adolescents and adults with ID.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [43] Maenner MJ, Smith LE, Hong J, Makuch R, Greenberg JS, Mailick MR. Evaluation of an activities of daily living scale for adolescents and adults with developmental disabilities. Disability and health journal. Jan 2013; 6(1): 8– 17. doi: 10.1016/j.dhjo.2012.08.005 23260606 PMC3531884 source

  • Probably not a substantial claim. It may state two separate claims as one.

    Study design and conductnone given

    Outcome assessments are completed by blinded staff with regular evaluation of inter-rater reliability to ensure measurement consistency.

    “Outcome assessments are completed by blinded staff with regular evaluation of inter-rater reliability to ensure measurement consistency.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Study design and conductnone given

    Intervention fidelity is monitored through standardized procedures.

    “Intervention fidelity is monitored through standardized procedures, and participant and caregiver exit interviews provide feedback on feasibility and acceptability.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Study design and conductnone given

    Models will adjust for age and sex.

    “Models will adjust for age and sex.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Study design and conductnone given

    Process assessment interviews will be conducted by an investigator who will not be involved in intervention delivery or outcome data collection.

    “Interviews will be conducted via Zoom® by an investigator who will not be involved in intervention delivery or outcome data collection.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Study design and conductnone given

    Participant and caregiver exit interviews provide feedback on feasibility and acceptability.

    “Intervention fidelity is monitored through standardized procedures, and participant and caregiver exit interviews provide feedback on feasibility and acceptability.”
    Quote in the paperNot a substantial claim
26 of 26

  • The paper relies on this without support.

    The eSLD is easy to understand and simplifies meal planning, food shopping, and meal preparation.

    “The eSLD is easy to understand and simplifies meal planning, food shopping, and meal preparation.”

  • The paper relies on this without support.

    Participants who do not meet their weight loss goals at 6 months frequently attempt to lose additional weight during maintenance.

    “In our experience, participants who do not meet their weight loss goals at 6 mos. frequently attempt to lose additional weight during maintenance.”

  • The paper relies on this without support.

    Using the SLD guide provides flexibility and assistance with making food choices consistent with dietary recommendations in situations where portion-controlled entrées and shakes may be unavailable.

    “Using the SLD guide also provides flexibility and assistance with making food choices consistent with dietary recommendations in situations where portion-controlled entrées and shakes may be unavailable.”

  • The paper relies on this without support.

    Evidence-based and sustainable strategies for achieving long-term weight loss in young adults with ID remain largely unavailable.

    “Evidence-based and sustainable strategies for achieving long-term weight loss in young adults with ID remain largely unavailable.”

  • The paper relies on this without support.

    The prevalence of obesity and associated health complications is high in young adults with ID.

    “Despite the high prevalence of obesity and associated health complications in this population, few interventions have been adapted to their unique cognitive, behavioral, and social needs.”

  • The paper relies on this without support.

    Few interventions have been adapted to the unique cognitive, behavioral, and social needs of young adults with ID.

    “Despite the high prevalence of obesity and associated health complications in this population, few interventions have been adapted to their unique cognitive, behavioral, and social needs.”

  • The paper relies on this without support.

    Many individuals with ID are dependent on caregivers.

    “Many individuals with ID also are dependent on caregivers, have limited autonomy in decision-making related to diet and activity54, and have high rates of food insecurity55.”

  • The paper relies on this without support.

    This is the first trial to evaluate the effectiveness of a cooking skill intervention on long-term weight loss in young adults with ID.

    “To our knowledge, this is the first trial to evaluate the effectiveness of a cooking skill intervention on long-term weight loss in young adults with ID.”
8 of 8

Citations

Cites

Flagged first, then by citations

Research works printed but not linked: 2

  1. Moshfegh, 2001, An improved approach to 24-hour dietary recall methodology, Ann. Nutr. Metab., 45, 156
  2. Bodde, 2010, Reviewing theoretical foundations of perceived control: application to health behaviors of adults with intellectual disabilities, Ann. Ther. Recreat., 18, 131

Cited by

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Related

Metadata

Authors
Ptomey, L. T., Danon, J. C., Catley, D., Washburn, R. A., Bodde, A., Diaz, F. J., Helsel, B. C., Rice, A. M., Sherman, J. R., Koester, M., McKinney, W., & Donnelly, J. E.
Affiliations
  • University of Kansas Medical Center (US)
  • San Diego State University (US)
  • Children's Mercy Hospital (US)
Corresponding author
Ptomey, Lauren T.
ORCID
Venue
Contemporary Clinical Trials
Publisher
Elsevier BV
Published
2026-08
Volume
167
Pages
108380
ISSN
1551-7144 (ISSN-L)
DOI
10.1016/j.cct.2026.108380
PMC
PMC13539593
OpenAlex
W7164675875
Semantic Scholar
138d9deb2cc0b3bab5a50b71ca5c7cfd45a8cc5f
Cited by
0
References
44
FWCI
0.00
Type
journal article
Language
en
Open access
Licence
Locations
  • Contemporary Clinical Trials (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
Funders
  • National Institute of Child Health and Human Development (R01 HD116832)
  • National Center for Advancing Translational Sciences (KL2TR002367)
  • National Institute of General Medical Sciences (P20GM144269)
  • National Institute on Aging (K01 AG083130)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
intellectual disability, young adults, obesity, weight loss, cooking skills training, dietary intervention, weight management, activities of daily living, body composition, cardiometabolic biomarkers, caregiver burden, diet quality, coming of age
MeSH terms
Activities of Daily Living, Adult, Cooking, Female, Humans, Male, Intellectual Disability, Obesity, Weight Loss, Exercise, Randomized Controlled Trials as Topic, Overweight, Young Adult, Weight Reduction Programs

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