A Technological Intervention to Improve Nutrition among Older Adult Congregate Meal Participants during COVID-19

COVID-19 期间改善老年人集体用餐参与者营养的技术干预

• 批准号: 10650840
• 负责人: Sarah Lynn Ullevig
• 金额: $ 30.21万
• 依托单位: UNIVERSITY OF TEXAS SAN ANTONIO
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-22 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10650840
• 关键词: Address; Affect; Aging; American; Area; Attitude; COVID-19; COVID-19 mortality; COVID-19 pandemic; COVID-19 pandemic effects; Cessation of life; Chronic Disease; Cities; Clinical Trials; Communities; Computers; Country; County; Data; Data Collection; Devices; Diet; Dietary Intervention; Disadvantaged; Economics; Education; Educational Curriculum; Elderly; Enrollment; Exclusion; Funding; Goals; Health; Health Services; Health Services for the Aged; Healthy Eating; Hispanic; Hispanic Populations; Hour; Individual; Inequity; Infrastructure; Internet; Intervention; Intervention Studies; Knowledge; Latino Population; Loneliness; Measures; Modeling; Neighborhoods; Nutritional; Outcome; Participant; Personal Satisfaction; Persons; Phase; Physical activity; Physical activity scale; Population; Poverty; Questionnaires; Reporting; Research Design; Resources; Risk; Series; Services; Site; Social isolation; Surveys; Technology; Testing; Texas; Training; United States Department of Agriculture; comorbidity; design; dietary; digital; ethnic minority population; evidence base; food insecurity; food security; functional decline; health determinants; improved; indexing; intervention effect; metropolitan; nutrition; nutrition education; online intervention; pandemic disease; physical inactivity; post intervention; primary outcome; programs; racial minority population; recruit; secondary outcome; service programs; social; social exclusion; technology training; tool; trend; vulnerable community

Project Summary/Abstract (29 out of 30 lines allowed) Inadequate nutrition and a lack of physical activity contributes to functional decline and complications from chronic diseases in older adults. The pandemic has halted or altered necessary Older Americans Act (OAA) nutrition services provided to vulnerable community-dwelling older adults in San Antonio, Texas. The “digital divide” or gap in technological access and knowledge, further heightens the detrimental effect of the COVID-19 pandemic on older adults who may be “digitally excluded” from social, economic, and health-related interactions. During the pandemic, seven San Antonio congregate meal sites located in areas with high poverty and digital exclusion remain partially open biweekly to distribute meals but no longer offer in-person nutrition education, physical activity classes, and social activities. The proposed project extends existing congregate meal programming infrastructure and partnerships with Older Adults Technology Services (OATS) to provide a sustainable approach focused on older adult health. This proposed digital nutrition intervention study will target technologically limited older adults enrolled in the congregate meal program (CMP) using a stepped-wedge cluster clinical trial to allow for sequential intervention enrollment with simultaneous control and intervention data collection timepoints. Key community partners with the Department of Health Services Senior Services Division and OATS will participate in the planning phase, research design, and implementation of the study. The 20-week intervention will include 5 weeks of technology training, including internet access and devices, followed by 15 weeks of a culturally tailored nutrition intervention via online sessions. The study will enroll 480 older adults recruited from seven at- risk congregate meal sites. Data will be collected at baseline, 3 months, 6 months, and 12 months. The study aims are: 1) To test the impact of a technology-based intervention on the primary outcomes of food security and diet quality; 2) To determine the effect of the intervention on secondary outcomes of technology knowledge and usage, physical activity, and social isolation and loneliness; 3) To examine the long-term impact and sustainability of technology use on food security, diet quality, physical activity, and social isolation. If successful, the impact of this program could be applied throughout the national OATS network and to similar CMPs to bridge the digital divide beyond the COVID-19 pandemic.

项目摘要/摘要（允许 30 行中的 29 行） 营养不足和缺乏体力活动会导致功能衰退和并发症 老年人的慢性疾病大流行已经停止或改变了必要的《美国老年人法案》(OAA)。 为德克萨斯州圣安东尼奥市社区居住的弱势老年人提供营养服务。 技术获取和知识方面的鸿沟”或差距，进一步加剧了 COVID-19 的不适影响 老年人可能被“数字化”排除在社会、经济和健康相关领域之外 在大流行期间，圣安东尼奥的七个聚集餐点位于高度贫困地区。 数字排除仍然每两周部分开放以分发膳食，但不再提供面对面的营养 拟议的项目扩展了现有的集体活动。 膳食计划基础设施以及与老年人技术服务 (OATS) 的合作伙伴关系，以提供 可持续的方法侧重于老年人的健康。 这项拟议的数字营养干预研究将针对技术有限的老年人 集体膳食计划 (CMP) 使用阶梯式楔形集群临床试验，以允许按顺序进行 同时控制和干预数据收集关键社区的干预登记。 卫生服务部高级服务司和 OATS 的合作伙伴将参与 为期 20 周的干预将包括 5 周的规划阶段、研究设计和实施。 为期数周的技术培训，包括互联网接入和设备，随后是 15 周的文化培训 该研究将招募来自 7 个国家的 480 名老年人。 研究将在基线、3 个月、6 个月和 12 个月时收集风险集中用餐地点的数据。 目标是： 1) 测试基于技术的干预措施对粮食安全主要成果的影响 和饮食质量；2) 确定干预措施对技术次要结果的影响 知识和使用、体力活动、社会孤立和孤独；3) 检查长期情况； 技术使用对粮食安全、饮食质量、身体活动和社会隔离的影响和可持续性。 如果成功，该计划的影响可以应用于整个国家 OATS 网络以及类似的 CMP 致力于弥合 COVID-19 大流行之后的数字鸿沟。