Determining Gaps in a County-Wide Community Nutrition Education Program for Older Adults

Duerr, Lynn

doi:10.1300/j052v23n03_06

Cited by 1 publication

(6 citation statements)

References 18 publications

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“…Study design varied with two randomized control trials 28,29 ; the remaining studies conducted were interviews, focus groups, and/or mailed surveys. Three studies were conducted in the United States, 26,29,30 two in Israel, 27,28 and one study was conducted in each of the following countries: Canada, 25 Malaysia, 31 and England. 32 Sample sizes among the studies ranged between 5 25 and 259 28 research participants.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies identified barriers and/or solutions to providing nutrition education and assessment to older adults living at home. Two were via interviews and/or focus groups, 26,32 and three conducted a questionnaire/survey. 27,30,31 Shahar and colleagues 31 first performed a content analysis in Malaysia to develop nutrition education materials that would then be evaluated by older adults ( N =33) and health professionals ( N = 14) via a questionnaire.…”

Section: Resultsmentioning

confidence: 99%

“…Focused interviews among gatekeeper organizations defined as organizations that offer food, nutrition, and nutrition education ( N = 258) indicate that only generalized nutrition information is provided. 26 However, older adults ( N = 37) interviewed desire educational materials and opportunities on specific ways to improve nutrition and its influence on diseases rather than unspecific, general nutrition information. 26 Shahar and colleagues 31 report that older adults prefer nutritional educational materials to be simple, with illustrations or pictures, and have minimal use of medical terms and uncommon jargon.…”

Section: Resultsmentioning

confidence: 99%

“…26 However, older adults ( N = 37) interviewed desire educational materials and opportunities on specific ways to improve nutrition and its influence on diseases rather than unspecific, general nutrition information. 26 Shahar and colleagues 31 report that older adults prefer nutritional educational materials to be simple, with illustrations or pictures, and have minimal use of medical terms and uncommon jargon. However, though the food pyramid is often presented as an educational tool, older adults reported having difficulty understanding nutrition concepts when depicted in the in this fashion.…”

Section: Resultsmentioning

confidence: 99%

“…Finally, creating detailed educational materials on specific ways to improve nutrition and nutritional impact on chronic disease is also important to include. 26 Further research is also to needed to identify older adults who are at risk for alterations in nutrition and to design and test ways to improve collaboration among the interprofessional health care team. We strongly recommend the addition of OASIS items that asses an older adult's nutritional status and needs on the next OASIS iteration.…”

Section: Discussionmentioning

confidence: 99%

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Fuel for Life: A Literature Review of Nutrition Education and Assessment Among Older Adults Living at Home

Astrup

O’Connor

2018

Home Health Care Management & Practice

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Nutrition is often considered the foundation of health and an important indicator of well-being. Older adults living in the community are particularly at high risk of poor nutrition due to social isolation, frailty, cognitive impairment, polypharmacy, reduced functional status, and financial instability. Older adults receiving skilled home health may also be at risk for poor nutrition as the Outcomes Assessment Information Set (OASIS), the Centers for Medicare and Medicaid Services-mandated home health assessment, does not contain items specifically related to nutrition assessment, leaving this important aspect of health potentially neglected. In the popular and empirical literature, there is a plethora of knowledge on what older adults should be eating. However, it is unclear how nutritional recommendations are provided to home health recipients and whether nutritional status is routinely included in the home health comprehensive assessment. To address this gap, we conducted a review of the literature related to nutritional education and assessment for older adults living at home. Databases MEDLINE, CINAHL, and PubMed were searched using the search terms nutrition, education, assessment, and older adults with eight studies eligible for inclusion. Results indicate several strategies to assess and improve nutritional status among older adults living in the community such as individualized nutrition counseling and the identification of malnutrition indicators. Furthermore, barriers to adequate nutrition education and assessment exist including home health care personnel, particularly nurses and home health aides, who feel ill-prepared to meet the educational needs identified. Additional research and wide dissemination of results are needed to assure the nutritional needs of older adults living in the community are met.

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