Ji-Yun Hwang; Bokyoung Kim; Kirang Kim

doi:10.5720/kjcn.2014.19.5.459

Articles

Page Path: HOME > Korean J Community Nutr > Volume 19(5); 2014 > Article

Research Article
A Qualitative Study on Attitude, Acceptability, and Adaptation for Home-delivered Meal Services in the Korean Elderly from the Perspective of Life Context: Ji-Yun Hwang, Bokyoung Kim, Kirang Kim; Korean Journal of Community Nutrition 2014;19(5):459-467.
DOI: https://doi.org/10.5720/kjcn.2014.19.5.459
Published online: October 31, 2014

¹⁾Nutrition Education Major, Graduate School of Education, Sangmyung University, Seoul, Korea.

²⁾Graduate School of Public Health, Seoul National University, Seoul, Korea.

³⁾Department of Food Science and Nutrition, Dankook University, Cheonan, Korea.

Corresponding author: Kirang Kim. Department of Food Science and Nutrition, College of Natural Science, Dankook University 119, Dandae-ro, Dongnam-gu, Cheonan, Chungnam 330-714, Korea. Tel: (041) 550-3472, Fax: (041) 559-7857, kirangkim@dankook.ac.kr

• Received: April 28, 2014 • Revised: September 23, 2014 • Accepted: October 20, 2014

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

119 Views
0 Download
6 Crossref

prev next

Full Article

Download PDF

Abstract
Acknowledgments
Acknowledgments
REFERENCES

Abstract

Objectives
The purpose of this study was to suggest the strategies for improvement of home-delivered meal services for the elderly, to identify reasons for recipients to get started with the services and to evaluate the attitude, acceptability and adaptation of recipients to the services from the perspective of life context.
Methods
The data was collected through face-to-face in-depth interviews with eighteen low-income elderly recipients of home-delivered meals and analyzed using a qualitative research method.
Results
The results were deduced as four themes which comprised of long-term vulnerable socioeconomic contexts resulted in entry to the services, conflicting acceptability to the services, passive adaptation to taking the services, and positive practices to cope with supplement free meals or other services. The service participation was initiated because of a combination of prolonged, vulnerable socioeconomic contexts, including poverty and unexpected life events such as diseases, disability, living alone, aging and unemployment. With regard to taking the services, conflicting acceptability was observed: positive aspects including saving living cost and good quality of meals, and negative aspects including lack of a tailored service and feeling of stigma. Although the recipients needed an individualized service, they did not express their needs and demands for the services and they accepted the unavailability as an accustomed, prolonged vulnerable socioeconomic context. With regard to lack of tailored services, either self-solution such as modification of eating patterns or community-based network and services were used.
Conclusions
We suggest that a system to concretely identify recipients' attitude, acceptability and adaptation for home-delivered meal services should be developed in the establishment of a tailored nutrition support system for the low-income elderly.
Keywords: the low-income elderly; qualitative method; home-delivered meal services; service acceptability

Acknowledgments

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (No. 2013R1A1A1060704).

