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Using the theory of planned behavior to assess participation in congregate meal programs.

机译：使用计划行为理论评估参加集体用餐计划的人数。

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摘要

Congregate meal programs under Older Americans Act Title IIIC provide hot meals for individuals 65 and older in a community setting during lunch time. The program focuses on preventing the problems associated with malnutrition and social isolation. From 1980 to 2002, the number of congregate meals served decreased by 18% while home-delivered meals increased almost 290%. To further understand reasons for declining program participation factors that impact participation were examined. The Theory of Planned Behavior (TPB) was used in this study to explain participation intention of community-dwelling elderly who lived in the Kansas North Central-Flint Hill region.;A two-phased elicitation study including: (1) focus groups and (2) salient beliefs study was administered to uncover participation beliefs and identify and clarify salient belief items. Based on the results of an elicitation study and a literature review, a valid questionnaire was developed. Data were collected at a senior fair, senior centers, senior living facilities, senior exercise classes, and a monthly meeting of retired seniors yielding a total of 238 samples. Descriptive statistical analysis was used to summarize the respondent's demographic characteristics. A two-step modeling approach including confirmatory factor analysis and structural equation modeling was performed to assess measurement model fit and checked causal relationships between factors.;Five advantages that respondents believe influence participation include: convenience, social interaction, low-price, nutritious and balanced meals, and less waste. Family members, friends, neighbors, cooks at the meal site, and heath professionals were important referents who affected seniors' program participation intention. The salient facilitators of program participation were activities at senior centers, the availability of transportation, the inclusive culture of senior centers, the lack of motivation and ability to cook, and poor weather.;Results show the data fits the TPB moderately well: all predictor variables (attitude, subjective norm, perceived behavior control (PBC), and past behavior) had a significant positive effect on participation intention. Among the four factors, PBC had the greatest predictive power on intention. Attitude had the least impact on participation intention.;Seniors provide thoughtful and insightful opinions about meal program. Results suggest program provider should focus on remove participation barriers and implement effective strategies to increase congregate meal program participation. The ultimate goal is to encourage the elderly to participate, improving their nutritional intake and thus, their quality of life.
机译：根据《美国老年人法案》第IIIC条的集体用餐计划在午餐时间为社区中65岁及65岁以上的个人提供热餐。该方案的重点是预防与营养不良和社会孤立有关的问题。从1980年到2002年，送餐的总数下降了18％，而家庭送餐的数量增长了近290％。为了进一步了解导致计划参与度下降的原因，研究了影响参与度的因素。本研究使用计划行为理论（TPB）来解释居住在堪萨斯州北部中弗林特山地区的社区居民的参与意向。两阶段启发研究包括：（1）焦点小组和（ 2）进行显着信念研究，以发现参与信念并识别和阐明显着信念项目。根据启发研究和文献综述的结果，开发了有效的问卷。数据是在高级集会，高级中心，高级生活设施，高级运动课程以及退休的老年人的每月例会上收集的，总共收集了238个样本。描述性统计分析用于总结受访者的人口统计学特征。进行了包括确定性因素分析和结构方程模型在内的两步建模方法来评估测量模型的拟合和检查因素之间的因果关系。受访者认为影响参与的五个优势包括：便利，社交互动，低价，营养丰富和均衡进餐，减少浪费。家人，朋友，邻居，就餐场所的厨师和健康专家是影响老年人计划参与意向的重要对象。计划参与的主要推动者是高级中心的活动，交通的便利性，高级中心的包容性文化，缺乏动力和做饭的能力以及恶劣的天气。；结果表明，该数据与TPB的拟合程度中等：所有预测因子变量（态度，主观规范，知觉行为控制（PBC）和过去的行为）对参与意向有显着的积极影响。在这四个因素中，PBC对意图的预测力最大。态度对参与意向的影响最小。；高级人士对用餐计划提供了深思熟虑的见解。结果表明，计划提供者应集中精力消除参与障碍，并实施有效的策略来增加总餐计划的参与度。最终目标是鼓励老年人参与，提高他们的营养摄入量，从而改善他们的生活质量。

著录项

  • 作者

    Lee, Kuei-I.;

  • 作者单位

    Kansas State University.;

  • 授予单位 Kansas State University.;
  • 学科 Gerontology.;Health Sciences Nutrition.;Psychology Behavioral.
  • 学位 Ph.D.
  • 年度 2009
  • 页码 198 p.
  • 总页数 198
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 老年病学;心理学;预防医学、卫生学;
  • 关键词

  • 入库时间 2022-08-17 11:38:31

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