What Food and Nutrition Services Should Be Regulated in Assisted-Living Facilities for Older Adults?
The opinions of both national aging and health experts and practicing registered dietitians (RDs) were surveyed on which key quality indicators from the Food And Nutrition Care Indicators checklist should be regulated in assisted-living facilities (ALFs) for older adults. The extent to which the pra...
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| Veröffentlicht in: | Journal of the American Dietetic Association 2009-06, Vol.109 (6), p.1048-1057 |
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| container_title | Journal of the American Dietetic Association |
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| creator | Chao, Shirley Y., PhD, RD Dwyer, Johanna T., DSc, RD Houser, Robert F., PhD Tennstedt, Sharon, PhD, RN Jacques, Paul, DSc |
| description | The opinions of both national aging and health experts and practicing registered dietitians (RDs) were surveyed on which key quality indicators from the Food And Nutrition Care Indicators checklist should be regulated in assisted-living facilities (ALFs) for older adults. The extent to which the practices on which the indicators were based should be regulated, and which were in fact included in the current regulations of the 50 states was also studied. One hundred fifty-three national aging and health experts were surveyed in 2005 and 882 practicing RDs who were members of two American Dietetic Association dietetic practice groups employed in ALFs were surveyed in 2006. Both the experts and the RDs believed that the need for regulations in ALF food and nutrition services was vital for about a third of the indicators, (eg, 18 items on the 57 item checklist), particularly those involving facilities and staffing. For seven out of the 18 indicators, there was substantial consensus between experts and RDs. Only three of the seven indicators were addressed by regulations in more than half of the states. Consensus exists among experts and RDs that a small but significant number of food and nutrition service indicators need to be regulated. |
| doi_str_mv | 10.1016/j.jada.2009.03.002 |
| format | Article |
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The extent to which the practices on which the indicators were based should be regulated, and which were in fact included in the current regulations of the 50 states was also studied. One hundred fifty-three national aging and health experts were surveyed in 2005 and 882 practicing RDs who were members of two American Dietetic Association dietetic practice groups employed in ALFs were surveyed in 2006. Both the experts and the RDs believed that the need for regulations in ALF food and nutrition services was vital for about a third of the indicators, (eg, 18 items on the 57 item checklist), particularly those involving facilities and staffing. For seven out of the 18 indicators, there was substantial consensus between experts and RDs. Only three of the seven indicators were addressed by regulations in more than half of the states. 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Psychology ; Gastroenterology and Hepatology ; Government Regulation ; Health care policy ; Humans ; Internal Medicine ; needs assessment ; nursing homes ; Nutrition ; nutritional adequacy ; nutritional status ; Older people ; senescence ; Surveys and Questionnaires ; United States ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>Journal of the American Dietetic Association, 2009-06, Vol.109 (6), p.1048-1057</ispartof><rights>American Dietetic Association</rights><rights>2009 American Dietetic Association</rights><rights>2009 INIST-CNRS</rights><rights>Copyright American Dietetic Association Jun 2009</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c490t-3a9dbf15c4ef49ebfead337e78cb1b5b9ad913a891f27277275fc6b3f8d607783</citedby><cites>FETCH-LOGICAL-c490t-3a9dbf15c4ef49ebfead337e78cb1b5b9ad913a891f27277275fc6b3f8d607783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jada.2009.03.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21549060$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19465187$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chao, Shirley Y., PhD, RD</creatorcontrib><creatorcontrib>Dwyer, Johanna T., DSc, RD</creatorcontrib><creatorcontrib>Houser, Robert F., PhD</creatorcontrib><creatorcontrib>Tennstedt, Sharon, PhD, RN</creatorcontrib><creatorcontrib>Jacques, Paul, DSc</creatorcontrib><title>What Food and Nutrition Services Should Be Regulated in Assisted-Living Facilities for Older Adults?</title><title>Journal of the American Dietetic Association</title><addtitle>J Am Diet Assoc</addtitle><description>The opinions of both national aging and health experts and practicing registered dietitians (RDs) were surveyed on which key quality indicators from the Food And Nutrition Care Indicators checklist should be regulated in assisted-living facilities (ALFs) for older adults. The extent to which the practices on which the indicators were based should be regulated, and which were in fact included in the current regulations of the 50 states was also studied. One hundred fifty-three national aging and health experts were surveyed in 2005 and 882 practicing RDs who were members of two American Dietetic Association dietetic practice groups employed in ALFs were surveyed in 2006. Both the experts and the RDs believed that the need for regulations in ALF food and nutrition services was vital for about a third of the indicators, (eg, 18 items on the 57 item checklist), particularly those involving facilities and staffing. For seven out of the 18 indicators, there was substantial consensus between experts and RDs. Only three of the seven indicators were addressed by regulations in more than half of the states. 