A Technological Intervention to Improve Nutrition among Older Adult Congregate Meal Participants during COVID-19

项目摘要/摘要(允许30行中的29行) 营养不足和缺乏体力活动会导致功能衰退和并发症 老年人的慢性病。大流行已经停止或改变了必要的老年美国人法案(OAA) 为德克萨斯州圣安东尼奥弱势社区老年人提供营养服务。“数字时代” 技术准入和知识的鸿沟，进一步加剧了新冠肺炎的不利影响 在老年人中流行，他们可能在与社会、经济和健康相关的领域被“数字排除” 互动。在大流行期间，圣安东尼奥的七个就餐地点聚集在高度贫困的地区 和数字排斥仍然部分开放，每两周分发食物，但不再提供面对面的营养 教育、体育活动课和社会活动。拟议的项目扩大了现有的教区 膳食规划基础设施和与老年人技术服务(OATS)的合作伙伴关系，以提供 可持续的方法侧重于老年人的健康。 这项拟议的数字营养干预研究将针对技术有限的老年人 聚餐计划(CMP)使用阶梯式楔形群组临床试验以允许序贯 具有同时控制和干预数据收集时间点的干预登记。关键社区 与卫生署高级服务部和兽医处合作的伙伴将参加 研究的规划阶段、研究设计和实施。为期20周的干预措施将包括5项 几周的技术培训，包括互联网接入和设备，然后是15周的文化培训 通过在线会议进行量身定制的营养干预。这项研究将从7名老年人中招募480名老年人- 冒险聚集用餐地点。数据将在基线、3个月、6个月和12个月时收集。这项研究 目标是：1)测试以技术为基础的干预措施对粮食安全的主要结果的影响 和饮食质量；2)确定干预对技术次要结果的影响 知识和使用、身体活动、社交孤立和孤独；3)考察长期 技术使用对食品安全、饮食质量、体力活动和社会隔离的影响和可持续性。 如果成功，这一方案的影响可应用于全国燕麦片网络和类似的 中医弥合数字鸿沟，超越新冠肺炎大流行。

Project Summary/Abstract (29 out of 30 lines allowed) Inadequate nutrition and a lack of physical activity contributes to functional decline and complications from chronic diseases in older adults. The pandemic has halted or altered necessary Older Americans Act (OAA) nutrition services provided to vulnerable community-dwelling older adults in San Antonio, Texas. The “digital divide” or gap in technological access and knowledge, further heightens the detrimental effect of the COVID-19 pandemic on older adults who may be “digitally excluded” from social, economic, and health-related interactions. During the pandemic, seven San Antonio congregate meal sites located in areas with high poverty and digital exclusion remain partially open biweekly to distribute meals but no longer offer in-person nutrition education, physical activity classes, and social activities. The proposed project extends existing congregate meal programming infrastructure and partnerships with Older Adults Technology Services (OATS) to provide a sustainable approach focused on older adult health. This proposed digital nutrition intervention study will target technologically limited older adults enrolled in the congregate meal program (CMP) using a stepped-wedge cluster clinical trial to allow for sequential intervention enrollment with simultaneous control and intervention data collection timepoints. Key community partners with the Department of Health Services Senior Services Division and OATS will participate in the planning phase, research design, and implementation of the study. The 20-week intervention will include 5 weeks of technology training, including internet access and devices, followed by 15 weeks of a culturally tailored nutrition intervention via online sessions. The study will enroll 480 older adults recruited from seven at- risk congregate meal sites. Data will be collected at baseline, 3 months, 6 months, and 12 months. The study aims are: 1) To test the impact of a technology-based intervention on the primary outcomes of food security and diet quality; 2) To determine the effect of the intervention on secondary outcomes of technology knowledge and usage, physical activity, and social isolation and loneliness; 3) To examine the long-term impact and sustainability of technology use on food security, diet quality, physical activity, and social isolation. If successful, the impact of this program could be applied throughout the national OATS network and to similar CMPs to bridge the digital divide beyond the COVID-19 pandemic.