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老年人替代性灵活集体营养膳食计划的参与者评估

Participant Assessment of an Alternative Flexible Congregate Nutrition Meal Program for Older Adults.

作者信息

Lee Jenny Jinyoung, Sultana Nargis, Nishita Christy

机构信息

Thompson School of Social Work and Public Health, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA.

出版信息

J Nutr Gerontol Geriatr. 2024 Apr-Jun;43(2):134-150. doi: 10.1080/21551197.2024.2367972. Epub 2024 Jun 25.

Abstract

Congregate Nutrition Services have long been a pillar of public health assistance, championing the independence and community engagement of older Americans. The advent of COVID-19, however, restricted access to these services due to the closure of physical locations. In response, Lanakila Meals on Wheels initiated a virtual congregate meal program, Kūpuna U, in collaboration with community partners in Honolulu County. The program combined grab-and-go or home-delivered meals with virtual and in-person classes to improve both nutrition and socialization for older adults. This study aimed to capture participant feedback to assess and enhance the Kūpuna U program, developing it as a flexible and scalable congregate meal solution applicable nationwide. Five focus group discussions were conducted with program participants ( = 34). The majority of participants were female (74%), Asian (73%), and living alone (56%). Participants found the program beneficial, enhancing their nutrition, social engagement, and learning experiences on various topics tailored for older adults. Supportive staff played a crucial role in motivating participants to stay engaged. Participants also identified potential enhancements to the program, including more activities and courses, expanded hours, additional in-person options at various locations, and culturally tailored meals.

摘要

集体营养服务长期以来一直是公共卫生援助的支柱,支持美国老年人的独立性和社区参与度。然而,COVID-19的出现,由于实体场所的关闭,限制了对这些服务的获取。作为回应,拉纳基拉送餐上门服务与檀香山县的社区合作伙伴合作,启动了一个虚拟集体用餐项目“库普纳U”。该项目将即取即走或送餐上门的餐食与虚拟和面对面课程相结合,以改善老年人的营养状况和社交活动。本研究旨在收集参与者的反馈,以评估和改进“库普纳U”项目,将其发展成为一种适用于全国的灵活且可扩展的集体用餐解决方案。与项目参与者(n = 34)进行了五次焦点小组讨论。大多数参与者为女性(74%)、亚洲人(73%)且独自生活(56%)。参与者认为该项目有益,改善了他们的营养状况、社交参与度,并提供了针对老年人量身定制的各种主题的学习体验。支持性的工作人员在激励参与者持续参与方面发挥了关键作用。参与者还指出了该项目可能的改进方向,包括增加活动和课程、延长时间、在不同地点增加更多面对面选择,以及提供符合文化特色的餐食。

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