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http://dx.doi.org/10.5720/kjcn.2012.17.2.167

Development of Food Safety and Nutrition Education Contents for the Elderly - by Focus Group Interview and Delphi Technique -  

Choi, Jung-Hwa (Departmemt of Food & Nutrition, Soongeui Women's College)
Lee, Eun-Sil (Departmemt of Food & Nutrition, Yonsei University)
Lee, Yoon-Jin (Departmemt of Food & Nutrition, Yonsei University)
Lee, Hye-Sang (Departmemt of Food & Nutrition, Andong University)
Chang, Hye-Ja (Departmemt of Food Science & Nutrition, Dankook University)
Lee, Kyung-Eun (Departmemt of Food & Nutrition, Seoul Women's University)
Yi, Na-Young (Departmemt of Food Science & Nutrition, Daejeon University)
Ahn, Yun (Departmemt of Food & Nutrition, Seoul Women's University)
Kwak, Tong-Kyung (Departmemt of Food & Nutrition, Yonsei University)
Publication Information
Korean Journal of Community Nutrition / v.17, no.2, 2012 , pp. 167-181 More about this Journal
Abstract
Our society is aging rapidly, and the number of elderly people who are in charge of purchasing and preparing foods at home is increasing. However, most the elderly have difficulty managing nutrition and food safety by themselves. The purpose of this study was to develop the necessary knowledge, through focus group interview and Delphi technique to establish a food safety and nutrition education program. The diet and educational needs of the elderly were surveyed through FGI. The education topics were decided by the Delphi technique. The education program consisted of a five week program, and the topics taught were 'Dietary Change for Healthy Life', 'Prevention of Food Poisoning in Everyday Life', 'Safe Food Handling for my Health', 'Healthy Dietary Life to Prevent Chronic Disease', and 'Safety! Nutrition! Healthy Dietary Life'. This education program was designed to decrease the perceived barriers, and to increase the perceived interests and the sense of self-efficacy. Education program materials, lesson plans, slides, handouts, videos, leaflets, and booklets were developed. Based on the results, the contents of the food safety guideline leaflets for the elderly were decided as the following: (1) wash your hands in the correct way; (2) select safe food; (3) cook foods safely; (4) keep foods safely; (5) keep kitchen utensils clean. In conclusion, if advanced education programs are implemented and delivered continuously in locations such as health centers and community welfare centers, those will contribute significantly to enhance the perception of food safety and to change the desirable dietary behavior of the elderly.
Keywords
elderly; food safety; nutrition education contents; focus group interview; delphi technique;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
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1 Ahn Y, Kim KA, Kang HJ, Kim KW (2006): Development of nutrition education materials for healthy aging. Korean J Community Nutr 11(6): 740-749
2 Altekruse SF, Yang S, Timbo BB, Angulo FJ (1999): A multi-state survey of consumer food-handling and food-consumption practices. Am J Prev Med 16(3): 216-221   DOI
3 Bryan FL (1988): Risks of practices, procedures and processes that lead to outbreaks of foodborne diseases. J Food Prot 51(8): 663-673   DOI
4 Buzby JC (2002): Older adults at risk of complications from microbial foodborne illness. Food Review 25(2): 30-35
5 Cho YH, Park MH, Shon SH (2011): A study on the direction of consumer education program for food safety and the production of case programs. Korean J Human Ecology 20(6): 1167-1184   DOI
6 Choi BS, Kwon SY, Seo JY, Lee IS, Lee HJ (2005): Comparison of nutrient intake and meal service satisfaction of elderly at the local community centers: free and reduced meal service charge. Korean J Community Nutr 10(3): 303-310
