Nutrition Education for Homeless Women—Challenges and Opportunities: A Pilot Study

Johnson, L; Myung, Eunha; McCool, Audrey C.; Champaner, Elena

doi:10.1080/15378020902910496

Cited by 5 publications

(13 citation statements)

References 9 publications

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“…Table 1 provides the characteristics of all included studies. Two studies [ 34 , 41 ] were RCTs, both from the USA; fifteen were uncontrolled before and after (UBA) studies [ 35 – 37 , 39 , 40 , 43 , 44 , 46 – 53 ]; seven were surveys [ 38 , 42 , 45 , 54 – 57 ]; and one was a case-control study using a historical control sample [ 58 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most studies ( n = 9) did not report on type of homelessness. Six included shelter dwelling participants only [ 37 , 39 – 41 , 43 , 50 ] while no study included just rough sleeping participants. Problem-drinking was not always defined.…”

Section: Resultsmentioning

confidence: 99%

“…Educational, information, and support interventions were the most common ( n = 9) [ 34 , 37 – 39 , 43 , 44 , 50 , 53 ]. These included motivational interviewing with nutrition information over the phone [ 50 ], a one-off lecture [ 48 ], interactive group workshops [ 34 , 37 , 43 ], and full curriculums on nutrition and diet [ 39 , 44 , 53 ]. Three studies assessed the effect of supplements and fortification.…”

Section: Resultsmentioning

confidence: 99%

“…Nutritional status measures were reported in 13 studies [ 34 , 39 – 41 , 43 – 46 , 50 – 54 ]. Of these, three studies reported micronutrient deficiency in blood samples [ 43 , 46 , 54 ] and ten reported on nutritional intake [ 34 , 39 – 41 , 44 , 45 , 50 – 53 ].…”

Section: Resultsmentioning

confidence: 99%

“…Educational sessions of varying intensity and duration were assessed in four studies [ 34 , 39 , 44 , 53 ]. One involved motivational telephone interviewing [ 50 ], one was a single session on food hygiene and nutrition along with a cooking competition [ 49 ], and one involved life skill workshops [ 37 ].…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Interventions for preventing or treating malnutrition in homeless problem-drinkers: a systematic review

Ijaz

Thorley

Porter

et al. 2018

Int J Equity Health

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BackgroundExcessive drinking leads to poor absorption of nutrients and homeless problem-drinkers often have nutritionally inadequate diets. Depletion of nutrients such as vitamin B1 can lead to cognitive impairment, which can hinder efforts to reduce drinking or engage with services. This review aimed to assess effectiveness of interventions designed to prevent or treat malnutrition in homeless problem-drinkers.MethodsWe systematically searched nine electronic databases and 13 grey literature sources for studies evaluating interventions to improve nutrition in homeless populations, without regional or language restrictions. Screening for inclusion was done in duplicate. One reviewer extracted data and assessed risk of bias, and another checked the extractions. Primary outcomes were nutrition status/deficiency, liver damage, and cognitive function. Secondary outcomes included abstinence, comorbidities, resource use, acceptability and engagement with intervention. Results were synthesised narratively.ResultsWe included 25 studies (2 Randomised Controlled Trials; 15 uncontrolled before and after; 7 surveys; 1 case-control). Nine studies evaluated educational and support interventions, five food provision, and three supplement provision. Eight studies evaluated a combination of these interventions. No two interventions were the same, and all studies were at high risk of bias. Nutritional status (intake/ deficiency) were reported in 11 studies and liver function in one.Fruit and vegetable intake improved with some education and support interventions (n = 4 studies) but not others (n = 2). Vitamin supplements appeared to improve vitamin deficiency levels in the blood (n = 2). Free or subsidised meals (n = 4) and food packs (n = 1) did not always fulfil dietary needs, but were usually considered acceptable by users. Some multicomponent interventions improved nutrition (n = 3) but acceptability varied (n = 3). No study reported cost effectiveness.ConclusionsThe evidence for any one intervention for improving malnutrition in homeless problem-drinkers was based on single studies at high risk of bias. Various food and supplement provision interventions appear effective in changing nutritional status in single studies. Educational and multicomponent interventions show improved nutritional behaviour in some studies but not others. Further better quality evidence is required before these interventions can be recommended for implementation. Any future studies should seek the end user input in their design and conduct.Trial registrationRegistered with PROSPERO: CRD42015024247.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Interventions for preventing or treating malnutrition in homeless problem-drinkers: a systematic review

