Core functions and forms in home-delivered meal programs: a stakeholder-driven approach to identifying essential practices
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View abstract on PubMed
Summary
This summary is machine-generated.Essential home-delivered meal program practices were identified to improve nutrition and socialization for older adults. Standardizing key functions and forms can enhance program effectiveness nationwide.
Area Of Science
- Gerontology
- Public Health
- Implementation Science
Background
- The aging population requires specialized programs, with home-delivered meals crucial for nutrition and social support.
- Variations in local meal program implementation hinder understanding of their impact on older adults.
- This study uses the core functions and forms framework to identify replicable essential practices in meal programs.
Purpose Of The Study
- To identify and prioritize essential practices (forms) in home-delivered meal programs.
- To understand how specific program practices influence health outcomes for older adults.
- To provide a foundation for evaluating and improving home-delivered meal program effectiveness.
Main Methods
- A pragmatic randomized effectiveness trial comparing two home-delivered meal models.
- Data collection involved nine meal programs across the U.S. using site visits, surveys, and listening sessions.
- A modified e-Delphi process with stakeholders identified essential program forms based on core functions from the Older Americans Act.
Main Results
- Three core functions were identified: reducing hunger/malnutrition, providing socialization, and promoting health/well-being.
- Out of 103 identified program forms, 25 were deemed essential for achieving core functions.
- Essential practices included dietary customization, emergency meal provision, and client-directed interactions.
Conclusions
- Standardizing core functions and essential forms provides a framework for evaluating home-delivered meal programs.
- Findings support national improvements by balancing standardized practices with local needs.
- This study models the characterization of complex interventions in community settings, advancing implementation science.
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