7 Contento IR, Michela JL, Williams SS (1995): Adolescent food choice criteria: role of weight and dieting status. Appetite 25(1): 51-76   DOI
8 Darmton-Hill I (1992): Psychological aspects of nutrition and aging. Nutr Rev 12(50): 76-479
9 De Luis D, Guzman AL (2006): Nutritional status of adult patients admitted to internal medicine departments in public hospitals in Castilla y Leon, Spain-A multi-center study. Eur J Intern Med 17(8): 556-560   DOI
10 Gettings MA, Kiernan NE (2001): Practices and perceptions of food safety among seniors who prepare meals at home. J Nutr Educ 33(3): 148-154   DOI
11 Han HK, Choi SS, Kim MW, Lee SD (2005): Food habits and nutritional status of the long-lived elderly people in Ganghwagun area. Korean J Community Nutr 10(1): 101-110
12 Hanson JA, Benedict JA (2002): Use of the health belief model to examine older adults' food-handling behavior. J Nutr Educ Behav 34(S1): S25-S30   DOI
13 Hong WS, Choi YS, Yim JM (2010): The sanitary performance and sanitary education of elementary and middle school food service employees in the Seoul area. Korean J Food Cookery Sci 26(3): 252-262
14 Hong WS, Yim JM (2009): Evaluation of foodservice employees' sanitary performance and sanitary education in middle and high schools in Seoul. J Korean Diet Assoc 15(2): 113-127
15 Hong WS, Yim JM, Choi YS (2008): Sanitary performance and knowledge of elementary school foodservice employees in Seoul. J Korean Diet Assoc 14(4): 382-395
16 Hudson PK, Hartwell HJ (2002): Food safety awareness of older people at home: a pilot study. J Roy Soc Promot Health 122(3): 165-169   DOI
17 Japan Ministry of Health, Labour and Welfare (2010): Long-term care, health and welfare services for the elderly. Available from http://www.mhlw.go.jp [cited 2012 Jan 30]
18 Jeong HY, Yang IS, Chae IS, Lee HY (2004): Analyzing the operational differences of foodservice center for homebound elderly by the presence of the dietitian. Korean J Community Nutr 10(2): 197-204
19 Johnson AE, Donkin AJ, Morgan K, Lilley JM, Neale RJ, Page RM, Silburn R (1998): Food safety knowledge and practice among elderly people living at home. J Epidemiol Community Health 52(11): 745-748   DOI
20 Jung JI, Kang EJ, Choi MY, Choi GS, Hong YP, Seo KJ, Kim GH (2009): Development and evaluation of consumer educational contents on safety management of imported foods for female college students in Seoul. J Food Hyg Safety 24(4): 291-298
21 Kang NE, Lee JY (2005): The analysis of effect on nutrition education program for the elderly in Sung-nam area. Korean J Food & Nutr 18(4): 357-366
22 Keller HH, Gibbs A, Wong S, Vanderkooy P, Hedley M (2004): Men can cook! development, implementation, and evaluation of a senior men's cooking group. J Nutr Elder 24(1): 71-87   DOI
23 Kendall P, Medeiros LC, Hillers V, Chen G, Dimascola S (2003): Food handling behaviors of special importance for pregnant women, infants and young children, the elderly, and immunecompromised people. J Am Diet Assoc 103(12): 1646-1649   DOI
24 Kendall PA, Hillers VV, Medeiros LC (2006): Food safety guidance for older adults. Clin Infect Dis 42(9):1298-1304   DOI
25 Kim JG (2011): Equity in the delivery of health care in Korea: focused on analysis by age groups. KSSA 27(3): 91-122
26 Kim KA, Lee YK (2010): The effect of nutrition education using animations on the nutrition knowledge, eating habits and food preferences of elementary school students. Korean J Community Nutr 15(1): 50-60
27 Kim SJ, Yi NY, Chang HJ, Kwak TK (2008): Current status of sanitation management performance in Korean-food restaurants and development of the sanitary training posters based on their risk factors. Korean J Food Culture 23(5): 582-594
