Overview of systematic reviews: Effectiveness of non‐pharmacological interventions for eating difficulties in people with dementia

Li, Liyu; Zhao, Yajie; Wang, Yi; Wang, Zhiwen

doi:10.1111/jan.14492

Cited by 6 publications

(6 citation statements)

References 48 publications

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“…Sharing experiences and reflecting on them is an effective way to increase understanding in complex situations like feeding people with dementia [ 29 ]. Some support strategies designed for caregivers, such as a voice app for managing nutrition problems, have been shown to facilitate decisions and reduce the perception of burden [ 35 ]. Mobile applications that aim to promote proper nutrition are more useful when they are easy to use and have detailed manuals [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…People with dementia tend to eat better when they can choose culturally appropriate foods, accompanied by a calm and familiar environment and adapted utensils [ 9 , 35 ]. A calm environment supports their concentration [ 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…The assessment of individuals with dementia provides critical information needed to establish their health condition [ 8 ], level of physical activity [ 42 ], and their functionality to perform activities of daily living, sleep, rest, and eating habits. These aspects are fundamental in the planning of interventions required to ensure food and nutrition [ 31 ], prevent adverse events, and avoid caregiver overload [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

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Nutritional Care for Institutionalized Persons with Dementia: An Integrative Review

Moreno-Fergusson,

Caez-Ramírez,

Sotelo-Díaz

et al. 2023

IJERPH

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Background: Older people are at risk of malnutrition, especially when they suffer from cognitive impairment. Guidelines that orient nursing care in this regard need to be updated. The aim of this review is to address the best available evidence on interventions that can benefit nutritional nursing care for institutionalized older adults with dementia. Methods: Integrative review using the Dimensions and Eureka search engines, and the PubMed, Embase, Scielo, CINAHL, and ScienceDirect databases. We searched from the year 2015 through to 2021. We employed the MMAT guidelines for mixed, qualitative, and quantitative studies, and the PRISMA, CASP, and JBI guidelines to value the reviews. Results: A total of 55 studies met the inclusion criteria. The best available evidence to support nutritional nursing care for institutionalized older adults with dementia highlights several aspects related to the assessment and caring interventions that are focused on people with dementia, their caregivers, and their context. Conclusions: Both the assessment and nutritional care interventions for older people with dementia should consider the patient–caregiver dyad as the subject of care and understand the context as a fundamental part of it. The analysis of the context should look further than the immediate environment.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Nutritional Care for Institutionalized Persons with Dementia: An Integrative Review

Moreno-Fergusson,

Caez-Ramírez,

Sotelo-Díaz

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…Although emerging evidence supports the use of person-centered care, a gap exists in creating and empirically evaluating effective, person-centered care interventions ( 56 ). Future intervention efforts should focus on promoting person-centered care and responding to challenging behaviors, such as those most frequently observed during mealtimes (eg, prolonged/continuous chewing/sipping, disengaged/distracted from meal).…”

Section: Discussionmentioning

confidence: 99%

Temporal Relationships Between Nursing Home Staff Care Approaches and Behaviors of Residents With Dementia During Mealtimes: A Sequential Analysis

