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下降和并发症， 老年人的慢性病。这场大流行已经停止或改变了必要的《美国老年人法案》（OAA） 为德克萨斯州圣安东尼奥的弱势社区老年人提供营养服务。“数字” 技术获取和知识方面的“鸿沟”或差距，进一步加剧了COVID-19的不利影响 老年人可能被“数字化排斥”在社会、经济和健康相关领域， 交互.大流行期间，七个圣安东尼奥聚集在高度贫困地区的餐饮点 和数字排斥仍然部分开放，每两周分发膳食，但不再提供面对面的营养 教育、体育活动课程和社会活动。该项目扩大了现有的集合 膳食规划基础设施，并与老年人技术服务（OATS）合作， 以老年人健康为重点的可持续方法。 这项拟议的数字营养干预研究将针对技术有限的老年人， 集体用餐计划（CMP）使用阶梯楔形群集临床试验，以允许顺序 同时在对照和干预数据收集时间点进行干预入组。主要的社区 卫生部高级服务司和OATS的合作伙伴将参加 规划阶段、研究设计和研究实施。为期20周的干预将包括5 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。这项研究将招募480名老年人，他们来自7个年龄段， 风险聚集用餐场所。将在基线、3个月、6个月和12个月时收集数据。研究 目标是：1）测试基于技术的干预对粮食安全主要结果的影响 和饮食质量; 2）确定干预对技术次要结局的影响 知识和使用，身体活动，社会隔离和孤独; 3）检查长期的 技术使用对粮食安全、饮食质量、体育活动和社会隔离影响和可持续性。 如果成功，该计划的影响可以应用于整个国家OATS网络和类似的 中医药跨越COVID-19大流行的数字鸿沟。

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.