Older Adults' Experiences of Institutional Eating and Dining: A Qualitative Study on Mealtimes in Adult Day Centers

Overview

Journal Nutrients

Date 2025 Feb 13

PMID 39940278

Authors

Rinat Avraham

Natan Lev

Jonathan M Deutsch

Nadav Davidovitch

Stav Shapira

Affiliations

Soon will be listed here.

Abstract

As the global population ages, it is becoming increasingly important to create sustainable, health-promoting environments that support healthy aging. This study explores seniors' mealtime experiences in adult day centers (ADCs) in southern Israel, focusing on identifying health and well-being needs related to eating and dining behaviors through the lens of the healthy placemaking approach. Thematic analysis was used to analyze data from focus groups and interviews with ADC attendees and leaders across a multicultural sample of ADCs in southern Israel between April and November 2022. Three main themes emerged from the study: (1) individual-level needs, which are met through meals or during mealtimes and include positive experiences, a sense of empowerment, and the cultivation of warmth and domesticity; (2) social needs, which are addressed through interactions during mealtimes and food-related behaviors, including building social connections, fostering community, and encouraging social engagement; and (3) sustainability, health, and environmental aspects, including promoting a healthy and disease-appropriate diet, alongside addressing ecological and food security concerns. We demonstrate the pivotal role of ADC meals in facilitating social engagement and fostering a sense of community among attendees. Additionally, we highlight the importance of centering attendees' concerns and needs in the dining experience and promoting their active participation in decision-making processes. Transforming ADC meals through the healthy placemaking approach can promote healthy eating, enhance social interactions, and support sustainable environments.

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