Eric P Slade, Amie F Bettencourt, Deborah A Gross
Cost-Effectiveness a Parenting Skills Program Implemented in Public PreK Schools in Disadvantaged Urban Communities
Administration and policy in mental health
physiological pathological socioeconomic changes occurring older people negatively influence food intake utilization nutritional status health problems deeply rooted low socioeconomic settings could partly addressed systematic behavioral change approaches hence study evaluate effect behavioral modelguided nutritional counseling dietary intake nutritional status elders onearmed pre posttest quasiexperimental design conducted 293 communitydwelling older adults aged 60 years january may 2022 health education tool developed validated using health beliefs theory behavioral change sessions delivered trained nurses hometohome visits every week lasting 4560 min two months data nutritional knowledge dietary intake body weight captured using standardized questionnaires measurements primary outcome captured using validated mininutritional assessment mna tool classified accordingly data analyzed using stata software presented tables graphs summary statistics paired ttest pvalue used identify statistically significant effects intervention total 263 elders involved experiment modeled nutritional counseling significantly improved knowledge score 758 105 116 137 p 0001 pre postintervention periods significant improvement shown consumption dairy products fruits animalsource foods importantly mean dietary diversity score p 0001 result burden malnutrition significantly lower postintervention period 96 79113 compared baseline 125 114138 significant increase mininutrition assessment score md 030 p 0007 mean body weight body mass index change significantly intervention p 005 targeted behavioral modelguided nutritional counseling could help promote perception diversify dietary consumption reduce risk undernutrition among elders particular attention older people use participantcentered nutritional behavioral change interventions coupled livelihood support could help reduce undernutrition among older people clinical trial registrationurl www gov identifier number nct04746664 first released 10022021