Improving The Safety And Nutritional Adequacy Of The Home Food Supply Of Elderly Recipients Of Home Delivered Meals

NCT02719626 | Completed

• 2 other identifiers: 10-551MxUSDA NIFSI # 2010-51110-21078
• Study Type: observational
• Target: 740
• Locations: 1 country
• Sites: 7

Brief Summary

Rutgers University will partner with the Meals on Wheels America (MOWA) and affiliated agencies in five states to conduct a study designed to improve food safety nutrition and emergency preparedness among homebound elderly recipients of home delivered meals (HDM). This population is at increased risk for food borne diseases, as a result of unique physiological and behavioral factors, and is particularly vulnerable to any disruptions in the food system because of their lack of mobility. A multi-method research approach will be used with a target sample of 1,000 MOWA homebound elderly clients. Methods include the use of a novel UPC scanning technology that quickly and comprehensively catalogues all of the food in the clients' homes, a home food safety audit, and a face-to-face interview. The goal of the study is to provide an improved understanding of the unique food safety threats to this at-risk population, suggest easy, cost-effective ways of reducing known food safety risk factors, and provide clear guidelines about the amount and types of food most needed by this population in emergency situations. Dissemination of research findings and recommendations will be done through a partnership with EDEN and MOWA, both of which have national constituencies poised to act on the recommendations.

Conditions

Food Safety; Nutritive Value; Homebound Persons; Frail Elderly

Keywords

senior; nutrition; home delivered meals; food safety; emergency prep

Outcome Measures

Primary Outcomes (2)

• Food Safety Kitchen Audit Score

  A 7-scale home food safety kitchen audit score was calculated by summing the affirmative responses to the audit questions was calculated for each household. Items on each scale ranged from 3-12 for total score of 0 to 43 and all were weighted equally.

  Day 1

• Nutritional Adequacy Ratio (NAR)

  A household Nutrition Adequacy Ratio was calculated by summing nutrition values based on the daily values for a 2,000kcal diet for each food. NARs are ratios where 1 is recommended, \>1 is more than recommended and \<1 is inadequate.

  Day 1

Secondary Outcomes (1)

• Nutritional Quality Score (QS)

  Day 1

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Home delivered meal recipients for at least 6 months, who: live alone, are 60 or more years old, have no overt cognitive impairment, and are from 5 states (AR, CA, IA, NJ \& SC; one site per state).

You may qualify if:

• or more years old
• live alone
• no overt cognitive impairment
• receiving home delivered meals for at least 6 months prior to the in-home visit

You may not qualify if:

• \< 60 years old
• do not live alone
• overt cognitive impairment
• receiving home delivered meals for less than 6 months prior to the in-home visit

Sponsors & Collaborators

• Rutgers, The State University of New Jersey: lead

Study Sites (7)

CareLink

Little Rock, Arkansas, 72119-5988, United States

Location

St. Vincent's Meals on Wheels

Los Angeles, California, 90057, United States

Location

The Heritage Agency on Aging

Cedar Rapids, Iowa, 52404, United States

Location

Linden Meals on Wheels

Linden, New Jersey, 07036, United States

Location

Rutgers University

New Brunswick, New Jersey, 08902, United States

Location

Greenville Meals on Wheels

Greenville, South Carolina, 29605-1780, United States

Location

Meals on Wheels America

Arlington, Virginia, 22202, United States

Location

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Study Officials

• William K Hallman, PhD

  Department of Human Ecology, Rutgers the State University of New Jersey

  PRINCIPAL INVESTIGATOR

• Carol Byrd-Bredbenner, PhD, RD

  Department of Nutrition, Rutgers the State University of New Jersey

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 3, 2016
• First Posted: March 25, 2016
• Study Start: April 1, 2011
• Primary Completion: May 1, 2013
• Study Completion: May 1, 2013
• Last Updated: March 25, 2016

Record last verified: 2016-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (7)