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Existing programs are not typically tailored for older Veterans who may experience physical and environmental limitations that hinder their ability to access and prepare healthy foods. This project piloted the incorporation of age-friendly, tailored, virtual nutrition education into an existing health promotion program for older Veterans. Programming followed an iterative design process over two years. Year 1 included 14 weeks of virtual nutrition education on healthy aging paired with weekly produce bags and recipe suggestions. In Year 2, virtual nutrition education shifted to more hands-on learning emphasizing basic meal preparation and adaptive cooking strategies for mobility limitations. Produce distribution in Year 2 shifted to a farmer\u2019s market model, based on feedback from year 1, allowing participants to self-select items. Primary outcomes included program satisfaction, dietary intake assessed via 24-hour recall to calculate the Healthy Eating Index (HEI-2015), and health-related quality of life (PROMIS Global Health). Findings demonstrate the feasibility and acceptability of a virtual nutrition program incorporating age-friendly cooking instruction and adaptive strategies to improve dietary quality among older Veterans.<\/jats:p>","DOI":"10.64898\/2026.09.28.26364174","type":"posted-content","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T23:10:12Z","timestamp":1790723412000},"source":"Crossref","is-referenced-by-count":0,"title":["An Evolution of Pilot Nutrition Programs to Improve Diet Quality among Older Veterans"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7958-742X","authenticated-orcid":false,"given":"Jamie","family":"Giffuni","sequence":"first","affiliation":[{"name":"Geriatrics Research, Education, and Clinical Center (GRECC); Veterans Affairs Maryland Health Care System (VAMHCS); 10 North Greene Street; Baltimore, MD 21201; 410-605-7000;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8668-788X","authenticated-orcid":false,"given":"Morgan","family":"Fique","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Science; University of Maryland School of Medicine; 100 Penn Street, Allied Health Research Building (AHRB), Baltimore, MD 21201"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9140-144X","authenticated-orcid":false,"given":"Sarah","family":"Cassatt","sequence":"additional","affiliation":[{"name":"Geriatrics Research, Education, and Clinical Center (GRECC); Veterans Affairs Maryland Health Care System (VAMHCS); 10 North Greene Street; Baltimore, MD 21201; 410-605-7000;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Joyce","sequence":"additional","affiliation":[{"name":"DBA Serviceberry Farm (formerly TALMAR); 1994 Cromwell Bridge Rd, Baltimore, MD 21234; 410-825-2020"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Krasniewski","sequence":"additional","affiliation":[{"name":"University of Maryland Medical Center, Internal Medicine Residency, 22 S. 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