Curbach Janina, Warrelmann Berit, Brandstetter Susanne, Lindacher Verena, Rueter Jana, Loss Julika
Medical Sociology, University of Regensburg, Regensburg, Germany.
Health Soc Care Community. 2018 Apr 22. doi: 10.1111/hsc.12580.
Main goal of this study was to analyse how empowerment processes and bottom-up activities aimed at healthier food choices and food environment could be initiated among a group of senior citizens (between 60 and 75 years old). The intervention was set up as a pilot study in a rural community (15,000 inhabitants) in the federal state of Bavaria, South Eastern Germany. A process evaluation documented how group formation and empowerment processes developed during the course of the intervention. Extensive field notes were taken in 27 meetings, interviews (n = 13) and focus groups (n = 4) were conducted with participants and key persons at different points of the intervention. Data were analysed using content analysis. The intervention succeeded in motivating senior citizens to participate in regular meetings over 11 months. During the intervention, the group members' awareness of factors influencing their eating behaviour increased. Furthermore, they developed ideas to improve the community's food environment and accomplished duties needed to implement these ideas. However, initiating empowerment processes, especially in terms of fostering leadership and transferring responsibility, took longer than expected and could be realised only partially. The findings support a further use and evaluation of the empowerment approach for addressing nutritional aspects among senior citizens.
本研究的主要目标是分析如何在一群老年人（60至75岁）中启动旨在促进更健康的食物选择和食物环境的赋权过程及自下而上的活动。该干预作为一项试点研究，在德国东南部巴伐利亚州的一个农村社区（15000名居民）开展。过程评估记录了干预过程中群体形成和赋权过程的发展情况。在27次会议中做了详细的现场记录，并在干预的不同阶段与参与者和关键人物进行了访谈（n = 13）和焦点小组讨论（n = 4）。使用内容分析法对数据进行了分析。干预成功地激励老年人参加了为期11个月的定期会议。在干预过程中，小组成员对影响其饮食行为的因素的认识有所提高。此外，他们提出了改善社区食物环境的想法，并完成了实施这些想法所需的任务。然而，启动赋权过程，尤其是在培养领导力和转移责任方面，比预期花费的时间更长，且只能部分实现。研究结果支持进一步使用和评估赋权方法来解决老年人的营养问题。
