Dental‐related function and oral health in relation to eating performance in assisted living residents with and without cognitive impairment

Liu, Wen; Shaw, Clarissa; Chen, Xi

doi:10.1111/scd.12405

Cited by 6 publications

(4 citation statements)

References 41 publications

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“…Following this model, multilevel factors at resident, staff, environmental and institutional levels that influence resident mealtime behaviours and intake were examined (Douglas et al, 2020 , 2021 ; Koh et al, 2021 ; Liu et al, 2016 ; Liu, Jao, et al, 2019 ; Liu, Tripp‐Reimer, et al, 2020 ). Resident‐level factors include age, sex, cognition, physical capacity, eating function, dental‐related function, appetite and ability to see, hear and communicate (Cipriani et al, 2016 ; Liu et al, 2016 ; Liu et al, 2019 ; Liu et al, 2022; Morrison‐Koechl et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Person‐centred and task‐centred care: Impact on mealtime behaviours in nursing home residents with dementia

Liu

Perkhounkova

Hein

2022

Int J Older People Nursing

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Introduction Mealtime is a critical daily activity to ensure nutrition, hydration, function and socialisation. Interactions between staff and residents during mealtimes are complex and dynamic processes including verbal and/or nonverbal communication that can be positive/neutral or challenging. This study examined characteristics of and relationships between person‐centred and task‐centred care and positive/neutral and challenging mealtime behaviours in persons with dementia. Methods This study was a secondary behavioural analyses of videotaped mealtime observations (n = 110) involving 42 unique staff‐resident dyads (29 staff and 25 residents with dementia) in nine nursing homes. The refined Cue Utilization and Engagement in Dementia mealtime video‐coding scheme was used to code videos during 2019–2020. Dependent variables representing resident mealtime behaviours included positive verbal behaviours, positive/neutral nonverbal behaviours, functional impairments (nonverbal) and resistive behaviours (verbal and nonverbal). Independent variables were staff person‐centred and task‐centred approaches (verbal and nonverbal). Relationships between resident mealtime behaviours and staff approaches were examined using bivariate analysis and logistic regression. Results Staff person‐centred verbal approaches were associated with resident positive verbal behaviours (OR = 1.38, 95% CI = 1.09–1.76), functional impairments (OR = 0.81, 95% CI = 0.66–1.00) and resistive behaviours (OR = 1.65, 95% CI = 1.18–2.31). Staff person‐centred nonverbal approaches were associated with resident functional impairments (OR = 1.33, 95% CI = 1.02–1.74). Staff task‐centred approaches were not associated with resident positive/neutral or challenging mealtime behaviours. Conclusion This study characterised staff approaches and resident behaviours during mealtime care and provided preliminary support on associations between staff person‐centred approaches and resident positive and challenging behaviours. Person‐centred mealtime care practice is recommended by focusing on support of common, challenging behaviours and reinforcement of positive behaviours with adequate consideration of individual needs and preferences.

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Section: Introductionmentioning

confidence: 99%

Person‐centred and task‐centred care: Impact on mealtime behaviours in nursing home residents with dementia

Liu

Perkhounkova

Hein

2022

Int J Older People Nursing

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“…The DAT has excellent internal consistency, test‐retest reliability, and inter‐rater reliability (Cronbach's alpha 0.90, r = 0.84, and r = 0.90, respectively) 2 . It is currently the only objective measure of DRF and has been used in other studies 12,13 . During assessment, participants are asked to complete each of the aforementioned activities as directed and then scored based on their performance using a binary scale, 0 or 1.…”

Section: Methodsmentioning

confidence: 99%

“…2 It is currently the only objective measure of DRF and has been used in other studies. 12,13 During assessment, participants are asked to complete each of the aforementioned activities as directed and then scored based on their performance using a binary scale, 0 or 1. Total DRF scores are computed by summing the scores for all 9 items.…”

Section: Dentally-related Functional Assessmentmentioning

confidence: 99%

Cognitive status and dental‐related function in older adults seeking community‐based dental care: A Pilot Study

Madiloggovit‐Lower,

Cashmore,

Peter

et al. 2023

Special Care in Dentistry

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ObjectiveThis study aims to understand the prevalence of cognitive impairment and dentally‐related functional (DRF) loss among older adults seeking community‐based dental care.Methods and ResultsA total of 149 adults aged 65 or older who visited the University of Iowa College of Dentistry Clinics and who had no prior documented cognitive impairment were recruited in 2017 and 2018. Participants underwent a brief interview, a cognitive assessment, and an assessment of DRF. Bivariate and multivariate analyses were used to assess associations between demographic variables, DRF, and cognitive function. Close to half (40.7%) of the patients presented with some degree of cognitive impairment, and impaired DRF was observed in 13.8%. Compared to those without cognitive impairment, elderly dental patients with cognitive impairment were 15% more likely to present with impaired DRF (odds ratio = 1.15, 95% CI = (1.05, 1.26).ConclusionCognitive impairment is likely more prevalent in older adults seeking dental care than is generally understood by providers. Given its impact on DRF, dental providers should be alert to the possible need to evaluate patients’ cognitive status and DRF in order to be able to adjust treatment and recommendations accordingly.

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“…Multilevel factors at resident, staff, and environmental levels are associated with resident behaviors and food intake. For example, resident cognition, physical capacity, eating ability, and dental-related function are positively associated with resident behaviors and food intake ( 6 , 8 , 9 ). Staff mealtime engagement quality is positively correlated with resident behaviors and food intake, especially for those with functional impairments who eat slowly ( 10–12 ).…”

Section: Background and Objectivesmentioning

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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Dental‐related function and oral health in relation to eating performance in assisted living residents with and without cognitive impairment

Cited by 6 publications

References 41 publications

Person‐centred and task‐centred care: Impact on mealtime behaviours in nursing home residents with dementia

Person‐centred and task‐centred care: Impact on mealtime behaviours in nursing home residents with dementia

Cognitive status and dental‐related function in older adults seeking community‐based dental care: A Pilot Study

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

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