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Health Education & Behavior, Vol. 33, No. 3, 374-392 (2006)
DOI: 10.1177/1090198105276212
© 2006 Society for Public Health Education

Nutrition Education Among Low-Income Older Adults: A Randomized Intervention Trial in Congregate Nutrition Sites

Roger E. Mitchell, PhD

Department of Psychology, North Carolina State University, Raleigh.

Sarah L. Ash, PhD

Departments of Animal Science and Family and Consumer Sciences, North Carolina State University, Raleigh.

Jacquelyn W. McClelland, PhD

Department of Family and Consumer Sciences, North Carolina State University, Raleigh.

Nutritional well-being among older adults is critical for maintaining health, increasing longevity, and decreasingthe impactofchronicillness. However, few well-controlledstudies have examinednutritionalbehav ior change among low-income older adults. A prospective, controlled, randomized design examined a fivesession nutrition education module delivered to limited-resource older adults (N = 703) in Congregate Nutrition sites by Cooperative Extensionagents. Experimentalgroupparticipantswere significantly more likely than con trol groupparticipants to increase multivitamin use, to increase calcium supplementuse, to read labels of dietary supplements, to carry a supplement and/or medication list, and to discuss such use with their health care profes sional. The study addresses weaknesses in the literature by using a theoretically derived education component, implementing the intervention within a setting regularly used by low-income older adults, employing random ized assignment to intervention and control conditions, and using hierarchical linear modeling to deal with "nested" data.

Key Words: nutrition education • congregate nutrition site • older adult • health promotion • multilevel modeling


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