Liu

Perkhounkova

Hein

et al. 2023

Innovation in Aging

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Background and Objectives Optimal dyadic interactions are critical to quality mealtime care and outcomes. Prior work supports associative relationships between staff approaches and individual mealtime behaviors, yet evidence on temporal relationships is limited. This study examined temporal associations between staff approaches and resident behaviors during mealtimes. Research Design and Methods Videotaped mealtime observations (N=160) involving 36 staff and 27 residents (53 staff-resident dyads) in 9 nursing homes were analyzed. Sequential analyses using 5-, 10-, and 15-second time windows were conducted for resident positive, neutral, and challenging behaviors as antecedents as well as consequences of staff person-centered and task-centered approaches. Results Residents exhibited positive verbal (35.0%) and positive/neutral nonverbal (12.6%) behaviors, as well as challenging behaviors including functional impairments (27.7%) and resistive behaviors (24.7%). Staff primarily used person-centered approaches (54.1% verbal, 40.3% nonverbal); task-centered approaches were less frequent (5.6%). Immediately (within 5-seconds) after staff person-centered approaches, resident positive/neutral and resistive behaviors were more likely and functional impairments less likely. After staff task-centered approaches, resident positive verbal and resistive behaviors were less likely. After resident positive/neutral behaviors, staff person-centered approaches were more likely. After resident functional impairments, staff person-centered verbal approaches were less likely and task-centered approaches more likely. After resident resistive behaviors, all staff approaches were more likely. The strength of temporal relationships diminished in 10-second and 15-second time windows. Discussion and Implications Staff-resident positive interactions were associated with more subsequent positive interactions. Person-centered care was associated with fewer subsequent resident functional impairments and more subsequent resistive behaviors. Resident resistive behaviors were associated with more subsequent person-centered and task-centered care. Findings confirm the importance of facilitating positive staff-resident interactions and managing functional impairments using person-centered care. Resistive behaviors require additional awareness and attention beyond commonly used person-centered care approaches. Further investigation of temporal relationships is needed using larger diverse samples.

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“…Typical cases: the research group summarized some typical cases and their coping methods based on actual cases, including avoiding excessive care, diet care, sleep promotion, abnormal behavior responses, the caregivers' own psychological adjustment, and COVID-19 prevention, for caregivers to browse and learn according to their own interests. 5. Common questions and answers: based on our previous research [52][53][54], the research team summarized some issues that caregivers are concerned about, such as prevention of dementia, early identification of dementia, and coping methods for some specific problems that commonly occur in people living with dementia, for caregivers to browse and learn according to their own interests.…”

Section: User Sidementioning

confidence: 99%

Usability Evaluation of a Knowledge Graph–Based Dementia Care Intelligent Recommender System: Mixed Methods Study

Leng,

Sun,

et al. 2023

J Med Internet Res

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Background Knowledge graph–based recommender systems offer the possibility of meeting the personalized needs of people with dementia and their caregivers. However, the usability of such a recommender system remains unknown. Objective This study aimed to evaluate the usability of a knowledge graph–based dementia care intelligent recommender system (DCIRS). Methods We used a convergent mixed methods design to conduct the usability evaluation, including the collection of quantitative and qualitative data. Participants were recruited through social media advertisements. After 2 weeks of DCIRS use, feedback was collected with the Computer System Usability Questionnaire and semistructured interviews. Descriptive statistics were used to describe sociodemographic characteristics and questionnaire scores. Qualitative data were analyzed systematically using inductive thematic analysis. Results A total of 56 caregivers were recruited. Quantitative data suggested that the DCIRS was easy for caregivers to use, and the mean questionnaire score was 2.14. Qualitative data showed that caregivers generally believed that the content of the DCIRS was professional, easy to understand, and instructive, and could meet users’ personalized needs; they were willing to continue to use it. However, the DCIRS also had some shortcomings. Functions that enable interactions between professionals and caregivers and that provide caregiver support and resource recommendations might be added to improve the system’s usability. Conclusions The recommender system provides a solution to meet the personalized needs of people with dementia and their caregivers and has the potential to substantially improve health outcomes. The next step will be to optimize and update the recommender system based on caregivers’ suggestions and evaluate the effect of the application.

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Overview of systematic reviews: Effectiveness of non‐pharmacological interventions for eating difficulties in people with dementia

Cited by 6 publications

References 48 publications

Nutritional Care for Institutionalized Persons with Dementia: An Integrative Review

Nutritional Care for Institutionalized Persons with Dementia: An Integrative Review

Temporal Relationships Between Nursing Home Staff Care Approaches and Behaviors of Residents With Dementia During Mealtimes: A Sequential Analysis

Usability Evaluation of a Knowledge Graph–Based Dementia Care Intelligent Recommender System: Mixed Methods Study

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