The impact of a nutrition counseling program on the use of hospital services for Meals on Wheels clients.

IF 0.9 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Journal of Prevention & Intervention in the Community Pub Date : 2023-07-01 DOI:10.1080/10852352.2021.1930818

Jinmyoung Cho, Sherry Marishak-Simon, Donald R Smith, Alan B Stevens

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Abstract

Home-delivered meals have shown considerable promise in overcoming nutritional challenges among homebound older adults facing food insecurity and the risk of diabetes, while nutrition counseling provides knowledge and skills for diabetes management. The purpose of this study was to identify the impact of a program combining nutrition counseling with home-delivered meals by examining the use of hospital services 6 months before and after participating in the program. This study included 1009 clients who are at risk for diabetes and who received home-delivered meals and nutrition counseling via Meals on Wheels in Fort Worth, Texas. Hospital service data were extracted from a regional claims database. Generalized linear models were performed to examine changes in use of hospital services 6 months before and after program participation. The mean number of emergency department visits and hospitalizations decreased from 0.69 to 0.50 (p < .001) and from 0.35 to 0.22 (p < .001), respectively. The findings of this study indicate that combining structured nutritional counseling with home-delivered meals may contribute to reducing healthcare use among older adults facing the challenges of diabetes and food insecurity.

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一项营养咨询计划对使用医院服务的上门送餐服务客户的影响。

家庭送餐在克服面临粮食不安全和糖尿病风险的居家老年人的营养挑战方面显示出相当大的希望，而营养咨询为糖尿病管理提供了知识和技能。本研究的目的是通过检查参与该计划前后6个月医院服务的使用情况，确定将营养咨询与家庭送餐相结合的计划的影响。这项研究包括1009名有糖尿病风险的客户，他们接受了德克萨斯州沃斯堡的上门送餐和营养咨询服务。医院服务数据是从区域索赔数据库中提取的。采用广义线性模型来检查参与项目前后6个月医院服务使用情况的变化。急诊就诊和住院的平均次数分别从0.69次下降到0.50次(p < 0.001)和从0.35次下降到0.22次(p < 0.001)。本研究结果表明，将结构化营养咨询与家庭送餐相结合，可能有助于减少面临糖尿病和食品不安全挑战的老年人的医疗保健使用。

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来源期刊

Journal of Prevention & Intervention in the Community PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

2.30

自引率

0.00%

发文量

期刊介绍： The Journal of Prevention & Intervention in the Communityis on the cutting edge of social action and change, not only covering current thought and developments, but also defining future directions in the field. Under the editorship of Joseph R. Ferrari since 1995, Prevention in Human Services was retitled as the Journal of Prevention & Intervention in the Communityto reflect its focus of providing professionals with information on the leading, effective programs for community intervention and prevention of problems. Because of its intensive coverage of selected topics and the sheer length of each issue, the Journal of Prevention & Intervention in the Community is the first-and in many cases, primary-source of information for mental health and human services development.