Effectiveness of mealtime interventions on behavior symptoms of people with dementia living in care homes: a systematic review

2.50
Hdl Handle:
http://hdl.handle.net/11287/593892
Title:
Effectiveness of mealtime interventions on behavior symptoms of people with dementia living in care homes: a systematic review
Authors:
Whear, R.; Abbott, R.; Thompson-Coon, J.; Bethel, A.; Rogers, M.; Hemsley, Anthony; Stahl-Timmins, W.; Stein, K.
Abstract:
OBJECTIVE: Elderly residents with dementia commonly exhibit increased agitation at mealtimes. This interferes with eating and can be distressing for both the individual and fellow residents. This review examines the effectiveness of mealtime interventions aimed at improving behavioral symptoms in elderly people living with dementia in residential care. DESIGN: Systematic review. DATA SOURCES: Medline, PsycINFO, Embase, HMIC, AMED (OvidSP); CDSR, CENTRAL, DARE (Cochrane Library, Wiley); CINAHL (EBSCOhost); British Nursing Index (NHS Evidence); ASSIA (ProQuest); Social Science Citation Index (Web of Knowledge); EThOS (British Library); Social Care Online and OpenGrey from inception to November 2012. Forward and backward citation chases, hand searches of other review articles identified in the search, and key journals. TYPES OF STUDY: All comparative studies were included. Articles were screened for inclusion independently by 2 reviewers. Data extraction and quality appraisal were performed by one reviewer and checked by a second with discrepancies resolved by discussion with a third if necessary. Data were not suitable for meta-analysis so narrative synthesis was carried out. RESULTS: A total of 6118 articles were identified in the original search. Eleven articles were finally included. Mealtime interventions were categorized into 4 types: music, changes to food service, dining environment alteration, and group conversation. Study quality was poor, making it difficult to reach firm conclusions. Although all studies showed a trend in favor of the intervention, only 6 reported a statistically significant improvement in behavioral symptoms. Four studies suggest cumulative or lingering effects of music on agitated and aggressive behaviors. CONCLUSION: There is some evidence to suggest that mealtime interventions improve behavioral symptoms in elderly people with dementia living in residential care, although weak study designs limit the generalizability of the findings. Well designed, controlled trials are needed to further understand the utility of mealtime interventions in this setting.
Citation:
J Am Med Dir Assoc. 2014 Mar;15(3):185-93.
Publisher:
Elsevier
Journal:
Journal of the American Medical Directors Association
Issue Date:
1-Mar-2014
URI:
http://hdl.handle.net/11287/593892
DOI:
10.1016/j.jamda.2013.10.016
PubMed ID:
24405641
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S1525-8610(13)00608-7
Note:
This article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.
Type:
Journal Article; Review
Language:
eng
ISSN:
1538-9375
Appears in Collections:
Stroke; 2014 RD&E publications; Physiotherapy

Full metadata record

DC FieldValue Language
dc.contributor.authorWhear, R.en
dc.contributor.authorAbbott, R.en
dc.contributor.authorThompson-Coon, J.en
dc.contributor.authorBethel, A.en
dc.contributor.authorRogers, M.en
dc.contributor.authorHemsley, Anthonyen
dc.contributor.authorStahl-Timmins, W.en
dc.contributor.authorStein, K.en
dc.date.accessioned2016-01-19T12:36:24Zen
dc.date.available2016-01-19T12:36:24Zen
dc.date.issued2014-03-01en
dc.identifier.citationJ Am Med Dir Assoc. 2014 Mar;15(3):185-93.en
dc.identifier.issn1538-9375en
dc.identifier.pmid24405641en
dc.identifier.doi10.1016/j.jamda.2013.10.016en
dc.identifier.urihttp://hdl.handle.net/11287/593892en
dc.description.abstractOBJECTIVE: Elderly residents with dementia commonly exhibit increased agitation at mealtimes. This interferes with eating and can be distressing for both the individual and fellow residents. This review examines the effectiveness of mealtime interventions aimed at improving behavioral symptoms in elderly people living with dementia in residential care. DESIGN: Systematic review. DATA SOURCES: Medline, PsycINFO, Embase, HMIC, AMED (OvidSP); CDSR, CENTRAL, DARE (Cochrane Library, Wiley); CINAHL (EBSCOhost); British Nursing Index (NHS Evidence); ASSIA (ProQuest); Social Science Citation Index (Web of Knowledge); EThOS (British Library); Social Care Online and OpenGrey from inception to November 2012. Forward and backward citation chases, hand searches of other review articles identified in the search, and key journals. TYPES OF STUDY: All comparative studies were included. Articles were screened for inclusion independently by 2 reviewers. Data extraction and quality appraisal were performed by one reviewer and checked by a second with discrepancies resolved by discussion with a third if necessary. Data were not suitable for meta-analysis so narrative synthesis was carried out. RESULTS: A total of 6118 articles were identified in the original search. Eleven articles were finally included. Mealtime interventions were categorized into 4 types: music, changes to food service, dining environment alteration, and group conversation. Study quality was poor, making it difficult to reach firm conclusions. Although all studies showed a trend in favor of the intervention, only 6 reported a statistically significant improvement in behavioral symptoms. Four studies suggest cumulative or lingering effects of music on agitated and aggressive behaviors. CONCLUSION: There is some evidence to suggest that mealtime interventions improve behavioral symptoms in elderly people with dementia living in residential care, although weak study designs limit the generalizability of the findings. Well designed, controlled trials are needed to further understand the utility of mealtime interventions in this setting.en
dc.language.isoengen
dc.publisherElsevieren
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S1525-8610(13)00608-7en
dc.titleEffectiveness of mealtime interventions on behavior symptoms of people with dementia living in care homes: a systematic reviewen
dc.typeJournal Articleen
dc.typeReviewen
dc.identifier.journalJournal of the American Medical Directors Associationen
dc.description.noteThis article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.en

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