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Published in: Journal of Public Health 3/2024

Open Access 23-01-2023 | Nutrition | Original Article

Long-term support referrals to enhance food security and well-being in older adults: Texas physicians and nurses on what works

Authors: Nandita Chaudhuri, Laila Hussain Alvi, Ashleigh Williams

Published in: Journal of Public Health | Issue 3/2024

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Abstract

Aim

Senior participation in the congregate meal programs (CMPs) has alarmingly declined over the past decade in Texas as elsewhere in the nation. The purpose of this survey study was to identify the possible reasons for this decline from the viewpoint of the Texas physicians and nurses who are key in coordinating care and ensuring food security for the vulnerable older Texans by referring them to community-based long-term support services (LTSS).

Subject and methods

The methodology adopted was an online panel survey of physicians and nurses from rural and urban Texas counties. Structured multiple-choice and open-ended questions primarily focused on provider referral processes, reasons for connecting older clients to CMPs, perceptions about various aspects of these programs, possible reasons for the decline in participation, suggestions to make the programs an integral part of the community-based LTSS referral system, and how to address the COVID-19 pandemic constraints on the programs.

Results

As a majority of the healthcare providers surveyed were unaware of the CMPs in their communities, the study spotlighted an urgent need for a better-coordinated referral process centered on strategic marketing and awareness-building about the CMPs, including an extensive healthcare provider education component as well as an overall improvement in meal quality and variety.

