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Development of Food Safety and Nutrition Education Contents for the Elderly - by Focus Group Interview and Delphi Technique -

Development of Food Safety and Nutrition Education Contents for the Elderly - by Focus Group Interview and Delphi Technique -

Article information

Korean J Community Nutr. 2012;17(2):167-181
Publication date (electronic) : 2012 April 30
doi : https://doi.org/10.5720/kjcn.2012.17.2.167
Departmemt of Food & Nutrition, Soongeui Women's College, Seoul, Korea.
1Departmemt of Food & Nutrition, Yonsei University, Seoul, Korea.
2Departmemt of Food & Nutrition, Andong University, Andong, Korea.
3Departmemt of Food Science & Nutrition, Dankook University, Youngin, Korea.
4Departmemt of Food & Nutrition, Seoul Women's University, Seoul, Korea.
5Departmemt of Food Science & Nutrition, Daejeon University, Daejeon, Korea.
Corresponding author: Tong-Kyung Kwak, Departmemt of Food and Nutrition, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-749, Korea. Tel: (02) 2123-3120, Fax: (02) 365-3118, kwaktk@yonsei.ac.kr
Received 2012 March 06; Revised 2012 April 25; Accepted 2012 April 27.

Abstract

Our society is aging rapidly, and the number of elderly people who are in charge of purchasing and preparing foods at home is increasing. However, most the elderly have difficulty managing nutrition and food safety by themselves. The purpose of this study was to develop the necessary knowledge, through focus group interview and Delphi technique to establish a food safety and nutrition education program. The diet and educational needs of the elderly were surveyed through FGI. The education topics were decided by the Delphi technique. The education program consisted of a five week program, and the topics taught were 'Dietary Change for Healthy Life', 'Prevention of Food Poisoning in Everyday Life', 'Safe Food Handling for my Health', 'Healthy Dietary Life to Prevent Chronic Disease', and 'Safety! Nutrition! Healthy Dietary Life'. This education program was designed to decrease the perceived barriers, and to increase the perceived interests and the sense of self-efficacy. Education program materials, lesson plans, slides, handouts, videos, leaflets, and booklets were developed. Based on the results, the contents of the food safety guideline leaflets for the elderly were decided as the following: (1) wash your hands in the correct way; (2) select safe food; (3) cook foods safely; (4) keep foods safely; (5) keep kitchen utensils clean. In conclusion, if advanced education programs are implemented and delivered continuously in locations such as health centers and community welfare centers, those will contribute significantly to enhance the perception of food safety and to change the desirable dietary behavior of the elderly.

Notes

This work was supported by funding from the Korean Food and Drug Administration.

