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BEY EYOND OND THE HE ME MEAL: AL: NEW EW FINDINGS NDINGS ON SOCIALIZA CIALIZATION TION AN AND D CO CONGREG NGREGATE TE ME MEAL ALS Friday, June 8 th 2018 11:00 am 12:00 pm Pr Prese esent nter ers Rober ert t Blancat


  1. BEY EYOND OND THE HE ME MEAL: AL: NEW EW FINDINGS NDINGS ON SOCIALIZA CIALIZATION TION AN AND D CO CONGREG NGREGATE TE ME MEAL ALS Friday, June 8 th 2018 11:00 am – 12:00 pm

  2. Pr Prese esent nter ers ■ Rober ert t Blancat ncato Executive Director, NANASP ■ Ma Mary y Beth eth Fiel elds ds Area Agency on Aging Director, Lower Savannah Council on Governments, South Carolina ■ Me Meaghan an Mc McMa Mahon on, MSW Director, MBM Consulting, LLC 2

  3. The e Reti tirem emen ent R t Rese esear arch ch Fou ound ndat ation ion (RR RRF) F) ■ Mission: To improve the quality of life for our nation’s older adults. ■ Headquarters in Chicago, IL ■ One of the first private foundations devoted exclusively to aging and retirement ■ Thank you to our RRF Senior Program Officer Nancy Zweibel, Ph.D. 3

  4. 20 2017 R 7 Ren enewal al Awar ard fr d from om RR RRF ■ Goal: al: To continue to study the value of socialization for older adults who participate in Congregate Nutrition programs under the The Older Americans Act (OAA) and how this contributes to their health and well-being outcomes while potentially saving Medicaid and Medicare funds. The findings will be used to influence future policy decisions on the OAA and possibly other legislation. ■ Past research has focused on the meal that is provided as well as nutrition education. Little ttle eval valuat uation on if any has ever er been n done e sol olel ely y on the benef efits ts of social alizat ation on to the heal alth th and well being ng of older der adul ults ts. 4

  5. The e Ol Olde der Am Amer eric ican ans A s Act ct ■ Three purposes of the nutrition programs of OAA as stipulated in the law are to: – (1) Reduce hunger and food insecurity, – (2) Pro romote e sociali ialization ation of older er indi dividuals iduals, and – (3) Promote the health and well-being outcomes of older individuals by assisting them to access nutrition and other disease prevention and health promotion services to delay the onset of adverse health conditions resulting from poor nutritional health or sedentary behavior In 2006 the OAA Amendments (P.L. 109-365) added an updated purpose statement for the Nutrition Services Program (OAA Title IIIC) focusing on nutrition and socialization 5

  6. 2018 OAA Funding Updates On March 23, 2018 Congress passed an omnibus appropriations bill to fund the ▪ remainder of federal FY 2018 $59 million additional dollars added for senior nutrition ▪ $40 million of that funding will be for the congregate meal program and $19 million for ▪ home-delivered meals Two o sena nators, s, whose hose suppor pport t for or this s fund nding ing among ng their ir pe peer ers s ena nabled bled its expa pansion, sion, ▪ had sent nt staff f on n in in-pe perso son n visits s to dini ning ng sites s as pa part t of this s RRF RF grant. nt. 6

  7. Soc ociali ialization ation in in N News ws an and R d Res esea earch ch ■ “U.K Appoints a Minister for Loneliness” (January 2018, New York Times) ■ “The Surprising Effects of Loneliness on Health” (December 2017, New York Times) ■ “Gym -Goi Going ng Senior ors Are e Bene nefiting iting From m More e Than Exercise”( August 2017, Washington Post) ■ “Easing Old People’s Loneliness Can Help Keep Them Rema main in Health lthy ” (January 2017, NPR) ■ “Loneliness: A Growing Health Threat for Older Adults” (December 2016, Next Avenue) ■ “Researchers Confront an Epidemic of Loneliness” (September 2016, New York Times) 7

  8. Proj Pr oject ect Tim imel elin ine e Date Ev Event nt July, 2017 RRF approves NANASP grant proposal for $20,000 renewal August, ust, 2017 Hired PhD professional to statistically analyze Year 1 and 2 data Fall 2017 Infographic on Year 1 Survey Results Released Septemb ember er 2017 – Januar uary 2018 18 Year 2 Survey Data Collection Februar ary – April 2018 18 Bob Blancato conducts additional in-person site visits August ust 2018 18 Final Report Due to RRF 8

