The Culture of Food in Long Term Care

长期护理中的饮食文化

• 批准号: 6950691
• 负责人: Robert L. Rubinstein
• 金额: $ 23.12万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE COUNTY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6950691
• 关键词: African American; behavioral /social science research tag; caucasian American; clinical research; community health services; culture; data collection methodology /evaluation; eating; extended care; food; gender difference; health behavior; health services research tag; human old age (65+); interview; nursing homes; nutrition related tag; psychological values; quality of life; racial /ethnic difference; residential care facility; social psychology; social support network; socioenvironment; sociometry

DESCRIPTION (provided by applicant): The general goal of this proposed 48-month research project is to examine the meaning of food and the experience of eating for elders. This is a proposed study of the personal and cultural meaning of food and eating. Food, dining, and commensality are at the core of cultural definitions of personhood and social relations. Eating is central to the health of elders. As an elder becomes frailer, she or he may begin to loose the capacities to shop, cook, create meals, clean up and the opportunity to eat with family or other close persons. Our working assumption is that eating and food represent fundamentally social and cultural procedures with personal meaning that reflect both on a sense of self and a sense of personal history over time. It is very important to note that this is not a study of nutrition or nutrients, dietary compliance, dietary intake, portions or food values. The proposed research has four specific aims: 1. To explore the cultural and personal meanings, processes and transitions conceming eating and food from an independent life style, through frailty in the community to life in assisted living facilities and nursing homes; 2. To better understand the cultural and personal meanings of "eating," "meals," "dining," "cooking," and similar constructs across later life transitions; 3. To examine gender, ethnic, and setting (urban, suburban, rural) differences with regard to the meaning and experience of food; 4. To examine experiences of long term care staff that prepare, serve and oversee meals about these issues. Data will be gathered from elders living independently, receiving Meals-on-Wheels services, resident in assisted living or in nursing homes. Informants will have, minimally, one functional deficit. All informants will be cognitively alert. Informants will come from urban, suburban or rural areas in Pennsylvania and Maryland. About 25% of the sample will be men and one-third African American. They will be interviewed in extended qualitative, ethnographic interviews about their lives and their experiences, meanings and definitions of issues around food and eating. Standard methods of qualitative data analysis will be utilized.

描述（由申请人提供）：该拟议的48个月研究项目的一般目标是检查食物的含义和长老饮食的经验。这是对食物和饮食的个人和文化意义的拟议研究。食物，餐饮和声音是人格和社会关系的文化定义的核心。饮食是长者健康的核心。当长者变得脆弱时，他或他可能会开始失去购物，做饭，制造餐点，清理工作以及与家人或其他亲密的人用餐的机会。我们的工作假设是，饮食和食物从根本上代表具有个人意义的社会和文化程序，这既反映了自我意识，又反映了一种个人历史感。非常重要的是要注意，这不是对营养或营养的研究，饮食依从性，饮食摄入量，部分或食物价值。拟议的研究具有四个具体的目的：1。探索文化和个人含义，过程和过渡，从独立生活方式，通过社区中的脆弱到辅助生活设施和养老院生活的饮食和食物； 2。更好地了解“进食”，“餐点”，“餐饮”，“烹饪”的文化和个人含义，以及以后过渡的类似结构； 3。检查性别，种族和环境（城市，郊区，农村）在食物的含义和经验方面存在差异； 4。检查准备，服务和监督这些问题的长期护理人员的经验。数据将从独立居住的长者那里收集，接受居住在辅助生活或养老院的轮子服务。线人将最少有一个功能赤字。所有线人都将在认知上保持警惕。线人将来自宾夕法尼亚州和马里兰州的城市，郊区或农村地区。大约25％的样本将是男性和三分之一的非裔美国人。他们将接受有关他们的生活以及围绕食物和饮食问题的经验，含义和定义的广泛的民族志访谈进行采访。定性数据分析的标准方法将被使用。