28 Kim YK, Lee HO, Chang R, Choue RW (2002): A study on the food habits, nutrient intake and the disease distribution in the elderly (aged over 65 Years)(1). Korean J Community Nutr 7(4): 516-526
29 Kohl KS, Rietberg K, Wilson S, Farley TA (2002): Relationship between home food-handling practices and sporadic salmonellosis in adults in Louisiana, United States. Epidemiol Infect 129(2): 267-276
30 Korean Society of Community Nutrition (2009): Nutrition program for the elderly
31 Kwak KS, Bae YJ, Kim MH (2008): Nutritional status and dietary quality in the low-income elderly residing at home or in health dare facilities. J Korean Diet Assoc 14(4): 337-350
32 Kwon BA, Kwon SH (2011): A comparative study on influence of nutrition's teaching diet and nutrition to elementary school students: influences on nutrition knowledge, food habits, dietary behaviors. J Korea Sport Res 22(2): 15-25
33 Ledermana LC (1990): Assessing educational effectiveness: the focus group interview as a technique for data collection. Communication Educ 39(2): 117-127   DOI
34 Lee HJ, Lee HS, Lee Y, Jang YA, Moon JJ, Kim CI (2007): Nutritional environment influences hypertension in the middle aged Korean adults - based on 1998 & 2001 National Health and Nutrition Survey. Korean J Community Nutr 12(3): 272-283
35 Lee HJ, Park SJ, Kim JH, Kim CI, Chang KJ, Yin KS, Kim KW, Choi HM (2003): Evaluating nutrient intakes of Korean elderly using semi-quantitative food frequency questionnaire. Korean J Community Nutr 8(3): 311-318
36 Lee KE, Yi NY, Park JY (2009): Food safety knowledge and home food safety practices of home-delivered meal service recipients. J Korean Soc Food Sci Nutr 38(5): 529-656   DOI
37 Lee OH (2002): A comparison of nutritional status and muscle strength of elderly women in a social welfare center and those residing at home. Korean J Community Nutr 7(5): 603-614
38 Linestone HA, Turoff M (1975): The delphi method: technique and applications, Addison-Wesley, Reading, MA. p. 277
39 Medeiros LC, Hillers VN, Chen G, Bergmann V, Kendall P (2004): Design and development of food safety knowledge and attitude scales for consumer food safety education. J Am Diet Assoc 104(11): 1671-1677   DOI
40 Medeiros LC, Hillers VN, Kendall PA, Mason A (2001): Food safety education: what should we be teaching to consumers? J Nutr Educ Behav 33(2): 108-113   DOI
41 Mitroff II, Turoff M (1973): Technological forecasting and assessment: science and/or mythology?. Technol Forecast Soc Chang 5(2): 113-134   DOI
42 Morley JE (1997): Anorexia of aging: physiologic and pathologic. Am J Clin Nutr 66(4): 760-773   DOI
43 National Institute on Aging (2010): Healthy eating after 50. Available from http://www.nia.nih.gov [cited 2012 Jan 30]
44 Owen AL, Splett PL, Owen GM (1999): Nutrition in the community: the art and science of delivering services. WCB McGraw-Hill, New York, pp.310-338
45 Park JK, Son SM (2003): The dietary behaviors, depression rates and nutrient intakes of the elderly females living alone. Korean J Community Nutr 8(5): 716-725
46 Park JY, Choi EH, Choi JH, Shim SK, Park HS, Park KH, Moon HK, Ryu K (2009): Assessment of consumer's food safety perceptions and practices. J Food Hyg Safety 24(1): 1-11
47 Park PS, Chun BY, Jeong GB, Hun CH, Joo SJ, Park MY (2006): The effect of follow-up nutrition intervention programs applied aged group of high risk undernutrition in rural area. Korean J Food Culture 22(1): 127-139
48 Park SH, Noh JM, Chang HJ, Kang YJ, Kwak TK (2007): Risk factor analysis for preventing foodborne illness in restaurants and the development of food safety training materials. Korean J Food Cookery Sci 23(5): 589-600