  9. 9

  10. Case Study Mary Beth Fields, Area Agency on Aging Director Lower Savannah Council on Governments, Aging, Disability and Transportation Resource Center (Aiken, South Carolina) 10

  11. Lower Savannah Area Agency on Aging ■ 3,945 Square Miles ■ 2010 Census Region Population 316,802 ■ Total Senior 60+ population 68,245 ■ 6 Counties with large Senior Population Growth – Aiken County 44.2% – Allendale 11.4% – Bamberg 20.6% – Barnwell 19.7% – Calhoun 28.5% – Orangeburg 21.9% 11

  12. What does Calhoun County look like? ■ 2010 Population 15,175 ■ 2010 Senior Population 3,604- 28.5% growth ■ 2 Municipalities-Cameron and St. Matthews ■ Median household income is $42,779 ■ 1 Senior Center/Group Dining Site ■ 27 seniors surveyed 12

  13. Calhoun County Survey Age Range 3.7 MISSING 29.63 63 85+ 18 18.52 52 80-84 Age Range 75-79 14.81 70-74 18.52 18 52 65-69 14.81 0 5 10 15 20 25 30 35 13

  14. Calhoun County Survey Days Per Week 4% 4% 12% 12% Twice Three Times 48% 48% Four Times 36% 36% Five Times 14

  15. Calhoun County Survey How long have you been coming? g? 15% 18 18% < 1 Year 11% 1-5 Years 5-10 Years 10+ Years 56% 56% 15

  16. Calhoun County Survey On On average, ge, do you enjoy y the food? No No Yes 16

  17. Calhoun County Survey Bingo 26% 26% Love it Like it 48% 48% It's okay 7% 7% Don't Participate 19 19% 17

  18. Calhoun County Survey Senior or Center er Pa Parti tici cipa pation tion Levels els 55.56 Puzzles 44.44 66.67 Bible Study 33.33 51.85 Watch TV 48.14 55.56 Exercise 44.44 0 10 20 30 40 50 60 70 80 Don't Participate Participate 18

  19. Calhoun County Survey Social aliz izatio ation Like e it 15% Love it Like it Love e it 85% 85% 19

  20. What we learned ■ Seniors liked ed activities such a bingo, bible study and exercise. ■ They liked ed the food. ■ They loved the ability to socialize. ■ If you wanted to know what was going on in town you went to the senior center because that is where the town gossip is. 20

  21. NAN ANASP ASP Revis ised Su ed Survey y Tool ool ■ Provider Focused Questions (11 total) ■ Participant Focused Questions (11 total) – The tool was translated into Spanish – A gender and race/ethnicity question was included this time 21

  22. Par arti tici cipant ant Sur urvey y Qu Quest estio ions ns ■ What is your gender? ■ Since participating in the program, has your knowledge of good nutrition increased? ■ What is your relationship status? ■ Since participating in the program, are you ■ What race/ethnicity best describes you? exercising more? ■ What do you like best about socializing ■ Has your health improved since you started during the congregate meal program? visiting the congregate meal site? ■ How do you arrive at the congregate meal ■ Do you have more friends now than before site? you started visiting the site? ■ How frequently do you receive meals at the ■ Do you believe enough time is allowed for congregate meal site? socialization? 22

  23. Sur urvey y Par arti tici cipants ants Yea ear 1 Well ellMed ed (Texas – 3 sites total)  REAL Services, ices, Inc. c. (Indiana)   Benja jami min n Rose se Insti titu tute on Aging ng (Ohio) Area a Agenc ncy on Agi ging ng 3 (Ohio)   Senior or Resour ources ces of Gulif ifor ord (North Carolina) Wood od County nty Comm mmittee ee on Aging ng (Ohio)   Meals s on Wheel els s and Senior or Outrea each ch Services ces Missoula ssoula Aging ng Services ces (Montana)  (California) Litc tchf hfield eld Hill lls Elderl erly Nu Nutri trition on Program gram  Meals s on Wheel els s Fairfie ield d Coun unty ty (Ohio)  (Connecticut)  AgeOption Options (Illinois)  New Oppor ortu tunit itie ies s Inc. c. (Connecticut) Seni nior r Ser ervic vices es of Snoh ohom omish sh County ty (Washington)   Senior or Serv(California) CAC Office ce on Agi ging ng (Tennessee)  Tot otals: als: 1,989 Completed Participant Surveys and 57 Provider Surveys 23

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