Effects of a dementia dietary educational program on nutritional knowledge and healthy eating behavior of family caregivers

Hsiao, Hua Tsen; Chang, Chiung Chih; Chen, Nai-Ching; Chiu, Herng Chia; Huang, Chi Wei; Lee, Feng Ping; Wang, Jing Jy

doi:10.1080/03601277.2020.1744234

Cited by 5 publications

(20 citation statements)

References 25 publications

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“…Table 1 shows the characteristics of the 13 included studies. The studies involved people with dementia (six studies [31][32][33][34][35][36]), people with multiple sclerosis (four studies [37][38][39][40]), stroke survivors (two studies [41,42]), and people with Parkinson's disease (one study [43]). The studies were conducted in the United States [39][40][41][42][43], Brazil [33], Korea [31], Sweden [32], the United Kingdom [37], Germany [38], Spain [35], and Taiwan [36], and one study was conducted in three countries (France, Italy, and Spain) [34].…”

Section: Study Detailsmentioning

confidence: 99%

“…The studies involved people with dementia (six studies [31][32][33][34][35][36]), people with multiple sclerosis (four studies [37][38][39][40]), stroke survivors (two studies [41,42]), and people with Parkinson's disease (one study [43]). The studies were conducted in the United States [39][40][41][42][43], Brazil [33], Korea [31], Sweden [32], the United Kingdom [37], Germany [38], Spain [35], and Taiwan [36], and one study was conducted in three countries (France, Italy, and Spain) [34]. Eight of the studies compared an intervention group to a comparator group/s, in either a quasi-controlled trial [32], a randomized [35] or non-randomized cluster trial [34], or a randomized controlled trial [33,36,39,41,42].…”

Section: Study Detailsmentioning

confidence: 99%

“…The studies were conducted in the United States [39][40][41][42][43], Brazil [33], Korea [31], Sweden [32], the United Kingdom [37], Germany [38], Spain [35], and Taiwan [36], and one study was conducted in three countries (France, Italy, and Spain) [34]. Eight of the studies compared an intervention group to a comparator group/s, in either a quasi-controlled trial [32], a randomized [35] or non-randomized cluster trial [34], or a randomized controlled trial [33,36,39,41,42]. Five studies did not have a comparator group [31,37,38,40,43].…”

Section: Study Detailsmentioning

confidence: 99%

“…Five studies did not have a comparator group [31,37,38,40,43]. Of the eight studies with comparator groups, six enlisted treatment as usual/waitlist control groups [33][34][35][36]41,42], and three had active comparator groups [32,33,39]. One study had two comparator groups: one treatment as usual group, and one active comparator group [33].…”

Section: Study Detailsmentioning

confidence: 99%

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Nutrition Education Programs for Adults with Neurological Diseases Are Lacking: A Scoping Review

2022

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The nutrition recommendation for most common neurological diseases is to follow national dietary guidelines. This is to mitigate malnutrition, reduce the risk of diet-related diseases, and to help manage some common symptoms, including constipation. Nutrition education programs can support people in adhering to guidelines; hence the aim of this scoping review was to explore what programs have been implemented for adults with neurological diseases. We conducted this review according to a published a priori protocol. From 2555 articles screened, 13 were included (dementia n = 6; multiple sclerosis n = 4; stroke survivors n = 2; Parkinson’s n = 1). There were no programs for epilepsy, Huntington’s, and motor neurone disease. Program duration and number of sessions varied widely; however, weekly delivery was most common. Just over half were delivered by dietitians. Most did not report using a behavior change theory. Commonly used behavior change techniques were instruction on how to perform a behavior, credible source, and behavioral practice/rehearsal. Evidence of nutrition education programs for adults with neurological diseases is lacking. Of those that are published, many do not meet best practice principles for nutrition education regarding delivery, educator characteristics, and evaluation. More programs aligning with best practice principles are needed to assess characteristics that lead to behavior change.

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Section: Study Detailsmentioning

confidence: 99%

Section: Study Detailsmentioning

confidence: 99%

Section: Study Detailsmentioning

confidence: 99%

Section: Study Detailsmentioning

confidence: 99%

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Nutrition Education Programs for Adults with Neurological Diseases Are Lacking: A Scoping Review

2022

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“…Further important factors that influence the wellbeing of people with dementia at mealtimes are sensory: smell-preparing food together with a person with dementia or in front of them; sight-arrangement, food presentation, use of color contrasts, lighting; taste-preparing food that a person with dementia has known from an early age; and hearing-providing a calm environment during mealtimes. As no two people are alike in their preferences for food and its aesthetics, it is of great importance that the subject of nutrition is approached with individualized care and that appropriate strategies for preserving quality of life are adopted in the care of people with dementia (27)(28)(29). Considering the specifics of dementia, meal course separation, i.e.…”