REFERENCES

1. Administration on Aging. Nutrition Services (OAA Title IIIC). 2014; cited January 20, 2014]. Available from http://www.aoa.gov/AoA_Programs/HCLTC/Nutrition_Services/index.aspx.
2. Baek HY. A qualitative study on the experience of poverty among the poor elderly people who live alone. Korean J Soc Welf Stud 2006; 31: 5-39.
3. Bartlett S, Burstein N, Andrews M. Food stamp program access study: eligible nonparticipants. Economic Research Service, United States Department of Agriculture; 2004.
4. Burstein NR, Patrabansh S, Hamilton WL, Siegel SY. Understanding the determinants of supplemental nutrition assistance program participation. Food and Nutrition Service, United States Department of Agriculture; 2009.
5. Department of Health. Commonwealth (HACC) program. 2008; cited January 21, 2014]. Available from http://health.gov.au/hacc.
6. Edfors E, Westergren A. Home-living elderly people's views on food and meals. J Aging Res 2012; 2012: 761291.Article PubMed PMC PDF
7. Food Research and Action Center. Access and access barriers to getting food stamps: a review of the literature. Washington D.C.: Food Research and Action Center; 2008.
8. Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. Aldine: Chicago; 1967. p. 237-250.
9. Kim K, Frongillo EA. Participation in food assistance programs modifies the relation of food insecurity with weight and depression in elders. J Nutr 2007; 137(4): 1005-1010.Article PubMed
10. Kim K, Kim MK, Shin YJ. The concept and measurement of food security. J Prev Med Public Health 2008; 41(6): 387-396.Article PubMed
11. Kim K, Kim MK, Shin YJ. Household food insecurity and its characteristics in Korea. Health Soc Welf Rev 2009; 29(2): 268-292.Article
12. Kim DS. Qualitative Researching (translated version). 2nd ed. Nanam: Seoul; 2010. p. 213-250 original written by Mason J.
13. Korea Institute for Health and Social Affairs. International comparison of old-age income and poverty in Korea health welfare. Issue Focus 2009; 9: 1-8.
14. Lauren HN. Can food stamps help to reduce Medicare spending on diabetes? Econ Hum Biol 2011; 9(1): 1-13.Article PubMed
15. Lee JS, Frongillo EA. Understanding needs is important for assessing the impact of food assistance program participation on nutritional and health status in U.S. elderly persons. J Nutr 2001; 131(3): 765-773.Article PubMed
16. Locher JL, Ritchie CS, Robinson CO, Roth DL, West DS, Burgio KL. A multidimensional approach to understanding under-eating in homebound older adults: the importance of social factors. Gerontologist 2008; 48(2): 223-234.Article PubMed
17. Locher JL, Robinson CO, Roth DL, Ritchie CS, Burgio KL. The effect of the presence of others on caloric intake in homebound older adults. J Gerontol A Biol Sci Med Sci 2005; 60(11): 1475-1478.Article
18. McConnell S, Ponza M. The reaching the working poor and poor elderly study: what we learned and recommendations for future research. 1999; cited December, 1999]. Available from http://www.mathematica-mpr.com/~/media/publications/PDFs/reach.pdf.
19. Millen BE, Ohls JC, Ponza M, McCool AC. The elderly nutrition program: an effective national framework for preventive nutrition interventions. J Am Diet Assoc 2002; 102(2): 234-240.PubMed
20. Margetts BM, Thompson RL, Elia M, Jackson AA. Prevalence of risk of undernutrition is associated with poor health status in older people in the UK. Eur J Clin Nutr 2003; 57(1): 69-74.Article PubMed PDF
21. Ministry of Health and Welfare. Survey on the current livelihood status and the welfare need in the elderly 2008. 2009.
22. Ministry of Health and Welfare. Elderly health and welfare business guide. 2013; cited January 20, 2014]. Available from http://www.mw.go.kr.
23. Ministry of Health and Welfare. Total care service for the elderly 2013. 2013.
24. Park JY, Lee KE, Yi NY, Kwak TK. Clients' handling and consumption of home-delivered meals at home and their perceptions on home-delivered meal services for older adults. Korean J Community Nutr 2010; 15(3): 379-392.
25. Participle. The circle movement. 2014; cited August 16, 2014]. Available from http://www.participle.net/projects/view/5/101/.
26. Rodriguez E, Frongillo EA, Chandra P. Do social programmes contribute to mental well-being? The long-term impact of unemployment on depression in the United States. Int J Epidemiol 2001; 30(1): 163-170.Article PubMed
27. Splett PL, Weddle DO. The elderly nutrition program: contribution to the health and independence of older adults. Florida: National policy and resource center on nutrition and aging; 1999.
28. Shin GR. Basics of qualitative research: techniques and procedures for developing grounded theory (translated version). Seoul: Hyunmoon; 2001. p. 91-110 original written by Strauss A and Corbin JM.
29. Suda Y, Marske CE, Flaherty JH, Zdrodowski K, Morley JE. Examining the effect of intervention to nutritional problems of the elderly living in an inner city area: a pilot project. J Nutr Health Aging 2001; 5(2): 118-123.PubMed
30. Statistics Korea. Statistics on the elderly population 2010. 2010.
31. Seo S, Yu E, Kim OY. Qualitative study on home delivery meal services for the elderly. J Nutr Health 2013; 46(6): 589-596.Article
32. Teshima T, Hirakawa A. Shokuiku for the elderly. Japan: Cabinet Office; 2010.
33. United States Government Accountability Office. Food assistance: options for improving nutrition for older Americans. 2000; cited August 17, 2000]. Available from http://www.gao.gov/assets/240/230545.pdf.
34. Workers' collective. Fukushi-club. 2014; cited August 1, 2014]. Available from http://fukushi-club.net/index.html.

