1. Preliminary evaluation of home-delivered meals for reducing frailty in older adults at risk for mal-nutrition
- Author
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Lisa A. Juckett, Melica Nikahd, J. Madison Hyer, Jared N. Klaus, Melinda L. Rowe, Leah E. Bunck, and Govind Hariharan
- Subjects
Home- and community-based services ,Food insecurity ,Aging-In-Place ,Older Americans Act ,Internal medicine ,RC31-1245 - Abstract
Objective: To examine the potential benefit of home-delivered meals for reducing frailty levels among community-dwelling older adults at risk for malnutrition. Design: A retrospective, single-group observational approach. Setting: One large home-delivered meal agency in the Midwest United States. Participants: 1090 community-dwelling older adults who received home-delivered meal services, funded through the Older Americans Act, between June 2020 and December 2021. Measurement: Frailty status was measured by the Home Care Frailty Scale (HCFS) which was routinely administered by agency staff to home-delivered meal clients as part of a quality improvement project. The HCFS was administered at the start of meal services, 3-months after meals began, and 6-months after meals began. Results: At baseline, 55.4% of clients were found to be at high risk for malnutrition. While there was a significant and consistent decline in HCFS throughout the follow-up period for both high and low nutritional risk groups, the reduction in frailty from baseline to 6-months was greater for the high nutritional risk group (Δ = −1.9; 95% CI: [−2.7, −1.1]; p
- Published
- 2024
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