Conclusion

The study highlights a need for additional research so decision-makers better understand how to best disseminate information to healthcare providers to improve the referral mechanisms, increase the referrals, and enhance the overall CMP program quality to benefit the vulnerable food-insecure older adults.
Literature
go back to reference Armstrong B, Reynolds C, Bridge G, Oakden L, Wang C, Panzone L, Rivera XS, Kause A, Ffoulkes C, Krawczyk C, Miller G, Serjeant S (2021) How does Citizen Science compare to online survey panels? A comparison of food knowledge and perceptions between the Zooniverse, Prolific and Qualtrics UK Panels. Front Sustain Food Syst 306. https://doi.org/10.3389/fsufs.2020.575021 Armstrong B, Reynolds C, Bridge G, Oakden L, Wang C, Panzone L, Rivera XS, Kause A, Ffoulkes C, Krawczyk C, Miller G, Serjeant S (2021) How does Citizen Science compare to online survey panels? A comparison of food knowledge and perceptions between the Zooniverse, Prolific and Qualtrics UK Panels. Front Sustain Food Syst 306. https://​doi.​org/​10.​3389/​fsufs.​2020.​575021
go back to reference Beasley JM, Sevick MA, Kirshner L, Mangold M, Chodosh J (2018) Congregate meals: opportunities to help vulnerable older adults achieve diet and physical activity recommendations. TJ Frailty Aging 7(3):182–186 Beasley JM, Sevick MA, Kirshner L, Mangold M, Chodosh J (2018) Congregate meals: opportunities to help vulnerable older adults achieve diet and physical activity recommendations. TJ Frailty Aging 7(3):182–186
go back to reference Boateng GO, Neilands TB, Frongillo EA, Melgar-Quiñonez HR, Young SL (2018) Best practices for developing and validating scales for health, social, and behavioral research: a primer. Front Public Health 6:149CrossRefPubMedPubMedCentral Boateng GO, Neilands TB, Frongillo EA, Melgar-Quiñonez HR, Young SL (2018) Best practices for developing and validating scales for health, social, and behavioral research: a primer. Front Public Health 6:149CrossRefPubMedPubMedCentral
go back to reference Clarke HD, Sanders D, Stewart MC, Whiteley P (2008) Internet surveys and national election studies: A symposium. J Elections, Public Opinion Parties 18(1):327–330CrossRef Clarke HD, Sanders D, Stewart MC, Whiteley P (2008) Internet surveys and national election studies: A symposium. J Elections, Public Opinion Parties 18(1):327–330CrossRef
go back to reference Colby SL, Ortman JM (2015) Projections of the size and composition of the US population: 2014 to 2060. Population estimates and projections. Current Population Reports. US Census Bureau. https://eric.ed.gov/?id=ED578934. Accessed 9 Dec 2022 Colby SL, Ortman JM (2015) Projections of the size and composition of the US population: 2014 to 2060. Population estimates and projections. Current Population Reports. US Census Bureau. https://​eric.​ed.​gov/​?​id=​ED578934. Accessed 9 Dec 2022
go back to reference Comley P (2007) Online market research. In: Van Hamersveld M, de Bont C (eds) Market Research Handbook, 5th edn. John Wiley & Sons, Ltd, Chichester, pp 401–419 Comley P (2007) Online market research. In: Van Hamersveld M, de Bont C (eds) Market Research Handbook, 5th edn. John Wiley & Sons, Ltd, Chichester, pp 401–419
go back to reference Coppola LM, Reed KL, Herbert WN (2014) Comparison of patient attitudes and provider perceptions regarding medical student involvement in obstetric/gynecologic care. Teach Learn Med 26(3):239–243CrossRefPubMed Coppola LM, Reed KL, Herbert WN (2014) Comparison of patient attitudes and provider perceptions regarding medical student involvement in obstetric/gynecologic care. Teach Learn Med 26(3):239–243CrossRefPubMed
go back to reference Couper MP (2007) Issues of representation in eHealth research (with a focus on web surveys). Am J Prev Med 32(5):S83–S89CrossRefPubMed Couper MP (2007) Issues of representation in eHealth research (with a focus on web surveys). Am J Prev Med 32(5):S83–S89CrossRefPubMed
go back to reference Cuy Castellanos D (2015) Dietary acculturation in latinos/hispanics in the United States. Am J Lifestyle Med 9(1):31–36CrossRef Cuy Castellanos D (2015) Dietary acculturation in latinos/hispanics in the United States. Am J Lifestyle Med 9(1):31–36CrossRef
go back to reference Edwards P (2010) Questionnaires in clinical trials: guidelines for optimal design and administration. Trials 11(1):1–8MathSciNetCrossRef Edwards P (2010) Questionnaires in clinical trials: guidelines for optimal design and administration. Trials 11(1):1–8MathSciNetCrossRef
go back to reference Evans C (2005) Malnutrition in the elderly: a multifactorial failure to thrive. Permanente J 9(3):38CrossRef Evans C (2005) Malnutrition in the elderly: a multifactorial failure to thrive. Permanente J 9(3):38CrossRef
go back to reference Goldberg HB, Shorten A (2014) Differences between patient and provider perceptions of informed decision making about epidural analgesia use during childbirth. J Perinat Educ 23(2):104–112CrossRefPubMedPubMedCentral Goldberg HB, Shorten A (2014) Differences between patient and provider perceptions of informed decision making about epidural analgesia use during childbirth. J Perinat Educ 23(2):104–112CrossRefPubMedPubMedCentral
go back to reference Göritz AS (2007) Using online panels in psychological research. The Oxford Handbook of Internet Psychology, 473-485 Göritz AS (2007) Using online panels in psychological research. The Oxford Handbook of Internet Psychology, 473-485
go back to reference Göritz AS (2010) Web panels, replacement technology for market research. Enterprise 2.0: How Technology, eCommerce, and Web 2.0 Are Transforming Business Virtually, 221-235 Göritz AS (2010) Web panels, replacement technology for market research. Enterprise 2.0: How Technology, eCommerce, and Web 2.0 Are Transforming Business Virtually, 221-235
go back to reference Gray VB, Cossman JS, Dodson WL, Byrd SH (2005) Dietary acculturation of Hispanic immigrants in Mississippi. Salud Publica Mex 47(5):351–360CrossRefPubMed Gray VB, Cossman JS, Dodson WL, Byrd SH (2005) Dietary acculturation of Hispanic immigrants in Mississippi. Salud Publica Mex 47(5):351–360CrossRefPubMed