References

1. Ahn Y, Kim KA, Kang HJ, Kim KW. Development of nutrition education materials for healthy aging. Korean J Community Nutr 2006. 11(6)740–749.
2. Altekruse SF, Yang S, Timbo BB, Angulo FJ. A multi-state survey of consumer food-handling and food-consumption practices. Am J Prev Med 1999. 16(3)216–221.
3. Bryan FL. Risks of practices, procedures and processes that lead to outbreaks of foodborne diseases. J Food Prot 1988. 51(8)663–673.
4. Buzby JC. Older adults at risk of complications from microbial foodborne illness. Food Review 2002. 25(2)30–35.
5. Cho YH, Park MH, Shon SH. A study on the direction of consumer education program for food safety and the production of case programs. Korean J Human Ecology 2011. 20(6)1167–1184.
6. Choi BS, Kwon SY, Seo JY, Lee IS, Lee HJ. Comparison of nutrient intake and meal service satisfaction of elderly at the local community centers: free and reduced meal service charge. Korean J Community Nutr 2005. 10(3)303–310.
7. Contento IR, Michela JL, Williams SS. Adolescent food choice criteria: role of weight and dieting status. Appetite 1995. 25(1)51–76.
8. Darmton-Hill I. Psychological aspects of nutrition and aging. Nutr Rev 1992. 50(12)476–479.
9. De Luis D, Guzman AL. Nutritional status of adult patients admitted to internal medicine departments in public hospitals in Castilla y Leon, Spain-A multi-center study. Eur J Intern Med 2006. 17(8)556–560.
10. Gettings MA, Kiernan NE. Practices and perceptions of food safety among seniors who prepare meals at home. J Nutr Educ 2001. 33(3)148–154.
11. Han HK, Choi SS, Kim MW, Lee SD. Food habits and nutritional status of the long-lived elderly people in Ganghwa-gun area. Korean J Community Nutr 2005. 10(1)101–110.
12. Hanson JA, Benedict JA. Use of the health belief model to examine older adult's food-handling behavior. J Nutr Educ Behav 2002. 34Suppl 1. S25–S30.
13. Hong WS, Choi YS, Yim JM. The sanitary performance and sanitary education of elementary and middle school food service employees in the Seoul area. Korean J Food Cookery Sci 2010. 26(3)252–262.
14. Hong WS, Yim JM. Evaluation of foodservice employees' sanitary performance and sanitary education in middle and high schools in Seoul. J Korean Diet Assoc 2009. 15(2)113–127.
15. Hong WS, Yim JM, Choi YS. Sanitary performance and knowledge of elementary school foodservice employees in Seoul. J Korean Diet Assoc 2008. 14(4)382–395.
16. Hudson PK, Hartwell HJ. Food safety awareness of older people at home: a pilot study. J R Soc Promot Health 2002. 122(3)165–169.
17. Long-term care, health and welfare services for the elderly. Japan Ministry of Health, Labour and Welfare 2010. cited 2012 Jan 30. Available from http://www.mhlw.go.jp.
18. Jeong HY, Yang IS, Chae IS, Lee HY. Analyzing the operational differences of foodservice center for homebound elderly by the presence of the dietitian. Korean J Community Nutr 2004. 10(2)197–204.
19. Johnson AE, Donkin AJ, Morgan K, Lilley JM, Neale RJ, Page RM, Silburn R. Food safety knowledge and practice among elderly people living at home. J Epidemiol Community Health 1998. 52(11)745–748.
20. Jung JI, Kang EJ, Choi MY, Choi GS, Hong YP, Seo KJ, Kim GH. Development and evaluation of consumer educational contents on safety management of imported foods for female college students in Seoul. J Food Hyg Saf 2009. 24(4)291–298.
21. Kang NE, Lee JY. The analysis of effect on nutrition education program for the elderly in Sung-nam area. Korean J Food Nutr 2005. 18(4)357–366.
22. Keller HH, Gibbs A, Wong S, Vanderkooy P, Hedley M. Men can cook! development, implementation, and evaluation of a senior men's cooking group. J Nutr Elder 2004. 24(1)71–87.
23. Kendall P, Medeiros LC, Hillers V, Chen G, Dimascola S. Food handling behaviors of special importance for pregnant women, infants and young children, the elderly, and immunecompromised people. J Am Diet Assoc 2003. 103(12)1646–1649.
24. Kendall PA, Hillers VV, Medeiros LC. Food safety guidance for older adults. Clin Infect Dis 2006. 42(9)1298–1304.
25. Kim JG. Equity in the delivery of health care in Korea: focused on analysis by age groups. Korean Soc Secur Stud 2011. 27(3)91–122.
26. Kim KA, Lee YK. The effect of nutrition education using animations on the nutrition knowledge, eating habits and food preferences of elementary school students. Korean J Community Nutr 2010. 15(1)50–60.
