Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus.
School of Social Work, University of Texas at Arlington.
Gerontologist. 2022 Feb 9;62(2):e82-e96. doi: 10.1093/geront/gnaa109.
Nutrition education programs implemented in congregate dining service (CDS) settings have the potential to improve healthy eating behaviors among older adult populations. However, little is understood about the types of nutrition education programs that are implemented at CDS sites and the factors that impede or promote implementation efforts. The purpose of this scoping review was to examine the characteristics of CDS nutrition education programs, barriers and supports to program implementation, and opportunities to enhance implementation of programming.
We adopted a scoping review methodology to assess the relevant literature published between January 2000 and 2020 by accessing CINAHL, SocINDEX, MEDLINE, AgeLine, and Academic Search Complete.
We identified 18 studies that met our inclusion criteria. The majority of nutrition education programs were led by trained facilitators, included the use of interactive activities, and also incorporated written or video materials. Programs that were adapted to the needs of older participants were perceived as supports to implementation whereas participants' needs and resources (e.g., lack of resources and lower health literacy) were occasionally found to limit the effective implementation of programming.
As the older adult population continues to access CDS sites to address their health and nutritional needs, purposeful efforts are needed to examine the specific approaches that can support nutrition education program implementation. Future opportunities lie in assessing strategies that are effective for mitigating barriers to implementing nutrition education programming in the CDS setting.
在集中供餐服务（CDS）环境中实施的营养教育计划有可能改善老年人群的健康饮食习惯。然而，对于在 CDS 场所实施的营养教育计划的类型以及阻碍或促进实施工作的因素，人们知之甚少。本范围综述的目的是研究 CDS 营养教育计划的特征、计划实施的障碍和支持因素，以及增强编程实施的机会。
我们采用范围综述方法，通过访问 CINAHL、SocINDEX、MEDLINE、AgeLine 和 Academic Search Complete，评估 2000 年 1 月至 2020 年间发表的相关文献。
我们确定了符合纳入标准的 18 项研究。大多数营养教育计划由经过培训的指导员领导，包括使用互动活动，并结合书面或视频材料。适应老年参与者需求的计划被认为是实施的支持因素，而参与者的需求和资源（例如，资源匮乏和较低的健康素养）偶尔会限制编程的有效实施。
随着老年人群继续访问 CDS 场所以满足他们的健康和营养需求，需要有针对性地努力研究可以支持营养教育计划实施的具体方法。未来的机会在于评估在 CDS 环境中实施营养教育计划的有效策略，以减轻实施障碍。
