naa a22 4500 510786375 CHVBK 20180411083303.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12603-013-0035-6 doi (NATIONALLICENCE)springer-10.1007/s12603-013-0035-6 "It could probably help someone else but not me”: A feasibility study of a snack programme offered to meals on wheels clients [Elektronische Daten] [Karen Charlton, K. Walton, L. Moon, K. Smith, A. McMahon, F. Ralph, M. Stuckey, F. Manning, J. Krassie] Objectives: Community-based services, such as Meals on Wheels (MOW), allow older adults to remain in their homes for as long as possible. Many MOW recipients experience decreased appetite that limits intake at mealtimes. This pilot study aimed to determine the feasibility of providing high protein high energy snacks to improve nutrient intakes of MOW clients in a regional centre of New South Wales, Australia. Participants: A convenience sample of 12 MOW clients. Intervention: Participants received snacks five times a week, in addition to their usual MOW order, for four weeks. Measurements: Nutritional status was assessed using the Mini Nutritional Assessment tool. Pre-post changes in dietary intake were assessed using a diet history and food frequency questionnaire. Qualitative interviews conducted in clients' homes were digitally recorded, transcribed verbatim, and themes identified. Results: Post-intervention, there was a trend for an increased energy (mean = +415kJ (SD=1477)/day) and protein (+7.2 (±14.06) g/day) intake. MNA scores significantly increased (P= 0.036) and proportion of respondents categorised as ‘malnourished' or ‘at risk of malnutrition' decreased from 17% to 8%, and 67% to 25%, respectively (P <0.05). Mean body weight increased from 67.1 (±14.3) to 67.8 (±14.8) (P= 0.008), while Body Mass Index (BMI) increased by a mean of 0.78 (±1.16) kg/m2 (P = 0.039). Only half of participants indicated interest in continuing with the program. Reasons included the role of snacks serving as a reminder to eat, as well as their perceived nutritional value. Identified barriers included perceived lack of need for additional food, ability to self-provide such items, and a perceived adequate health status. Conclusion: Provision of an additional daily mid-meal snack may be a useful addition to existing MOW services, for improved energy and protein intakes. However, not all MOW clients at risk of malnutrition perceived the snacks to be beneficial to them. Serdi and Springer-Verlag France, 2013 Meals on Wheels nationallicence snacks nationallicence energy nationallicence protein nationallicence malnutrition nationallicence qualitative methods nationallicence Charlton Karen School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut Walton K. School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut Moon L. School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut Smith K. School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut McMahon A. School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut Ralph F. Wollongong Meals on Wheels Association, Wollongong, NSW, Australia aut Stuckey M. Northern Illawarra Meals on Wheels Association, Wollongong, NSW, Australia aut Manning F. School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut Krassie J. J Krassie & Associates, Melbourne, VIC, Australia aut The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 364-369 1279-7707 17:4<364 2013 17 12603 https://doi.org/10.1007/s12603-013-0035-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-013-0035-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Charlton Karen School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut NATIONALLICENCE 700 1- Walton K. School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut NATIONALLICENCE 700 1- Moon L. School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut NATIONALLICENCE 700 1- Smith K. School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut NATIONALLICENCE 700 1- McMahon A. School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut NATIONALLICENCE 700 1- Ralph F. Wollongong Meals on Wheels Association, Wollongong, NSW, Australia aut NATIONALLICENCE 700 1- Stuckey M. Northern Illawarra Meals on Wheels Association, Wollongong, NSW, Australia aut NATIONALLICENCE 700 1- Manning F. School of Health Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia aut NATIONALLICENCE 700 1- Krassie J. J Krassie & Associates, Melbourne, VIC, Australia aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 364-369 1279-7707 17:4<364 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer