Using the Social Ecological Model to Identify Drivers of Nutrition Risk in Adult Day Settings Serving East Asian Older Adults

Details

• Alternative Title:
  Res Gerontol Nurs
• Personal Author:
  Sadarangani, Tina R. ; Johnson, Jordan J. ; Chong, Stella K. ; Brody, Abraham ; Trinh-Shevrin, Chau
• Description:
  Adult day care (ADC) centers provide community-based care (including meals) to frail, ethnically diverse older adults, many of whom are at risk for malnutrition. To support the development of interventions to benefit ADC users, the authors aimed to identify barriers and facilitators of healthy nutrition among ADC users born in Vietnam and China. Semi-structured qualitative interviews were conducted among ADC stakeholders to identify barriers and facilitators. Data were analyzed using Braun and Clarke's six-step method and organized within the framework of the Social Ecological Model. Facilitators of good nutrition included adherence to traditional diet at the ADC center, peer networks, and access to ethnic grocers. Poor health, family dynamics, and loneliness all contributed to poor nutrition, as did the restrictive nature of nutrition programs serving ADC users in the United States. Individual, relationship, organizational, community, and policy level factors play a role in ADC users' nutritional status. Targeted nutrition interventions should leverage culturally congruent relationships between ADC users and staff and include advocacy for enhancement of federal programs to support this population. [Research in Gerontological Nursing, 13(3), 146-157.].
• Subjects:
  Adult Day Care Centers Aged Communication Barriers Culturally Competent Care Diet, Healthy Frail Elderly Health Personnel Humans Interviews As Topic Nutritional Status
• Source:
  Res Gerontol Nurs. 13(3):146-157
• Pubmed ID:
  31834413
• Pubmed Central ID:
  PMC7282494
• Document Type:
  Journal Article
• Funding:
  U48 DP001904/DP/NCCDPHP CDC HHSUnited States/ ; R24 AG063725/AG/NIA NIH HHSUnited States/ ; U54 MD000538/MD/NIMHD NIH HHSUnited States/ ; U48 DP005008/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP006396/DP/NCCDPHP CDC HHSUnited States/ ; P60 MD000538/MD/NIMHD NIH HHSUnited States/
• Place as Subject:
  China ; United States ; Vietnam
• Volume:
  13
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e932b28144037c24f739e85c6b28d69ec4ea24d5868e2e73fdd73173f417df96
• Download URL:
  https://stacks.cdc.gov/view/cdc/89016/cdc_89016_DS1.pdf
• File Type:
  [PDF - 104.53 KB ]