One way to promote optimal nutrition for older adults is to expand nut
rition professionals' understanding of the cognitive food choice proce
sses of the elderly. This investigation used a constructivist approach
and qualitative methods to elicit the factors important to the food c
hoices of individuals aged 65 years and older who lived independently.
Using a multiple-perspective model of the food choice process as a co
nceptual framework, two semi-structured, in-depth interviews were cond
ucted with each of 16 individuals to learn about how they chose foods.
Interview transcripts were analyzed using the constant comparative me
thod. Life course events and experiences were very important factors a
ffecting food choices. Participants' food choices and preferences were
strongly influenced by beliefs related to appropriate food behavior a
nd expected characteristics of foods and meals, many of which had been
formed during childhood. Social structure played an important role in
the participants' food choices, and much of this structure was built
around food. The values most often negotiated when making food choices
were social context, sensory perceptions, monetary considerations, co
nvenience, and physical well-being. Participants managed frequently en
countered food choice situations with strategies and repertoires that
included routinization, substitution, limitation, and elimination/avoi
dance. Based on the data, a multiple-perspective model of the food cho
ice process pertaining to the food choices of older adults is proposed
.