Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia.
Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia.
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DOI：
10.1111/jgs.14728
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发表时间：
2017-04
影响因子：
6.3
通讯作者：
Colon-Emeric CS
中科院分区：
文献类型：
--
作者：
Batchelor-Murphy MK;McConnell ES;Amella EJ;Anderson RA;Bales CW;Silva S;Barnes A;Beck C;Colon-Emeric CS
Nursing home (NH) residents who require assistance during mealtimes are at risk for malnutrition. Supportive handfeeding is recommended, yet there is limited evidence supporting use of a specific handfeeding technique to increase meal intake. To compare efficacy of three handfeeding techniques for assisting NH residents with dementia with meals: Direct Hand (DH), Over Hand (OH), and Under Hand (UH). A prospective pilot study using a within-subjects experimental Latin square design with randomization to one of three handfeeding technique sequences. 30 residents living with advanced dementia in 11 U.S. NHs. Time required for assistance; meal intake (% eaten); and feeding behaviors, measured by the Edinburgh Feeding Evaluation in Dementia (EdFED) scale. Research Assistants provided feeding assistance for 18 video-recorded meals per resident (N=540 meals). Residents were assisted with one designated technique for 6 consecutive meals, changing technique every two days. Mean time spent providing meal assistance did not differ significantly between techniques. Mean meal intake was greater for DH (67±15.2%) and UH (65±15.0%) with both significantly greater than OH (60±15.1%). Feeding behaviors were more frequent with OH (8.3±1.8%), relative to DH (8.0±1.8) and UH (7.7±1.8). All three techniques are time neutral. UH & DH are viable options to increase meal intake among NH residents with advanced dementia and reduce feeding behaviors relative to OH feeding.
