Nutritional intervention improves menu adequacy in group homes for adults with intellectual or developmental disabilities.
BACKGROUND
Research documents that adults with intellectual or developmental disabilities (IDD) living in the community experience nutritional deficits, inadequate diets, and poor nutritional status.


OBJECTIVE
We developed a nutrition intervention that was targeted at improving the food systems in group homes for adults with intellectual or developmental disabilities, called MENU-AIDDs (Materials Supporting Education and Nutrition for Adults with Intellectual or Developmental Disabilities).


METHODS
MENU-AIDDs was implemented for 8 and 16 weeks in four community-based group homes for adults with IDD. Improved nutritional adequacy of planned menus was tested as a marker of improved dietary intake in the residents of the homes.


RESULTS
Results showed significant statistical and clinical improvements in the planned menus whereby there were significant increases in the appearance on menus of whole grains, vegetables overall and green/yellow/orange vegetables in particular, and low-fat proteins, and significant decreases in the higher-fat proteins, potatoes, and "junk foods." The positive practice of specifying portion sizes on the menus increased significantly.


CONCLUSIONS
MENU-AIDDs is a community-based health promotion intervention that can improve menu planning and dietary adequacy while being responsive to the needs of group home residents, direct care staff, and administrators.
The University of Montana Rural Institute, Missoula, MT 59812, USA. khumphries@ruralinstitute.umt.edu
Kathleen
K
Humphries
Alison
A
Pepper
Meg Ann
MA
Traci
Julianna
J
Olson
Tom
T
Seekins
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002658:Developmental Disabilities; D004032:Diet; D005260:Female; D005522:Food Services / Q000592:standards*; D016352:Group Homes; D006801:Humans; D008607:Intellectual Disability; D008297:Male; D044342:Malnutrition / Q000517:prevention & control*; D008875:Middle Aged; D055815:Young Adult