27. Kim SJ, Yi NY, Chang HJ, Kwak TK. Current status of sanitation management performance in Korean-food restaurants and development of the sanitary training posters based on their risk factors. Korean J Food Cult 2008. 23(5)582–594.
28. Kim YK, Lee HO, Chang R, Choue RW. A study on the food habits, nutrient intake and the disease distribution in the elderly (aged over 65 Years)(1). Korean J Community Nutr 2002. 7(4)516–526.
29. Kohl KS, Rietberg K, Wilson S, Farley TA. Relationship between home food-handling practices and sporadic salmonellosis in adults in Louisiana, United States. Epidemiol Infect 2002. 129(2)267–276.
30. Korean Society of Community Nutrition. Nutrition program for the elderly 2009.
31. Kwak KS, Bae YJ, Kim MH. Nutritional status and dietary quality in the low-income elderly residing at home or in health dare facilities. J Korean Diet Assoc 2008. 14(4)337–350.
32. Kwon BA, Kwon SH. A comparative study on influence of nutrition's teaching diet and nutrition to elementary school students: influences on nutrition knowledge, food habits, dietary behaviors. J Korea Sport Res 2011. 22(2)15–25.
33. Ledermana LC. Assessing educational effectiveness: the focus group interview as a technique for data collection. Commun Educ 1990. 39(2)117–127.
34. Lee HJ, Lee HS, Lee Y, Jang YA, Moon JJ, Kim CI. Nutritional environment influences hypertension in the middle aged Korean adults - based on 1998 & 2001 National Health and Nutrition Survey. Korean J Community Nutr 2007. 12(3)272–283.
35. Lee HJ, Park SJ, Kim JH, Kim CI, Chang KJ, Yin KS, Kim KW, Choi HM. Evaluating nutrient intakes of Korean elderly using semi-quantitative food frequency questionnaire. Korean J Community Nutr 2003. 8(3)311–318.
36. Lee KE, Yi NY, Park JY. Food safety knowledge and home food safety practices of home-delivered meal service recipients. J Korean Soc Food Sci Nutr 2009. 38(5)529–656.
37. Lee OH. A comparison of nutritional status and muscle strength of elderly women in a social welfare center and those residing at home. Korean J Community Nutr 2002. 7(5)603–614.
38. Linestone HA, Turoff M. The delphi method: technique and applications 1975. MA: Addison-Wesley, Reading; 277.
39. Medeiros LC, Hillers VN, Chen G, Bergmann V, Kendall P, Schroeder M. Design and development of food safety knowledge and attitude scales for consumer food safety education. J Am Diet Assoc 2004. 104(11)1671–1677.
40. Medeiros LC, Hillers VN, Kendall PA, Mason A. Food safety education: what should we be teaching to consumers? J Nutr Educ 2001. 33(2)108–113.
41. Mitroff II, Turoff M. Technological forecasting and assessment: science and/or mythology? Technol Forecast Soc Change 1973. 5(2)113–134.
42. Morley JE. Anorexia of aging: physiologic and pathologic. Am J Clin Nutr 1997. 66(4)760–773.
43. Healthy eating after 50. National Institute on Aging 2010. cited 2012 Jan 30. Available from http://www.nia.nih.gov.
44. Owen AL, Splett PL, Owen GM. Nutrition in the community: the art and science of delivering services 1999. New York: WCB McGraw-Hill; 310–338.
45. Park JK, Son SM. The dietary behaviors, depression rates and nutrient intakes of the elderly females living alone. Korean J Community Nutr 2003. 8(5)716–725.
46. Park JY, Choi EH, Choi JH, Shim SK, Park HS, Park KH, Moon HK, Ryu K. Assessment of consumer's food safety perceptions and practices. J Food Hyg Saf 2009. 24(1)1–11.
47. Park PS, Chun BY, Jeong GB, Hun CH, Joo SJ, Park MY. The effect of follow-up nutrition intervention programs applied aged group of high risk undernutrition in rural area. Korean J Food Cult 2006. 22(1)127–139.
48. Park SH, Noh JM, Chang HJ, Kang YJ, Kwak TK. Risk factor analysis for preventing foodborne illness in restaurants and the development of food safety training materials. Korean J Food Cookery Sci 2007. 23(5)589–600.
49. Park SJ, Lee HJ, Kim WS, Lim JY, Choi HM. Food preference test of the Korean elderly menu development. Korean J Community Nutr 2006. 11(1)98–107.
50. Pauly L, Stehle P, Volkert D. Nutritional situation of elderly nursing home residents. Zeitschrift für Gerontologie und Geriatrie 2007. 40(1)3–12.
51. Park PS, Chun BY, Jeong GB, Hun CH, Joo SJ, Park MY. The effect of follow-up nutrition intervention programs applied aged group of high risk undernutrition in rural area. Korean J Food Cult 2006. 22(1)127–139.
