The impact of a nutrition counseling program on the use of hospital services for Meals on Wheels clients.

Autor:	Cho J; Baylor Scott & White Health, Temple, Texas, USA.; Texas A&M School of Public Health, College Station, Texas, USA., Marishak-Simon S; Baylor Scott & White Health, Temple, Texas, USA., Smith DR; Area Agency on Aging, United Way of Tarrant County, Fort Worth, Texas, USA., Stevens AB; Baylor Scott & White Health, Temple, Texas, USA.; Texas A&M College of Medicine, Temple, Texas, USA.
Jazyk:	angličtina
Zdroj:	Journal of prevention & intervention in the community [J Prev Interv Community] 2023 Jul-Sep; Vol. 51 (3), pp. 225-237. Date of Electronic Publication: 2021 Jun 06.
DOI:	10.1080/10852352.2021.1930818
Abstrakt:	Home-delivered meals have shown considerable promise in overcoming nutritional challenges among homebound older adults facing food insecurity and the risk of diabetes, while nutrition counseling provides knowledge and skills for diabetes management. The purpose of this study was to identify the impact of a program combining nutrition counseling with home-delivered meals by examining the use of hospital services 6 months before and after participating in the program. This study included 1009 clients who are at risk for diabetes and who received home-delivered meals and nutrition counseling via Meals on Wheels in Fort Worth, Texas. Hospital service data were extracted from a regional claims database. Generalized linear models were performed to examine changes in use of hospital services 6 months before and after program participation. The mean number of emergency department visits and hospitalizations decreased from 0.69 to 0.50 ( p < .001) and from 0.35 to 0.22 ( p < .001), respectively. The findings of this study indicate that combining structured nutritional counseling with home-delivered meals may contribute to reducing healthcare use among older adults facing the challenges of diabetes and food insecurity.
Databáze:	MEDLINE
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