Promoting mealtime function in people with dementia: A systematic review of studies undertaken in residential aged care.
Identifieur interne : 000488 ( Main/Exploration ); précédent : 000487; suivant : 000489Promoting mealtime function in people with dementia: A systematic review of studies undertaken in residential aged care.
Auteurs : Deirdre Fetherstonhaugh [Australie] ; Emily Haesler [Australie] ; Michael Bauer [Australie]Source :
- International journal of nursing studies [ 1873-491X ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
- organisation et administration : Maisons de retraite médicalisées.
- physiopathologie : Démence.
- Humains, Musique, Poids, Repas, Thérapie assistée par l'animal.
English descriptors
- KwdEn :
- MESH :
- organization & administration : Homes for the Aged.
- physiopathology : Dementia.
- Animal Assisted Therapy, Body Weight, Humans, Meals, Music.
Abstract
BACKGROUND
Dementia is one of the most prevalent conditions in older adults in residential aged care. Dementia has a significant impact on a person's ability to eat, drink and participate in mealtime activities. Dementia impacts memory, appetite, gross and fine motor skills, communication skills, mood and social behaviours, all of which can decrease the person's ability to engage in a meal.
OBJECTIVES
The objective was to review the literature on strategies to promote mealtime function in people with dementia living in residential aged care and assess their effectiveness. The review considered studies reporting outcome measures that related to nutritional status, communication, behaviour and eating skills and ability.
DESIGN
Systematic review using the Joanna Briggs Institute review methods.
DATA SOURCES
Seven databases (MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, EMBASE, Current Contents, PsycINFO and Allied and Complementary Medicine Database) were searched for research published 2000-2017 in English. Eligible studies included quantitative studies reporting a mealtime intervention delivered to people with dementia in residential aged care compared with standard care reporting nutritional, behavioural or functional outcomes, including observation studies with no comparator.
REVIEW METHODS
Studies were screened and independently appraised by two reviewers using Joanna Briggs Institute (JBI) critical appraisal tools based on study design. Data was extracted from eligible studies using JBI extraction tables that assess study design, population characteristics, intervention and comparator, outcome measures and findings. Results related to mealtime function were tabulated and reported in narrative format.
RESULTS
136 studies were identified, of which 20 were eligible for inclusion. Studies reported strategies related to: food presentation; meal styles; environment adaptations; skills training; music therapy and animal-assisted therapy. Outcomes included measures of nutritional status, communication and behavioural and psychological symptoms of dementia. Low quality evidence suggested that playing music and introducing fish to the dining room may improve the food intake of people with dementia by a small amount. Montessori and spaced retrieval programs also demonstrated some positive impact on eating skills and nutritional intake. Animal-assisted therapy also demonstrated small statistically significant improvements in weight and body mass index.
CONCLUSION
There is insufficient evidence to highly recommend any specific intervention to improve mealtime functional ability in people with dementia. Further research is required through robust study designs using valid and reliable outcome measures to demonstrate clinically significant effects for mealtime interventions.
DOI: 10.1016/j.ijnurstu.2019.04.005
PubMed: 31060734
Affiliations:
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Electronic address: D.Fetherstonhaugh@latrobe.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Centre for Evidence Based Aged Care, Australian Institute for Primary Care and Ageing, College of Science, Health and Engineering, La Trobe University, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Haesler, Emily" sort="Haesler, Emily" uniqKey="Haesler E" first="Emily" last="Haesler">Emily Haesler</name><affiliation wicri:level="1"><nlm:affiliation>Australian Centre for Evidence Based Aged Care, Australian Institute for Primary Care and Ageing, College of Science, Health and Engineering, La Trobe University, Melbourne, Australia; Western Australian Group for Evidence Informed Healthcare Practice: A Joanna Briggs Institute Centre of Excellence, School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Australia; Australian National University, ANU Medical School, Academic Unit of General Practice, Canberra, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Centre for Evidence Based Aged Care, Australian Institute for Primary Care and Ageing, College of Science, Health and Engineering, La Trobe University, Melbourne, Australia; Western Australian Group for Evidence Informed Healthcare Practice: A Joanna Briggs Institute Centre of Excellence, School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Australia; Australian National University, ANU Medical School, Academic Unit of General Practice, Canberra</wicri:regionArea><wicri:noRegion>Canberra</wicri:noRegion></affiliation></author><author><name sortKey="Bauer, Michael" sort="Bauer, Michael" uniqKey="Bauer M" first="Michael" last="Bauer">Michael Bauer</name><affiliation wicri:level="3"><nlm:affiliation>Australian Centre for Evidence Based Aged Care, Australian Institute for Primary Care and Ageing, College of Science, Health and Engineering, La Trobe University, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Centre for Evidence Based Aged Care, Australian Institute for Primary Care and Ageing, College of Science, Health and Engineering, La Trobe University, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author></analytic><series><title level="j">International journal of nursing studies</title><idno type="eISSN">1873-491X</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animal Assisted Therapy (MeSH)</term><term>Body Weight (MeSH)</term><term>Dementia (physiopathology)</term><term>Homes for the Aged (organization & administration)</term><term>Humans (MeSH)</term><term>Meals (MeSH)</term><term>Music (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Démence (physiopathologie)</term><term>Humains (MeSH)</term><term>Maisons de retraite médicalisées (organisation et administration)</term><term>Musique (MeSH)</term><term>Poids (MeSH)</term><term>Repas (MeSH)</term><term>Thérapie assistée par l'animal (MeSH)</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Maisons de retraite médicalisées</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Homes for the Aged</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Démence</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dementia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Animal Assisted Therapy</term><term>Body Weight</term><term>Humans</term><term>Meals</term><term>Music</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Musique</term><term>Poids</term><term>Repas</term><term>Thérapie assistée par l'animal</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Dementia is one of the most prevalent conditions in older adults in residential aged care. Dementia has a significant impact on a person's ability to eat, drink and participate in mealtime activities. Dementia impacts memory, appetite, gross and fine motor skills, communication skills, mood and social behaviours, all of which can decrease the person's ability to engage in a meal.