52. Putman JW, Spiegel AN, Bruininks RH. Future directions in education and inclusion of students with disabilities: a Delphi investigation. Exceptional Children 1995. 61(6)553–576.
53. Pyun JS, Kim MJ, Lee KH. Climacteric and menopausal women's beliefs on daily meals and food supplements-a focus group interview study-. Korean J Community Nutr 2011. 16(2)239–252.
54. Redmond EC. Consumer food handling in the home: A review of food safety studies. J Food Prot 2003. 66(1)130–161.
55. Rowe G, Wright F, Bolger F. Delphi a re-evaluation of research and theory. Technol Forecast Soc Change 1991. 39(3)235–251.
56. Rural Development Administration. The nutrition guideline for the elderly 2010.
57. Seo JW, Kim HY. A study on personal hygiene education of primary school students: with elementary students in Yangjoo area. Korea J Tourism Hosp Res 2009. 23(1)255–266.
58. Sheahan SL, Fields B. Sodium dietary restriction, knowledge, beliefs, and decision-making behavior of older females. J Am Acad Nurse Pract 2008. 20(4)217–224.
59. Son SM, Kim MJ. The effect of nutrition education program for various chronic disease in elderly visiting public health center. Korean J Community Nutr 2001. 6(4)668–667.
60. Projected population and proportion. Statistic Korea 2003. cited 2012 Feb 13. Available from http://kostat.go.kr.
61. Projected population and proportion. Statistic Korea 2006. cited 2012 Feb 13. Available from http://kostat.go.kr.
62. Projected population and proportion. Statistic Korea 2011. cited 2012 Feb 13. Available from http://kostat.go.kr.
63. The Korean Dietetic Association. Milk consumption nutrition education booklet for the elderly 2006. Seoul:
64. MyPlate for older adults. Tufts University 2011. cited 2012 Jan 30. Available from http://now.tufts.edu.
65. Eat smart, live strong: nutrition education for older adult. United States Department of Agriculture 2008. cited 2011 Mar 20. Available from http://snap.nal.usda.gov.
66. Food safety for older adults. United States Department of Agriculture Food Safety and Inspection Service 2006. cited 2011 Mar 20. Available from www.fsis.usda.gov.
67. 7 Tips for cleaning fruits, vegetables. United States Food and Drug Administration 2011a. cited 2012 Feb 15. Available from www.fda.gov/ForConsumers/ConsumerUpdates.
68. Using the nutrition facts label: a how-to guide for older adults. United States Food and Drug Administration 2011b. cited 2012 Feb 13. Available from http://www.fda.gov.
69. To your health! food safety for seniors. United States Food and Drug Administration, United States Department of Agriculture 2006. cited 2011 Mar 20. Available from http://www.fda.gov.
70. Weinrich SP, Boyd M. Education in the elderly-adapting and evaluating teaching tools. J Gerontol Nurs 1992. 18(1)15–20.
71. White JV, Ham RJ, Lipschitz DA, Dwyer JT, Wellman NS. Consensus of the nutrition screening initiative: risk factors and indicators of poor nutritional status in older Americans. J Am Diet Assoc 1991. 91(7)783–787.
72. Yim KS. The effects of a nutrition education program for hypertensive female elderly at the public health center. Korean J Community Nutr 2008. 13(5)640–652.

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Table 1

The FGI question list of dietary life status and educational needs for the elderly

Table 1

Table 2

General characteristics of participants in focus group interview

Table 2

1) Mean, 2) N (%)

Table 3

Appropriateness of contents on food safety and nutrition education for the elderly rated by delphi expert group

Table 3

1) Likert 5 scale: 1 = completely unsuitable, 2 = unsuitable, 3 = neutral, 4 = suitable, 5 = extremely suitable

Table 4

Importance of topics and sub-theme on food safety education for the elderly rated by delphi expert group

Table 4

1) Likert 5 scale: 1 = disagree a lot, 2 = disagree a little, 3 = neither agree nor disagree, 4 = agree a little, 5 = agree a lot

Table 5

Importance of topics and sub-theme on nutrition education for the elderly rated by delphi expert group

Table 5

1) Likert 5 scale: 1 = disagree a lot, 2 = disagree a little, 3 = neither agree nor disagree, 4 = agree a little, 5 = agree a lot

Table 6

Items obtained more than 80% of average score in the 1st and 2nd round of Delphi survey by experts

Table 6

Table 7

Education topics and materials

Table 7