Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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A Qualitative Study on Attitude, Acceptability, and Adaptation for Home-delivered Meal Services in the Korean Elderly from the Perspective of Life Context

질적 연구를 통한 삶의 맥락적 관점에서의 노인의 도시락 및 밑반찬 배달 서비스에 대한 수용 태도 및 적응에 대한 이해

  • Hwang, Ji-Yun (Nutrition Education Major, Graduate School of Education, Sangmyung University) ;
  • Kim, Bokyoung (Graduate School of Public Health, Seoul National University) ;
  • Kim, Kirang (Department of Food Science and Nutrition, Dankook University)
  • 황지윤 (상명대학교 교육대학원 영양교육전공) ;
  • 김보경 (서울대학교 보건대학원) ;
  • 김기랑 (단국대학교 식품영양학과)
  • Received : 2014.04.28
  • Accepted : 2014.10.20
  • Published : 2014.10.30
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Abstract

Objectives: The purpose of this study was to suggest the strategies for improvement of home-delivered meal services for the elderly, to identify reasons for recipients to get started with the services and to evaluate the attitude, acceptability and adaptation of recipients to the services from the perspective of life context. Methods: The data was collected through face-to-face in-depth interviews with eighteen low-income elderly recipients of home-delivered meals and analyzed using a qualitative research method. Results: The results were deduced as four themes which comprised of long-term vulnerable socioeconomic contexts resulted in entry to the services, conflicting acceptability to the services, passive adaptation to taking the services, and positive practices to cope with supplement free meals or other services. The service participation was initiated because of a combination of prolonged, vulnerable socioeconomic contexts, including poverty and unexpected life events such as diseases, disability, living alone, aging and unemployment. With regard to taking the services, conflicting acceptability was observed: positive aspects including saving living cost and good quality of meals, and negative aspects including lack of a tailored service and feeling of stigma. Although the recipients needed an individualized service, they did not express their needs and demands for the services and they accepted the unavailability as an accustomed, prolonged vulnerable socioeconomic context. With regard to lack of tailored services, either self-solution such as modification of eating patterns or community-based network and services were used. Conclusions: We suggest that a system to concretely identify recipients' attitude, acceptability and adaptation for home-delivered meal services should be developed in the establishment of a tailored nutrition support system for the low-income elderly.

Keywords

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