Nutritional Risk among Congregate Meal Site Participants: Benefits of a SNAP-Ed Program

Group-Based Nutrition Interventions to Promote Health and Mobility in Community-Dwelling Older Adults: A Systematic Review

“…1). A total of 31 studies met all eligibility criteria and were included in the analysis (Table 1), including 11 single group, pre-test/post-test studies (47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57) , 10 RCTs (58)(59)(60)(61)(62)(63)(64)(65)(66)(67) , and 10 nonrandomized, two group study designs (68)(69)(70)(71)(72)(73)(74)(75)(76)(77) . A list of excluded studies with reasons for exclusion is provided in Supplementary Appendix 1.…”

“…The BCT Taxonomy (78) was used to identify interventions that incorporated BCT when components such as goal setting, action planning, feedback and monitoring, social support (e.g., motivational interviewing), shaping knowledge through instruction on how to perform a behaviour (e.g., cooking demonstrations), and behavioural practice/rehearsal (e.g., healthy food selection or recognition activities) were explicitly described. Physical activity education was reported as a co-intervention in nine studies (29%) (48, 51, 55, 58-60, 70, 71, 74) , and physical activity participation within sessions (e.g., strengthening, walking, step tracking) was reported in 10 studies (32%) (52,53,56,61,64,66,67,72,73,77) .…”

“…Session frequency was variable, with weekly delivery most common (n = 13, 42%) (47-50, 54, 56, 63, 65-67, 69, 71, 75) . Interventionists included trained facilitators (n = 6, 19%) (48,52,66,70,73,75) , research personnel (n = 4, 13%) (55,56,61,68) , educators (n = 3, 10%) (54,58,71) , nutritionists (n = 3, 10%) (57,62,69) , physiotherapists and/or trainers (n = 3, 10%) (64,67,72) , registered dietitians (n = 2, 6%) (50,51) , healthcare providers (n = 2, 6%) (63,76) , lay leaders (n = 2, 6%) (53,77) , and peer leaders (n = 2, 6%) (60,74) . Four studies (13%) did not report interventionist details.…”

“…Programs were delivered within congregate meal sites (n = 5, 16%) (55,57,58,68,73) , seniors' housing sites (n = 5, 16%) (47,51,54,59,60) , seniors' centers (n = 4, 13%) (48,64,65,71) , community health centers (n = 3, 10%) (66,69,72) , community centers/kitchen (n = 3, 10%) (50,61,76) , a church facility (n = 1, 3%) (52) , and a university (n = 1, 3%) (62) , with seven (23%) (53,56,63,70,74,75,77) delivered across multiple community settings, and two (6%) not reporting setting. Theoretical models were applied in 45% of studies (n = 14); the most common were Social Cognitive Theory (n = 4, 13%) (52,53,60,77) , Social Marketing Theory (n = 2, 6%) (58,75) , Health Belief Model (n = 2, 6%) (58,73) , and the Transtheoretical Model (n = 2, 6%) (52,65) . Multiple theories were often combined within studies, although none applied them in the same manner.…”

“…Nine studies evaluated the effectiveness of nutrition education with BCT (n = 7, 78%) (49,57,58,63,64,72,73) , food access (n = 1, 11%) (54) , and nutrition education with BCT and food access (n = 1, 11%) (69) for decreasing nutrition risk. Measures such as the Mini Nutritional Assessment (n = 3, 33%) (54,64,69) , Dietary…”