Ijaz

Thorley

Porter

et al. 2018

Int J Equity Health

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Perceived nutrition needs of people experiencing disadvantage in utilizing support services: An Australian case study

Vaiciurgis,

Clancy,

O'Reilly

et al. 2024

Food Science & Nutrition

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Individuals experiencing socio‐economic disadvantage face higher rates of food insecurity and health disparities. This study explored the perceptions, attitudes, and knowledge of individuals providing nutrition services, and users of these services, to identify nutrition needs and inform potential strategies for addressing diet‐related health inequities. Semi‐structured interviews were conducted utilizing a phenomenological approach to explore lived experiences, beliefs, and perceptions influencing nutrition‐related health. Key themes were derived by consensus among researchers using inductive thematic analysis. Twenty‐two interviews were completed, which identified five themes. “Budgetary Constraints” was found to have a pervasive impact on all nutrition‐related services. Secondly, diverse “Individual Clientele” was found to influence three overlapping themes pertaining to opportunities and limitations for “Knowledge and Skills,” “Services, Resources and Staff,” and the “Systems and Food Environment.” Budgets directly impact the availability of services, resources, food provision, sustainability, and educational opportunities for staff, volunteers and service users. A live‐in environment offers a platform to implement and evaluate targeted interventions to inform and enhance nutrition‐related support services. Future interventions should address individual and systemic influences, prioritizing client‐informed, cost‐effective, sustainable capacity building for clients and staff. Recommendations for systemic and environmental influences include formalized staff training, peer‐mentoring systems, and increasing client autonomy. This has the potential to improve food security for residents following their transition into independent living. Charitable system limitations underscore the need for broader systemic change, informed policymaking, and government intervention to effectively address the root causes of food insecurity and diet‐related health inequities.

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Dietary intake, nutritional status and mental wellbeing of homeless adults in Reading, UK

et al. 2017

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Malnutrition has been reported in the homeless, yet the specific nutritional issues faced by each homeless community are unclear. This is in part due to nutrient intake often being compared with dietary reference values as opposed to a comparative housed population. In addition, the complex interplay between nutrient intake, reward mediated behaviour and mental illness is frequently overlooked. This study aimed to compare the dietary intake, nutritional status and mental wellbeing of homeless and housed adults. Homeless (n 75) and matched housed (n 75) adults were recruited from Reading (UK). Nutrient intake was determined using the European Prospective Investigation into Cancer and Nutrition Norfolk FFQ. The Patient Health Questionnaire: Somatic Anxiety Depressive Symptoms (PHQ-SADS) assessed for signs of mental illness. Demographic, behavioural and physiological information was collected using closed-ended questions and anthropometric measurements. Overall, dietary intake was poorer in homeless adults who reported higher intakes of salt (8·0 v. 6·4 g, P=0·017), SFA (14·6 v. 13·0 %, P=0·002) and alcohol (5·3 v. 1·9 %, P<0·001) and lower intakes of fibre (13·4 v. 16·3 g, P<0·001), vitamin C (79 v. 109 mg, P<0·001) and fruit (96 v. 260 g, P<0·001) than housed. Smoking, substance misuse and PHQ-SADS scores were also higher in the homeless (P<0·001). Within the homeless population, street homeless (n 24) had lower SFA (13·7 v.15·0 %, P=0·010), Ca (858 v. 1032 mg, P=0·027) and milk intakes (295 v. 449 g, P=0·001) than hostel residents (n 51), which may reflect the issues with food storage. This study highlights the disparity between nutritional status in homeless and housed populations and the need for dietary intervention in the homeless community.

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Nutrition Education for Homeless Women—Challenges and Opportunities: A Pilot Study

Cited by 5 publications

References 9 publications

Interventions for preventing or treating malnutrition in homeless problem-drinkers: a systematic review

Interventions for preventing or treating malnutrition in homeless problem-drinkers: a systematic review

Perceived nutrition needs of people experiencing disadvantage in utilizing support services: An Australian case study

Dietary intake, nutritional status and mental wellbeing of homeless adults in Reading, UK

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