Implementation Fidelity of a Digital Nutrition Education Intervention Program for Community-Dwelling Older Adults.

IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Vidya Sharma, M Marilu Martinez, Erica Sosa, Meizi He, Tianou Zhang, Zenong Yin, Sarah L Ullevig
{"title":"Implementation Fidelity of a Digital Nutrition Education Intervention Program for Community-Dwelling Older Adults.","authors":"Vidya Sharma, M Marilu Martinez, Erica Sosa, Meizi He, Tianou Zhang, Zenong Yin, Sarah L Ullevig","doi":"10.1016/j.jneb.2025.07.013","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the fidelity of a digital nutrition education intervention program for community-dwelling older adults.</p><p><strong>Design: </strong>Cluster randomized controlled trial with 5 conditions, including attendance records, class observations, preassessment and postassessment of nutrition and technology knowledge, postprogram surveys, and qualitative analysis.</p><p><strong>Setting: </strong>Congregate Meal Program sites in San Antonio, Texas (n = 12).</p><p><strong>Participants: </strong>Older adults (n = 319) INTERVENTION: In-person technology training and support followed by online nutrition education.</p><p><strong>Measurable outcome/analysis: </strong>Fidelity was scored on an average percentage scale (benchmark > 75%). Qualitative analysis of focus groups.</p><p><strong>Results: </strong>A total of 319 participants completed the postprogram survey with responses indicative of high satisfaction rates with Google Classroom (96%), online nutrition sessions (96%), and weekly socials (72%). Attendance was 97% and 94%, respectively, for the technology and online nutrition classes, and the average fidelity was > 90%. Older adults (n = 49) participated in focus groups. Key themes included comfort with technology, motivation for the intervention, and the value of supplemental resources.</p><p><strong>Conclusions and implications: </strong>Providing technology access, training, and online nutrition education implemented with high fidelity increased participants' comfort and motivation to engage in online nutrition programs. These findings can inform future interventions and the development of digital nutrition education programs for older adults.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nutrition Education and Behavior","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jneb.2025.07.013","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To evaluate the fidelity of a digital nutrition education intervention program for community-dwelling older adults.

Design: Cluster randomized controlled trial with 5 conditions, including attendance records, class observations, preassessment and postassessment of nutrition and technology knowledge, postprogram surveys, and qualitative analysis.

Setting: Congregate Meal Program sites in San Antonio, Texas (n = 12).

Participants: Older adults (n = 319) INTERVENTION: In-person technology training and support followed by online nutrition education.

Measurable outcome/analysis: Fidelity was scored on an average percentage scale (benchmark > 75%). Qualitative analysis of focus groups.

Results: A total of 319 participants completed the postprogram survey with responses indicative of high satisfaction rates with Google Classroom (96%), online nutrition sessions (96%), and weekly socials (72%). Attendance was 97% and 94%, respectively, for the technology and online nutrition classes, and the average fidelity was > 90%. Older adults (n = 49) participated in focus groups. Key themes included comfort with technology, motivation for the intervention, and the value of supplemental resources.

Conclusions and implications: Providing technology access, training, and online nutrition education implemented with high fidelity increased participants' comfort and motivation to engage in online nutrition programs. These findings can inform future interventions and the development of digital nutrition education programs for older adults.

社区居住老年人数字营养教育干预计划的实施保真度。
目的:评价数字化营养教育干预方案对社区居住老年人的保真度。设计:整群随机对照试验,共设5个条件,包括出勤记录、课堂观察、营养和技术知识的前评和后评、课程后调查和定性分析。实验地点:德克萨斯州圣安东尼奥市(n = 12)的聚集膳食计划站点。参与者:老年人(n = 319)干预:现场技术培训和支持,随后是在线营养教育。可测量的结果/分析:保真度按平均百分比评分(基准> 75%)。焦点小组的定性分析。结果:共有319名参与者完成了课程后调查,结果表明谷歌课堂(96%)、在线营养课程(96%)和每周社交活动(72%)的满意率很高。技术课程和在线营养课程的出勤率分别为97%和94%,平均保真度为90%。老年人(n = 49)参加了焦点小组。关键主题包括技术舒适度、干预动机和补充资源的价值。结论和意义:提供高保真度的技术获取、培训和在线营养教育增加了参与者参与在线营养计划的舒适度和动机。这些发现可以为未来的干预措施和老年人数字营养教育计划的发展提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.20
自引率
11.50%
发文量
379
审稿时长
44 days
期刊介绍: The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas. The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信