METHODS
Overview of the Community Connections Project
The data used in this article were derived from the Community Connections
(CC) project, which has been described at length elsewhere (20). Briefly, this
project was designed primarily to study the feasibility and effort required to
enhance collaboration between HDM program sites, the medical care system,
and community organizations. Funding and technical assistance was provided
to six HDM program sites in six states based on competitive grant
applications to initiate or strengthen these collaborations. Participants were
recruited from hospitals and communities served by the six HDM program.
Discharge planners, hospital administrators, and social workers at local
hospitals and communities were trained to serve as referral agents in the
identification and recruitment of project participants. Once participants were
discharged from acute care hospitals back to their homes they were enrolled
into the project and were assigned to receive their meals and nutrition services
either immediately or at two weeks post hospital-discharge. This latter
group was considered the delayed, control group, which simulated the
situation that exists in many of the programs nationwide. However, in this
article, data of the early and delayed groups were combined because there
were no significant differences in the home food environment or in sociodemographic
factors between the two groups.
Each of the six project sites hired a dietitian or health paraprofessional
who was trained as an assessor in the administration of the survey questionnaire
and in using computer-assisted personal interviewing software for
immediate data entry. Assessors visited participants within 48 hours of receiving
their meals and conducted a physical evaluation of the home food
environment and collected data on the health, functional status, and nutrition
profile of participants. The tools administered were based on valid measures
(21–28) and were pilot-tested on older adults with similar profiles as those in
the target population (29).
This project was approved by the University of Maryland’s Institutional
Review Board.
Home Food Environment of Older Adults 107
METHODS
Overview of the Community Connections Project
The data used in this article were derived from the Community Connections
(CC) project, which has been described at length elsewhere (20). Briefly, this
project was designed primarily to study the feasibility and effort required to
enhance collaboration between HDM program sites, the medical care system,
and community organizations. Funding and technical assistance was provided
to six HDM program sites in six states based on competitive grant
applications to initiate or strengthen these collaborations. Participants were
recruited from hospitals and communities served by the six HDM program.
Discharge planners, hospital administrators, and social workers at local
hospitals and communities were trained to serve as referral agents in the
identification and recruitment of project participants. Once participants were
discharged from acute care hospitals back to their homes they were enrolled
into the project and were assigned to receive their meals and nutrition services
either immediately or at two weeks post hospital-discharge. This latter
group was considered the delayed, control group, which simulated the
situation that exists in many of the programs nationwide. However, in this
article, data of the early and delayed groups were combined because there
were no significant differences in the home food environment or in sociodemographic
factors between the two groups.
Each of the six project sites hired a dietitian or health paraprofessional
who was trained as an assessor in the administration of the survey questionnaire
and in using computer-assisted personal interviewing software for
immediate data entry. Assessors visited participants within 48 hours of receiving
their meals and conducted a physical evaluation of the home food
environment and collected data on the health, functional status, and nutrition
profile of participants. The tools administered were based on valid measures
(21–28) and were pilot-tested on older adults with similar profiles as those in
the target population (29).
This project was approved by the University of Maryland’s Institutional
Review Board.
Home Food Environment of Older Adults 107
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