go back to reference Greenlaw CL (2018) Describing nutrition education needs of older adults at congregate meal sites and community settings. [Master’s Thesis, Cornell University]. Cornell Theses and Dissertations Greenlaw CL (2018) Describing nutrition education needs of older adults at congregate meal sites and community settings. [Master’s Thesis, Cornell University]. Cornell Theses and Dissertations
go back to reference Hoerr KA, Francis SL, Margrett JA, Peterson M, Franke WD (2016) Promoting the congregate meal program to the next generation of rural-residing older adults. J Nutrition Gerontol Geriatrics 35(2):113–123CrossRef Hoerr KA, Francis SL, Margrett JA, Peterson M, Franke WD (2016) Promoting the congregate meal program to the next generation of rural-residing older adults. J Nutrition Gerontol Geriatrics 35(2):113–123CrossRef
go back to reference Keller HH, Dwyer JJ, Edwards V, Senson C, Edward HG (2007) Food security in older adults: Community service provider perceptions of their roles. Can J Aging 26(4):317–328CrossRefPubMed Keller HH, Dwyer JJ, Edwards V, Senson C, Edward HG (2007) Food security in older adults: Community service provider perceptions of their roles. Can J Aging 26(4):317–328CrossRefPubMed
go back to reference Levasseur M, Généreux M, Bruneau JF, Vanasse A, Chabot É, Beaulac C, Bédard MM (2015) Importance of proximity to resources, social support, transportation and neighborhood security for mobility and social participation in older adults: results from a scoping study. BMC Public Health 15(1):1–19CrossRef Levasseur M, Généreux M, Bruneau JF, Vanasse A, Chabot É, Beaulac C, Bédard MM (2015) Importance of proximity to resources, social support, transportation and neighborhood security for mobility and social participation in older adults: results from a scoping study. BMC Public Health 15(1):1–19CrossRef
go back to reference Lin H, Bermudez OI, Tucker KL (2003) Dietary patterns of Hispanic elders are associated with acculturation and obesity. J Nutr 133(11):3651–3657CrossRefPubMed Lin H, Bermudez OI, Tucker KL (2003) Dietary patterns of Hispanic elders are associated with acculturation and obesity. J Nutr 133(11):3651–3657CrossRefPubMed
go back to reference Lloyd JL, Wellman NS (2015) Older Americans Act nutrition programs: A community-based nutrition program helping older adults remain at home. J Nutrition Gerontol Geriatrics 34(2):90–109CrossRef Lloyd JL, Wellman NS (2015) Older Americans Act nutrition programs: A community-based nutrition program helping older adults remain at home. J Nutrition Gerontol Geriatrics 34(2):90–109CrossRef
go back to reference McColl E, Jacoby A, Thomas L, Soutter J, Bamford C, Steen N, Thomas R, Harvey E, Garratt A, Bond J (2001) Design and use of questionnaires: A review of best practice applicable to surveys of health service staff and patients. Health Technol Assess 5(31). https://doi.org/10.3310/HTA5310 McColl E, Jacoby A, Thomas L, Soutter J, Bamford C, Steen N, Thomas R, Harvey E, Garratt A, Bond J (2001) Design and use of questionnaires: A review of best practice applicable to surveys of health service staff and patients. Health Technol Assess 5(31). https://​doi.​org/​10.​3310/​HTA5310
go back to reference Mower MT (2008) Designing and implementing ethnic congregate nutrition programs for older Americans. J Nutr Elder 27(3-4):417–430CrossRefPubMed Mower MT (2008) Designing and implementing ethnic congregate nutrition programs for older Americans. J Nutr Elder 27(3-4):417–430CrossRefPubMed
go back to reference Porter KE, Cahill S (2015) A state-level review of diversity initiatives in congregate meal programs established under the Older Americans Act. Res Aging 37(7):719–740CrossRefPubMed Porter KE, Cahill S (2015) A state-level review of diversity initiatives in congregate meal programs established under the Older Americans Act. Res Aging 37(7):719–740CrossRefPubMed
go back to reference Postoaca A (2006) The anonymous elect: Market research through online access panels. Springer Science & Business Media Postoaca A (2006) The anonymous elect: Market research through online access panels. Springer Science & Business Media
go back to reference Reaves EL, Musumeci M (2015) Medicaid and long-term services and supports: A primer. The Kaiser Family Foundation Reaves EL, Musumeci M (2015) Medicaid and long-term services and supports: A primer. The Kaiser Family Foundation
go back to reference Tortora R (2008) Recruitment and retention for a consumer panel. In: Lynn P (ed) Methodology of Longitudinal Surveys. John Wiley & Sons. Inc, Hoboken, pp 235–249 Tortora R (2008) Recruitment and retention for a consumer panel. In: Lynn P (ed) Methodology of Longitudinal Surveys. John Wiley & Sons. Inc, Hoboken, pp 235–249
go back to reference Walton K, Rosario VA, Pettingill H, Cassimatis E, Charlton K (2020) The impact of home-delivered meal services on the nutritional intake of community living older adults: a systematic literature review. J Hum Nutr Diet 33(1):38–47CrossRefPubMed Walton K, Rosario VA, Pettingill H, Cassimatis E, Charlton K (2020) The impact of home-delivered meal services on the nutritional intake of community living older adults: a systematic literature review. J Hum Nutr Diet 33(1):38–47CrossRefPubMed
go back to reference Williams LA, Bohac C, Hunter S, Cella D (2016) Patient and health care provider perceptions of cancer-related fatigue and pain. Support Care Cancer 24(10):4357–4363CrossRefPubMedPubMedCentral Williams LA, Bohac C, Hunter S, Cella D (2016) Patient and health care provider perceptions of cancer-related fatigue and pain. Support Care Cancer 24(10):4357–4363CrossRefPubMedPubMedCentral
Metadata
Title
Long-term support referrals to enhance food security and well-being in older adults: Texas physicians and nurses on what works
Authors
Nandita Chaudhuri
Laila Hussain Alvi
Ashleigh Williams
Publication date
23-01-2023
Publisher
Springer Berlin Heidelberg
Keyword
Nutrition
Published in
Journal of Public Health / Issue 3/2024
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-022-01800-5

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