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>The objective was to review the literature on strategies to promote mealtime function in people with dementia living in residential aged care and assess their effectiveness. The review considered studies reporting outcome measures that related to nutritional status, communication, behaviour and eating skills and ability.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Systematic review using the Joanna Briggs Institute review methods.</p></div><div type="abstract" xml:lang="en"><p><b>DATA SOURCES</b></p><p>Seven databases (MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, EMBASE, Current Contents, PsycINFO and Allied and Complementary Medicine Database) were searched for research published 2000-2017 in English. Eligible studies included quantitative studies reporting a mealtime intervention delivered to people with dementia in residential aged care compared with standard care reporting nutritional, behavioural or functional outcomes, including observation studies with no comparator.</p></div><div type="abstract" xml:lang="en"><p><b>REVIEW METHODS</b></p><p>Studies were screened and independently appraised by two reviewers using Joanna Briggs Institute (JBI) critical appraisal tools based on study design. Data was extracted from eligible studies using JBI extraction tables that assess study design, population characteristics, intervention and comparator, outcome measures and findings. Results related to mealtime function were tabulated and reported in narrative format.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>136 studies were identified, of which 20 were eligible for inclusion. Studies reported strategies related to: food presentation; meal styles; environment adaptations; skills training; music therapy and animal-assisted therapy. Outcomes included measures of nutritional status, communication and behavioural and psychological symptoms of dementia. Low quality evidence suggested that playing music and introducing fish to the dining room may improve the food intake of people with dementia by a small amount. Montessori and spaced retrieval programs also demonstrated some positive impact on eating skills and nutritional intake. Animal-assisted therapy also demonstrated small statistically significant improvements in weight and body mass index.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>There is insufficient evidence to highly recommend any specific intervention to improve mealtime functional ability in people with dementia. Further research is required through robust study designs using valid and reliable outcome measures to demonstrate clinically significant effects for mealtime interventions.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31060734</PMID><DateCompleted><Year>2020</Year><Month>02</Month><Day>17</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>17</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-491X</ISSN><JournalIssue CitedMedium="Internet"><Volume>96</Volume><PubDate><Year>2019</Year><Month>Aug</Month></PubDate></JournalIssue><Title>International journal of nursing studies</Title><ISOAbbreviation>Int J Nurs Stud</ISOAbbreviation></Journal><ArticleTitle>Promoting mealtime function in people with dementia: A systematic review of studies undertaken in residential aged care.</ArticleTitle><Pagination><MedlinePgn>99-118</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0020-7489(19)30101-4</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijnurstu.2019.04.005</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Dementia is one of the most prevalent conditions in older adults in residential aged care. Dementia has a significant impact on a person's ability to eat, drink and participate in mealtime activities. Dementia impacts memory, appetite, gross and fine motor skills, communication skills, mood and social behaviours, all of which can decrease the person's ability to engage in a meal.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The objective was to review the literature on strategies to promote mealtime function in people with dementia living in residential aged care and assess their effectiveness. The review considered studies reporting outcome measures that related to nutritional status, communication, behaviour and eating skills and ability.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Systematic review using the Joanna Briggs Institute review methods.</AbstractText><AbstractText Label="DATA SOURCES" NlmCategory="METHODS">Seven databases (MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, EMBASE, Current Contents, PsycINFO and Allied and Complementary Medicine Database) were searched for research published 2000-2017 in English. Eligible studies included quantitative studies reporting a mealtime intervention delivered to people with dementia in residential aged care compared with standard care reporting nutritional, behavioural or functional outcomes, including observation studies with no comparator.</AbstractText><AbstractText Label="REVIEW METHODS" NlmCategory="METHODS">Studies were screened and independently appraised by two reviewers using Joanna Briggs Institute (JBI) critical appraisal tools based on study design. Data was extracted from eligible studies using JBI extraction tables that assess study design, population characteristics, intervention and comparator, outcome measures and findings. Results related to mealtime function were tabulated and reported in narrative format.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">136 studies were identified, of which 20 were eligible for inclusion. Studies reported strategies related to: food presentation; meal styles; environment adaptations; skills training; music therapy and animal-assisted therapy. Outcomes included measures of nutritional status, communication and behavioural and psychological symptoms of dementia. Low quality evidence suggested that playing music and introducing fish to the dining room may improve the food intake of people with dementia by a small amount. Montessori and spaced retrieval programs also demonstrated some positive impact on eating skills and nutritional intake. Animal-assisted therapy also demonstrated small statistically significant improvements in weight and body mass index.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">There is insufficient evidence to highly recommend any specific intervention to improve mealtime functional ability in people with dementia. Further research is required through robust study designs using valid and reliable outcome measures to demonstrate clinically significant effects for mealtime interventions.</AbstractText><CopyrightInformation>Crown Copyright © 2019. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fetherstonhaugh</LastName><ForeName>Deirdre</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Australian Centre for Evidence Based Aged Care, Australian Institute for Primary Care and Ageing, College of Science, Health and Engineering, La Trobe University, Melbourne, Australia. 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