{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T21:21:32Z","timestamp":1775078492025,"version":"3.50.1"},"reference-count":38,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T00:00:00Z","timestamp":1679529600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Social Welfare Company SYN-ENOSIS"},{"name":"Eurobank"},{"name":"THI Canada"},{"name":"Bodossaki Foundation"},{"name":"Southbridge"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>During emergencies, older adults stand among the most vulnerable, facing long-lasting food insecurity and overall health issues. The \u201c365+ Days of Care\u201d food aid program addressed food insecurity and poor quality of life among vulnerable older adults following a devastating wildfire in Greece. Our aim was to evaluate the program\u2019s efficiency, using a process evaluation framework and a partial cost\u2013utility analysis. In total, n = 133 wildfire-hit residents (\u226565 years) received daily tailored, pre-cooked meals and\/or weekly food packages. The study outcomes were assessed from baseline to 12 months later. Focus groups and interviews (n = 30), researcher observations, and questionnaires were used to assess the beneficiaries\u2019 perception of the initiative. Within the 12-month follow-up period, food insecurity and malnutrition risk decreased, whereas Mediterranean diet adherence; quality of life; and physical, social, and mental health were improved (p &lt; 0.05). A one-point increase in food insecurity was positively associated with improved quality of life, general health, limitation in activities, body pain, vitality, and pain\/discomfort (p\u2019s &lt; 0.05), and it was marginally associated with mobility, anxiety\/depression, and self-evaluated health status (p\u2019s &lt; 0.1). Quantitative and qualitative data characterized it as successful, acceptable, beneficial, and of high quality. The partial cost\u2013utility ratio was one QALY gained per EUR 22.608. The utilization of well-designed food aid programs during emergencies can alleviate food insecurity and improve quality of life in older adults.<\/jats:p>","DOI":"10.3390\/ijerph20075235","type":"journal-article","created":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T03:07:57Z","timestamp":1679540877000},"page":"5235","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Older People in Emergencies; Addressing Food Insecurity, Health Status and Quality of Life: Evaluating the \u201c365+ Days of Care\u201d Program"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2838-8345","authenticated-orcid":false,"given":"Dimitrios V.","family":"Diamantis","sequence":"first","affiliation":[{"name":"Institute of Preventive Medicine Environmental and Occupational Health Prolepsis, 15121 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3327-9330","authenticated-orcid":false,"given":"Konstantinos","family":"Katsas","sequence":"additional","affiliation":[{"name":"Institute of Preventive Medicine Environmental and Occupational Health Prolepsis, 15121 Athens, Greece"},{"name":"Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina Maria","family":"Kastorini","sequence":"additional","affiliation":[{"name":"Institute of Preventive Medicine Environmental and Occupational Health Prolepsis, 15121 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lyndsey","family":"Mugford","sequence":"additional","affiliation":[{"name":"Department of History of Science, Faculty of Arts and Sciences, Harvard College, Cambridge, MA 02138, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Dalma","sequence":"additional","affiliation":[{"name":"Institute of Preventive Medicine Environmental and Occupational Health Prolepsis, 15121 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marsellos","family":"Ramizi","sequence":"additional","affiliation":[{"name":"Institute of Preventive Medicine Environmental and Occupational Health Prolepsis, 15121 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ourania","family":"Papapanagiotou","sequence":"additional","affiliation":[{"name":"Institute of Preventive Medicine Environmental and Occupational Health Prolepsis, 15121 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afroditi","family":"Veloudaki","sequence":"additional","affiliation":[{"name":"Institute of Preventive Medicine Environmental and Occupational Health Prolepsis, 15121 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Athena","family":"Linos","sequence":"additional","affiliation":[{"name":"Institute of Preventive Medicine Environmental and Occupational Health Prolepsis, 15121 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matina","family":"Kouvari","sequence":"additional","affiliation":[{"name":"Institute of Preventive Medicine Environmental and Occupational Health Prolepsis, 15121 Athens, Greece"},{"name":"Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17676 Athens, Greece"},{"name":"Discipline of Nutrition and Dietetics, Faculty of Health, University of Canberra, Canberra, ACT 2601, Australia"},{"name":"Functional Foods and Nutrition Research (FFNR) Laboratory, University of Canberra, Bruce, ACT 2617, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,23]]},"reference":[{"key":"ref_1","unstructured":"Collodel, A.G.P. 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