[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-426972-105":3,"doc-detail-426972-en":81,"detail-sidebar-cat-0-en-105":98},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","validating-of-a-nutrition-and-food-security-screening-tool-for-older-adults","VALIDATING OF A NUTRITION AND FOOD SECURITY SCREENING TOOL FOR OLDER ADULTS","","Food insecurity affects many older Americans, shaped by financial constraints, transportation access, physical mobility, and bodily functioning. The USDA Household Food Security Survey Module (FSSM) is widely used but largely emphasizes financial security, leaving other crucial domains under-measured. This study developed and validated a screening tool to capture additional dimensions of food insecurity in older adults. Among 72 participants, registered dietitian assessments and both instruments were compared. The new scale showed strong internal reliability (Cronbach’s alpha = .77), four key factors, and correlations of r = .69 with dietitian assessments and r = .51 with the FSSM, explaining more relevant aspects of functional challenges.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/validating-of-a-nutrition-and-food-security-screening-tool-for-older-adults/426972/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/validating-of-a-nutrition-and-food-security-screening-tool-for-older-adults/426972.png","ImageObject",300,407,{"name":42,"@type":43},"LangkahRina","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-20","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why is the USDA FSSM limited for older adults?","Question",{"text":63,"@type":64},"The FSSM primarily assesses financial security, overlooking other domains such as mobility, access limitations, and bodily functioning that influence food insecurity in older adults.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was the screening tool developed and validated?",{"text":68,"@type":64},"Seventy-two older adults were assessed by registered dietitian nutritionists, who administered both the USDA-FSSM and a newly developed scale informed by WHO International Classification of Functioning, Disability, and Health.",{"name":70,"@type":61,"acceptedAnswer":71},"What key domains did the new scale identify?",{"text":72,"@type":64},"Factor analysis identified four factors: mobility/physical limitations, access limitations, financial limitations, and bodily function issues.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},426972,1790767240,{"code":4,"msg":82,"data":83},"success",{"doc_id":79,"user_id":84,"nickname":42,"user_avatar":85,"doc_module":4,"category_id":86,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":87,"file_id":88,"file_url":89,"file_type":90,"file_size":91,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":92,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":93,"faqs":94,"seo_title":95,"seo_description":12,"update_tm":96,"read_time":97},962090893776,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d",7,"Innovation in Aging, 2025, Vol. 9, No. S2 485  \nAbstract citation ID: igaf122.1658  \nVALIDATING OF A NUTRITION AND FOOD  \nSECURITY SCREENING TOOL FOR OLDER ADULTS  \nLauri Wright1, Jenna Pennella2, Jenifer Ross2, and Paul Fuglestad2, 1. University of South Florida, Tampa, Florida, United States, 2. University of North Florida, Jacksonville, Florida, United States  \nFood insecurity affects many older Americans due to factors such as financial constraints, transportation access, physical mobility, and bodily functioning. However, the most widely used measure for food insecurity, the USDA Household Food Security Survey Module (FSSM), primarily assesses financial security, overlooking other critical domains. This study aimed to develop and validate a screening tool that captures additional dimensions of food insecurity among older adults. We surveyed 72 older adults (ages 66–87). Each participant met with a registered dietitian nutritionist (RDN), who conducted a comprehensive  \n486 Innovation in Aging, 2025, Vol. 9, No. S2  \nnutritional assessment and administered both the USDA-FSSMand a newly developed scale based on the World Health Organization’s (WHO) International Classification of Functioning, Disability, and Health. Based on the nutritional assessment, the RDN categorized individuals as food secure, food insecure, or at risk for food insecurity. The FSSM explained only 34% of the variance in dietitian assessments, suggesting it does not fully capture food insecurity in this population. The newly developed scale demonstrated strong internal reliability (Cronbach’s alpha = .77) . Factor analysis using Principal Axis Factoring with Oblimin rotation identified four key factors: mobility/physical limitations, access limitations, financial limitations, and bodily function issues. The overall scale score correlated strongly with the dietitian assessment (r = .69) and moderately with the FSSM (r = .51). These findings highlight that food insecurity in older adults extends beyond financial constraints. The newly developed screening tool effectively captures physical and functional challenges that impact food access and consumption, offering a more comprehensive assessment than the FSSM.","cbCaif03Roz2gIQQ","https://ap.wps.com/l/cbCaif03Roz2gIQQ","pdf",900664,"English","# Abstract\n## Background and Need\n## Study Design and Instruments\n## Results and Psychometrics\n## Implications","[{\"question\":\"Why is the USDA FSSM limited for older adults?\",\"answer\":\"The FSSM primarily assesses financial security, overlooking other domains such as mobility, access limitations, and bodily functioning that influence food insecurity in older adults.\"},{\"question\":\"How was the screening tool developed and validated?\",\"answer\":\"Seventy-two older adults were assessed by registered dietitian nutritionists, who administered both the USDA-FSSM and a newly developed scale informed by WHO International Classification of Functioning, Disability, and Health.\"},{\"question\":\"What key domains did the new scale identify?\",\"answer\":\"Factor analysis identified four factors: mobility/physical limitations, access limitations, financial limitations, and bodily function issues.\"}]","VALIDATING OF A NUTRITION AND FOOD SECURITY SCREENING TOOL FOR OLDER ADULTS | PDF",1790642380,5,{"code":4,"msg":82,"data":99},[100,104,108,112,116,120,123,128,133,136,140],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":109,"show_sort_weight":110,"slug":111},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":113,"show_sort_weight":114,"slug":115},"Comic",60,"comic",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},"Technology",50,"technology",{"id":86,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":121,"slug":122},40,"healthcare",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":126,"slug":127},8,"Research & Report",30,"research-report",{"id":129,"doc_module":4,"doc_module_name":25,"category_name":130,"show_sort_weight":131,"slug":132},9,"Religion & Spirituality",20,"religion-spirituality",{"id":131,"doc_module":4,"doc_module_name":25,"category_name":134,"show_sort_weight":131,"slug":135},"World Cup","world-cup",{"id":137,"doc_module":4,"doc_module_name":25,"category_name":138,"show_sort_weight":137,"slug":139},10,"Lifestyle","lifestyle",{"id":141,"doc_module":4,"doc_module_name":25,"category_name":142,"show_sort_weight":97,"slug":143},19,"General","general"]