Improving eating behaviors in dementia using behavioral strategies.

Improving eating behaviors in dementia using behavioral strategies.
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DOI:
10.1177/105477389700600307
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发表时间:
1997-08-01
影响因子:
1.7
通讯作者:
Hoskins, L
Hoskins, L
中科院分区:
医学4区
文献类型:
--
作者:
Coyne, M L;Hoskins, L

文献摘要

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本实验性初步研究的目的是确定短期和长期的直接口头提示和积极的强化对老年疗养院痴呆患者的饮食独立性(LEI)的水平的疗效。从一个痴呆症单位的24名受试者被随机选择,并随机分配到三个实验组和三个控制组。LEI量表被用来衡量进食频率和任务表现在六个连续餐在前测和后测,T2和T3。在治疗阶段,其中包括九个连续的膳食,提示给予每个实验组和积极的强化时,受试者完成进食任务。在治疗后连续2天(T2)评估短期效应,在治疗后连续2天(7天)评估长期效应。进食表现有显著差异,但频率无显著差异。实验组在两次后测均保留治疗。痴呆症的诊断不应排除重新获得饮食技能的可能性。
The purpose of this experimental pilot study was to determine the short- and long-term efficacy of directed verbal prompts and positive reinforcement on the level of eating independence (LEI) of elderly nursing home patients with dementia. Twenty-four subjects from a dementia unit were randomly selected and randomly assigned to three experimental groups and three control groups. The LEI scale was used to measure eating frequency and task performance at six consecutive meals during pretest and posttests, T2 and T3. During the treatment phase, which consisted of nine consecutive meals, prompts were administered to each experimental group and positive reinforcement was given when a subject completed eating tasks. Short-term effects were assessed on 2 consecutive days following treatment (T2) and long-term effects on 2 consecutive days, 7 days following treatment. Significant differences were found in eating performance but not in frequency. Experimental groups retained treatment at both posttests. The dementia diagnosis should not preclude the possibility that eating skills may be reacquired.