Using the social ecological model to identify drivers of nutrition risk in adult day settings serving East Asian older adults

Title

Using the social ecological model to identify drivers of nutrition risk in adult day settings serving East Asian older adults

Creator

Sadarangani TR; Johnson JJ; Chong SK; Brody A; Trinh-Shevrin C

Publisher

Research in Gerontological Nursing

Date

2020
2020-06

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.

Subject

education; support; united-states; care; impact; guidelines; programs; perspective; community; malnutrition

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Pages

146–157

Issue

3

Volume

13

NEOMED College

NEOMED College of Medicine Student

NEOMED Department

NEOMED Student Publications

Update Year & Number

July 2020 List

Citation

Sadarangani TR; Johnson JJ; Chong SK; Brody A; Trinh-Shevrin C, “Using the social ecological model to identify drivers of nutrition risk in adult day settings serving East Asian older adults,” NEOMED Bibliography Database, accessed March 3, 2021, https://neomed.omeka.net/items/show/11160.

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