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Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia.

Publication ,  Journal Article
Batchelor-Murphy, MK; McConnell, ES; Amella, EJ; Anderson, RA; Bales, CW; Silva, S; Barnes, A; Beck, C; Colon-Emeric, CS
Published in: J Am Geriatr Soc
April 2017

BACKGROUND: 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. OBJECTIVES: 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). DESIGN: A prospective pilot study using a within-subjects experimental Latin square design with randomization to one of three handfeeding technique sequences. SETTING AND PARTICIPANTS: 30 residents living with advanced dementia in 11 U.S. NHs. MEASUREMENTS: Time required for assistance; meal intake (% eaten); and feeding behaviors, measured by the Edinburgh Feeding Evaluation in Dementia (EdFED) scale. INTERVENTION: 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 2 days. RESULTS: 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). CONCLUSION: All three techniques are time neutral. UH and DH are viable options to increase meal intake among NH residents with advanced dementia and reduce feeding behaviors relative to OH feeding.

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Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

April 2017

Volume

65

Issue

4

Start / End Page

e89 / e94

Location

United States

Related Subject Headings

  • United States
  • Time Factors
  • Prospective Studies
  • Pilot Projects
  • Nursing Homes
  • Male
  • Humans
  • Geriatrics
  • Female
  • Feeding Behavior
 

Citation

APA
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MLA
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Batchelor-Murphy, M. K., McConnell, E. S., Amella, E. J., Anderson, R. A., Bales, C. W., Silva, S., … Colon-Emeric, C. S. (2017). Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia. J Am Geriatr Soc, 65(4), e89–e94. https://doi.org/10.1111/jgs.14728
Batchelor-Murphy, Melissa K., Eleanor S. McConnell, Elaine J. Amella, Ruth A. Anderson, Connie W. Bales, Susan Silva, Angel Barnes, Cornelia Beck, and Cathleen S. Colon-Emeric. “Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia.J Am Geriatr Soc 65, no. 4 (April 2017): e89–94. https://doi.org/10.1111/jgs.14728.
Batchelor-Murphy MK, McConnell ES, Amella EJ, Anderson RA, Bales CW, Silva S, et al. Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia. J Am Geriatr Soc. 2017 Apr;65(4):e89–94.
Batchelor-Murphy, Melissa K., et al. “Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia.J Am Geriatr Soc, vol. 65, no. 4, Apr. 2017, pp. e89–94. Pubmed, doi:10.1111/jgs.14728.
Batchelor-Murphy MK, McConnell ES, Amella EJ, Anderson RA, Bales CW, Silva S, Barnes A, Beck C, Colon-Emeric CS. Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia. J Am Geriatr Soc. 2017 Apr;65(4):e89–e94.
Journal cover image

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

April 2017

Volume

65

Issue

4

Start / End Page

e89 / e94

Location

United States

Related Subject Headings

  • United States
  • Time Factors
  • Prospective Studies
  • Pilot Projects
  • Nursing Homes
  • Male
  • Humans
  • Geriatrics
  • Female
  • Feeding Behavior