Wright Lauri, Vance Lauren, Sudduth Christina, Epps James B
a Department of Community and Family Health, College of Public Health , University of South Florida , Tampa , Florida , USA.
J Nutr Gerontol Geriatr. 2015;34(2):218-27. doi: 10.1080/21551197.2015.1022681.
Maintaining independence and continuing to live at home is one solution to manage the rising health care costs of aging populations in the United States; furthermore, seniors are at risk of malnutrition and food insecurity. Home-delivered meal programs are a tool to address food, nutrition, and well-being concerns of this population. Few studies have identified outcomes from these programs; this pilot study reviews the nutritional status, dietary intake, well-being, loneliness, and food security levels of seniors participating in a Meals on Wheels delivery service. Clients, new to the meal program, participated in pre- and postphone interviews, and 51 seniors completed the study. The survey was composed of five scales or questionnaires, and statistical analyses were conducted using SPSS. Improvements across all five measures were statistically significant after participating two months in the home-delivered meal program. Implications for further research, practice, and the Older Americans Act are discussed.
保持独立并继续居家生活是应对美国老年人口不断上涨的医疗保健成本的一种解决方案;此外,老年人面临营养不良和粮食不安全的风险。上门送餐计划是解决这一人群的食物、营养和福祉问题的一种手段。很少有研究确定这些计划的成果;这项试点研究评估了参与“送餐上门”服务的老年人的营养状况、饮食摄入量、福祉、孤独感和粮食安全水平。该送餐计划的新客户参与了电话前后访谈,51位老年人完成了这项研究。该调查由五个量表或问卷组成,并使用SPSS进行了统计分析。参与上门送餐计划两个月后,所有五项指标均有显著改善。文中还讨论了对进一步研究、实践和《美国老年人法案》的启示。