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Psychology</subject><subject>Gastroenterology and Hepatology</subject><subject>Government Regulation</subject><subject>Health care policy</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>needs assessment</subject><subject>nursing homes</subject><subject>Nutrition</subject><subject>nutritional adequacy</subject><subject>nutritional status</subject><subject>Older people</subject><subject>senescence</subject><subject>Surveys and Questionnaires</subject><subject>United States</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><issn>0002-8223</issn><issn>2212-2672</issn><issn>1878-3570</issn><issn>2212-2680</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kl2L1DAUhoso7rj6B7zQIOhdaz7aJgFRxsVRYXDBcfEypMnJbMZOsybtwP57U2dYYS-EQD543pPD-56ieE5wRTBp3-6qnba6ohjLCrMKY_qgWBDBRckajh8WC5yfSkEpOyuepLTLV9wQ_Lg4I7Jum0wuCvvzWo9oFYJFerDo2zRGP_owoA3EgzeQ0OY6TL1FHwF9h-3U6xEs8gNapuRTPpdrf_DDFq208X2WZoULEV32FiJa2qkf04enxSOn-wTPTvt5cbX69OPiS7m-_Pz1YrkuTS3xWDItbedIY2pwtYTOgbaMceDCdKRrOqmtJEwLSRzllOfVONN2zAnbYs4FOy_eHOvexPB7gjSqvU8G-l4PEKakWk5FLVqcwVf3wF2Y4pB7U5QIJgXHM0SPkIkhpQhO3US_1_FWEazmANROzQGoOQCFmcpuZ9GLU-Wp24P9Jzk5noHXJ0Ano3sX9WB8uuMoabIXf1t8eeScDkpvY2auNhQTlj_O8XKWiXdHArKlBw9RJeNhMGB9BDMqG_z_O31_T256P_jc0y-4hXRnCFGJKqw28zDNs4TlfJCU_QGzl8DV</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Chao, Shirley Y., PhD, RD</creator><creator>Dwyer, Johanna T., DSc, RD</creator><creator>Houser, Robert F., PhD</creator><creator>Tennstedt, Sharon, PhD, RN</creator><creator>Jacques, Paul, DSc</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20090601</creationdate><title>What Food and Nutrition Services Should Be Regulated in Assisted-Living Facilities for Older Adults?</title><author>Chao, Shirley Y., PhD, RD ; Dwyer, Johanna T., DSc, RD ; Houser, Robert F., PhD ; Tennstedt, Sharon, PhD, RN ; Jacques, Paul, DSc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c490t-3a9dbf15c4ef49ebfead337e78cb1b5b9ad913a891f27277275fc6b3f8d607783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aging</topic><topic>Assisted living facilities</topic><topic>Assisted Living Facilities - legislation & jurisprudence</topic><topic>Assisted Living Facilities - standards</topic><topic>Biological and medical sciences</topic><topic>diet counseling</topic><topic>Dietary Guidelines</topic><topic>Dietitians</topic><topic>eating habits</topic><topic>elderly</topic><topic>elderly nutrition</topic><topic>Facility Regulation and Control - legislation & jurisprudence</topic><topic>Feeding. Feeding behavior</topic><topic>Food and Nutrition Service</topic><topic>Food Guide Pyramid</topic><topic>Food Services - legislation & jurisprudence</topic><topic>Food Services - standards</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology and Hepatology</topic><topic>Government Regulation</topic><topic>Health care policy</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>needs assessment</topic><topic>nursing homes</topic><topic>Nutrition</topic><topic>nutritional adequacy</topic><topic>nutritional status</topic><topic>Older people</topic><topic>senescence</topic><topic>Surveys and Questionnaires</topic><topic>United States</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>online_resources</toplevel><creatorcontrib>Chao, Shirley Y., PhD, RD</creatorcontrib><creatorcontrib>Dwyer, Johanna T., DSc, RD</creatorcontrib><creatorcontrib>Houser, Robert F., PhD</creatorcontrib><creatorcontrib>Tennstedt, Sharon, PhD, RN</creatorcontrib><creatorcontrib>Jacques, Paul, DSc</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Dietetic Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chao, Shirley Y., PhD, RD</au><au>Dwyer, Johanna T., DSc, RD</au><au>Houser, Robert F., PhD</au><au>Tennstedt, Sharon, PhD, RN</au><au>Jacques, Paul, DSc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What Food and Nutrition Services Should Be Regulated in Assisted-Living Facilities for Older Adults?</atitle><jtitle>Journal of the American Dietetic Association</jtitle><addtitle>J Am Diet Assoc</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>109</volume><issue>6</issue><spage>1048</spage><epage>1057</epage><pages>1048-1057</pages><issn>0002-8223</issn><issn>2212-2672</issn><eissn>1878-3570</eissn><eissn>2212-2680</eissn><coden>JADAAE</coden><abstract>The opinions of both national aging and health experts and practicing registered dietitians (RDs) were surveyed on which key quality indicators from the Food And Nutrition Care Indicators checklist should be regulated in assisted-living facilities (ALFs) for older adults. 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Consensus exists among experts and RDs that a small but significant number of food and nutrition service indicators need to be regulated.</abstract><cop>Maryland Heights, MO</cop><pub>Elsevier Inc</pub><pmid>19465187</pmid><doi>10.1016/j.jada.2009.03.002</doi><tpages>10</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Aging Assisted living facilities Assisted Living Facilities - legislation & jurisprudence Assisted Living Facilities - standards Biological and medical sciences diet counseling Dietary Guidelines Dietitians eating habits elderly elderly nutrition Facility Regulation and Control - legislation & jurisprudence Feeding. Feeding behavior Food and Nutrition Service Food Guide Pyramid Food Services - legislation & jurisprudence Food Services - standards Fundamental and applied biological sciences. Psychology Gastroenterology and Hepatology Government Regulation Health care policy Humans Internal Medicine needs assessment nursing homes Nutrition nutritional adequacy nutritional status Older people senescence Surveys and Questionnaires United States Vertebrates: anatomy and physiology, studies on body, several organs or systems |
| title | What Food and Nutrition Services Should Be Regulated in Assisted-Living Facilities for Older Adults? |
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