Table 1

Characteristics of the study participants

1) Mean

2) N (%)

Table 2

The in-depth interview questions

Table 3

Attitude and acceptability of the free meal services among the low-income elderly

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Food Insecurity and Stress Among Rural Residents in South Carolina: The Moderating Influences of Household Characteristics, Neighborhood Social Environment and Food Environment
Caitlin Koob, Ye Luo, Catherine Mobley, Samuel Baxter, Sarah Griffin, Cassius Hossfeld, Leslie Hossfeld
Journal of Community Health.2023; 48(3): 367. CrossRef
Virtual Grocery Store: Fostering Healthy Nutrition among Seniors
Tara Crowell, Anthony Dissen, Elizabeth G. Calamidas, Elizabeth Finnerty, Laura Engelmann
Journal of Nutrition in Gerontology and Geriatrics.2021; 40(4): 290. CrossRef
Interpersonal and Community Factors Related to Food Sufficiency and Variety: Analysis of Data from the 2017 Community Health Survey
Jiyoun Hong, Taisun Hyun
Korean Journal of Community Nutrition.2020; 25(5): 416. CrossRef
Experiences of Healthcare and Daily Life Support Services in Community-dwelling Elders Living Alone: A Thematic Analysis using Focus Group Interviewing
Yeon-Hwan Park, Kyung-Choon Lim, Be Long Cho, Hana Ko, Yu Mi Yi, Eun-Young Noh, So-Im Ryu, Sun Ju Chang
Journal of Korean Gerontological Nursing.2019; 21(3): 200. CrossRef
Food Insecurity and Geriatric Hospitalization
Rachel S. Bergmans, Briana Mezuk, Kara Zivin
International Journal of Environmental Research and Public Health.2019; 16(13): 2294. CrossRef
Participation in the Supplemental Nutrition Assistance Program and maternal depressive symptoms: Moderation by program perception
Rachel S. Bergmans, Lawrence M. Berger, Mari Palta, Stephanie A. Robert, Deborah B. Ehrenthal, Kristen Malecki
Social Science & Medicine.2018; 197: 1. CrossRef

PubReader

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

A Qualitative Study on Attitude, Acceptability, and Adaptation for Home-delivered Meal Services in the Korean Elderly from the Perspective of Life Context

Korean J Community Nutr. 2014;19(5):459-467. Published online October 31, 2014

DOI: https://doi.org/10.5720/kjcn.2014.19.5.459

XML Download

We recommend

A Qualitative Study on Attitude, Acceptability, and Adaptation for Home-delivered Meal Services in the Korean Elderly from the Perspective of Life Context

Table 1

Characteristics of the study participants

1) Mean

2) N (%)

Table 2

The in-depth interview questions

Table 3

Attitude and acceptability of the free meal services among the low-income elderly

Table 1 Characteristics of the study participants

1) Mean

2) N (%)

Table 2 The in-depth interview questions

Table 3 Attitude and acceptability of the free meal services among the low-income elderly