Section: Discussionmentioning

confidence: 99%

Nutrition and Congruent Care Improve Wellbeing of Residents With Dementia in Slovenian Care Homes

et al. 2022

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IntroductionCurrent nutritional strategies for people with dementia focus on nutritional diets and regimens, although in recent years congruent care for people with dementia has been increasingly recognized to improve their wellbeing. This includes consistency of care, respecting the variability of psycho-sociological factors, emphasizing the importance of participation in activities, and congruence with the individual's needs and capabilities. When applied to the nutritional aspects of care, it aims to empower people with dementia to have an active role in their care and during meals. Congruent care has previously shown promising results in improving the quality of life of residents, reducing the incidence of negative social interactions and daily intake of medicines.MethodsA mixed methods qualitative-quantitative study was carried out. Out of 102 residential care homes for the elderly in Slovenia, a non-random sample of homes was selected. Seven homes that have implemented congruent care and five who have not implemented it agreed to participate. Content analysis of the transcripts of focus group interviews was carried out, to establish how the congruent care model was included into their everyday practice of care for people with dementia. Qualitative comparative analysis was used to describe the differences in the practice of care between the two groups of homes, in the fields of nutritional and general care. Frequencies and assigned importance of statements relating to different aspects of nutritional care were statistically compared.ResultsThe introduction of congruent care improved the wellbeing of the people with dementia, as observed by caregivers. The homes that had implemented congruent care gave more attention to the food choice aspects of nutritional care (p = 0.0474, 95%CICongruent = 50.77–72.35%, 95%CINon−congruent = 27.65–49.23%), while the homes that had not were more attentive to the dietary intake aspects (p = 0.0067, 95%CICongruent = 22.79–44.74%, 95%CINon−congruent = 55.26–77.21%). In the homes for the elderly that had implemented congruent care, both caregivers and management reported that the frequency of use of pro re nata medication decreased, which is supported by the results of the linear regression (R2adjusted =78.4, p = 0.005), although the data available is limited.ConclusionFirst, the people with dementia in the care homes that had implemented congruent care were observed to have improved in mood, attitudes toward eating and wellbeing, as reported by caregivers. Second, the implementation of congruent care was well received by the management and caregivers of the care homes. A model of implementation of congruent nutritional care for people with dementia is presented.

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Family caregivers use a Hand‐Under‐Hand online course to improve the nutritional status of patients with severe dementia: A quasi‐experimental study

Lin,

Liang,

Fuh

et al. 2024

Geriatrics Gerontology Int

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AimIn Taiwan, over 90% of dementia patients received home care. Severe dementia‐linked food refusal significantly affects nutrition, thereby straining caregivers. Family caregivers can reduce their burden by learning feeding and dementia nutrition online, thus preserving patient oral feeding. The study aim for family caregivers learn online Hand‐Under‐Hand (UH) techniques to ease feeding in severe dementia, enhancing nutrition and reducing their burden.MethodsIn this quasi‐experimental study, participants in the experimental group received 2‐h UH courses online, while the control group received their usual care. The primary outcome indicators were abnormal eating behavior, nutritional status, and caregiver burden, with outcomes tracked at 0, 1, and 3 months. At the neurology outpatient clinic of a medical center in Taipei, 65 dyads—comprising patients with severe dementia and their caregivers—were randomly assigned to groups.ResultsThe study participants comprised 36 female and 29 male caregivers, with an average age of 58.09 years. The patient group included 43 females and 22 males, with a mean age of 83.32 years. Patients in the experimental group exhibited reduced abnormal eating behavior, and caregiver burden was reduced at 1 and 3 months, patients demonstrated improved nutritional status by month 3.ConclusionsThe accessibility and convenience of online courses enabled family caregivers to use UH feeding techniques to effectively improve the nutritional status and correct the abnormal eating behavior of patients with dementia, while also decreasing caregiver burden. Geriatr Gerontol Int 2024; ••: ••–••.

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Effects of a dementia dietary educational program on nutritional knowledge and healthy eating behavior of family caregivers

Cited by 5 publications

References 25 publications

Nutrition Education Programs for Adults with Neurological Diseases Are Lacking: A Scoping Review

Nutrition Education Programs for Adults with Neurological Diseases Are Lacking: A Scoping Review

Nutrition and Congruent Care Improve Wellbeing of Residents With Dementia in Slovenian Care Homes

Family caregivers use a Hand‐Under‐Hand online course to improve the nutritional status of patients with severe dementia: A quasi‐experimental study

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