49 Park SJ, Lee HJ, Kim WS, Lim JY, Choi HM (2006): Food preference test of the Korean elderly menu development. Korean J Community Nutr 11(1): 98-107
50 Pauly L, Stehle P, Volkert D (2007): Nutritional situation of elderly nursing home residents. Zeitschrift fur Gerontologie und Geriatrie 40(1): 3-12   DOI
51 Park PS, Chun BY, Jeong GB, Hun CH, Joo SJ, Park MY (2006): The effect of follow-up nutrition intervention programs applied aged group of high risk undernutrition in rural area. Korean J Food Culture 22(1): 127-139
52 Putman JW, Spiegel AN, Bruininks RH (1995): Future directions in education and inclusion of students with disabilities: a Delphi investigation. Exceptional Children 61(6): 553-76 P   DOI
53 yun JS, Kim MJ, Lee KH (2011): Climacteric and menopausal women's beliefs on daily meals and food supplements-a focus group interview study-. Korean J Community Nutr 16(2): 239-252   DOI
54 Redmond EC (2003): Consumer food handling in the home: A review of food safety studies. J Food Protect 66(1): 130-161   DOI
55 Rowe G, Wright F, Bolger F (1991): Delphi a re-evaluation of research and theory. Technol Forecast Soc Change 39(3): 235-251   DOI
56 Rural Development Administration (2010): The nutrition guideline for the elderly
57 Seo JW, Kim HY (2009): A study on personal hygiene education of primary school students: with elementary students in Yangjoo area. KTRA 23(1): 255-266
58 Sheahan SL, Fields B (2008): Sodium dietary restriction, knowledge, beliefs, and decision-making behavior of older females. JAANP 20(4): 217-224
59 Son SM, Kim MJ (2001): The effect of nutrition education program for various chronic disease in elderly visiting public health center. Korean J Community Nutr 6(4): 668-667
60 Statistic Korea (2003): Projected population and proportion. Available from http://kostat.go.kr [cited 2012 Feb 13]
61 Statistic Korea (2006): Projected population and proportion. Available from http://kostat.go.kr [cited 2012 Feb 13]
62 Statistic Korea (2011): Projected population and proportion. Available from http://kostat.go.kr [cited 2012 Feb 13]
63 The Korean Dietetic Association (2006): Milk consumption nutrition education booklet for the elderly. Seoul
64 Tufts University (2011): MyPlate for older adults. Available from http://now.tufts.edu [cited 2012 Jan 30]
65 United States Department of Agriculture (2008): Eat smart, live strong: nutrition education for older adult. Available from http://snap.nal.usda.gov [cited 2011 Mar 20]
66 United States Department of Agriculture Food Safety and Inspection Service (2006): Food safety for older adults. Available from www.fsis.usda.gov [cited 2011 Mar 20]
67 United States Food and Drug Administration (2011a): 7 Tips for cleaning fruits, vegetables. Available from www.fda.gov/ForConsumers/ConsumerUpdates [cited 2012 Feb 15]
68 United States Food and Drug Administration (2011b): Using the nutrition facts label: a how-to guide for older adults. Available from http://www.fda.gov [cited 2012 Feb 13]
69 United States Food and Drug Administration, United States Department of Agriculture (2006): To your health! food safety for seniors. Available from http://www.fda.gov [cited 2011 Mar 20]
70 Weinrich SP, Boyd M (1992): Education in the elderly-adapting and evaluating teaching tools. J Gerontol Nurs 18(1): 15-20
71 White JV, Ham RJ, Lipschitz DA, Dwyer JT, Wellman NS (1991): Consensus of the nutrition screening initiative: risk factors and indicators of poor nutritional status in older Americans. J Am Diet Assoc 91(3): 783-787
72 Yim KS (2008): The effects of a nutrition education program for hypertensive female elderly at the public health center. Korean J Community Nutr 13(5): 640-652