The Effect of Pre-Meal, Vocal Re-Creative Music Therapy on Nutritional Intake of Residents with Alzheimer's Disease and Related Dementias: A Pilot Study

McHugh, Larisa; Gardstrom, Susan C.; Hiller, James; Brewer, Megan; Diestelkamp, Wiebke S.

doi:10.1093/mtp/30.1.32

Cited by 39 publications

(37 citation statements)

References 51 publications

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“…In contrast, a recent study found that the perceptions of the quality of the dining environment and the quality of the meal have very limited influence on intake (Buckinx, Morelle, & Bruyère, ). The finding is consistent with systematic reviews reporting that modification of dining environments or routines including tableware and table setting visual contrast (Brush, Meehan, & Calkins, ), noise reduction (McDaniel, Hunt, Hackes, & Pope, ), lighting enhancement (Brush et al, ; McDaniel et al, ), bulk food delivery service (Desai, Winter, Young, & Greenwood, ), family‐style meals (Altus, Engelman, & Mathews, ), smoothing or re‐creative music (Mc Hugh, ) have low level of evidence in improving meal intake (Abbott et al, ; Bunn et al, ; Liu, Watson et al, ). With the mixed results, the role of environmental factors on intake in dementia deserves further investigation.…”

Section: Introductionsupporting

confidence: 81%

Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

2019

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Aim To examine the association of resident characteristics, staff mealtime assistance and environmental stimulation with the pace of food intake. Design A secondary analysis of 36 baseline eating videos involving 19 nursing assistants and 15 residents with dementia in eight nursing homes from a communication intervention study. Methods The outcome variable was the pace of food intake (the number of bites and drinks per minute). The exploratory variables were resident characteristics (age, gender, dementia stage and eating performance), staff mealtime assistance (frequency of verbal, visual, partial and full physical assistance) and environmental stimulation. Multi‐level models were used to examine the association. Results A faster pace of food intake is associated with being male, better eating performance, staff provision of visual and physical assistance and better quality of environmental stimulation that involved interaction. The pace of food intake was not associated with resident age, staff verbal assistance or partial physical assistance.

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Section: Introductionsupporting

confidence: 81%

Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

2019

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“…A music based intervention pre‐meal singing was used in one study, reported to enhance cardiovascular and pulmonary performance (McHugh et al . ). The intervention was not targeted to a specific stage of dementia and no significant effect on nutrition intake after attending the singing intervention, was documented.…”

Section: Resultsmentioning

confidence: 97%

Sensory stimulation for persons with dementia: a review of the literature

Strøm

Ytrehus

Grov

2016

Journal of Clinical Nursing

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“… Spaced retrieval I = 32 C = 24 Yes Various NR → Weight → BMI ↑ MNA → Food intake ↑ Improved eating difficulty 8 weeks Lin 2010 [ 55 ] Montessori Taiwan RCT Dementia unit, Montessori activities I = 29 C = 24 Yes Various NR → Weight → BMI → MNA ↓ Food intake ↑ Improved eating difficulty 8 weeks Lin 2011 [ 56 ] Taiwan RCT Dementia unit. Montessori-based activities 29 Yes Mild-severe NR → BMI → MNA NR ↑ Eating functional ability ↑ Eating ability → Eating time ↑ Self-feeding frequency 8 weeks McHugh 2012 [ 58 ] USA RCT Memory support unit/care facility. Vocal re-creative music therapy I = 8 C = 7 Yes Mild-Mod AD & others NR → Proportion food eaten ?…”

Section: Resultsmentioning

confidence: 99%

“…McHugh 2012 [ 58 ] (RCT) found no effect of 3 weeks pre-lunch singing and music therapy sessions (11 familiar slow to medium tempo songs) on nutritional intake or participation in eight US adults with dementia in a memory support unit, while Huang 2009 [ 54 ] (BA) reported significantly greater feelings of happiness after 8 weekly sessions of reminiscence cooking in 12 Taiwanese nursing home residents with dementia but did not report on the nutritional status or intake.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of interventions to indirectly support food and drink intake in people with dementia: Eating and Drinking Well IN dementiA (EDWINA) systematic review

et al. 2016

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BackgroundRisks and prevalence of malnutrition and dehydration are high in older people but even higher in older people with dementia. In the EDWINA (Eating and Drinking Well IN dementiA) systematic review we aimed to assess effectiveness of interventions aiming to improve, maintain or facilitate food/drink intake indirectly, through food service or dining environment modification, education, exercise or behavioural interventions in people with cognitive impairment or dementia (across all settings, levels of care and support, types and degrees of dementia).MethodsWe comprehensively searched Medline and twelve further databases, plus bibliographies, for intervention studies with ≥3 cognitively impaired adult participants (any type/stage). The review was conducted with service user input in accordance with Cochrane Collaboration’s guidelines. We duplicated assessment of inclusion, data extraction, and validity assessment, tabulating data. Meta-analysis (statistical pooling) was not appropriate so data were tabulated and synthesised narratively.ResultsWe included 56 interventions (reported in 51 studies). Studies were small and there were no clearly effective, or clearly ineffective, interventions. Promising interventions included: eating meals with care-givers, family style meals, soothing mealtime music, constantly accessible snacks and longer mealtimes, education and support for formal and informal care-givers, spaced retrieval and Montessori activities, facilitated breakfast clubs, multisensory exercise and multicomponent interventions.ConclusionsWe found no definitive evidence on effectiveness, or lack of effectiveness, of specific interventions but studies were small and short term. A variety of promising indirect interventions need to be tested in large, high-quality RCTs, and may be approaches that people with dementia and their formal or informal care-givers would wish to try.Trial registrationThe systematic review protocol was registered (CRD42014007611) and is published, with the full MEDLINE search strategy, on Prospero (http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014007611).Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-016-0256-8) contains supplementary material, which is available to authorized users.

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The Effect of Pre-Meal, Vocal Re-Creative Music Therapy on Nutritional Intake of Residents with Alzheimer's Disease and Related Dementias: A Pilot Study

Cited by 39 publications

References 51 publications

Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation

Sensory stimulation for persons with dementia: a review of the literature

Effectiveness of interventions to indirectly support food and drink intake in people with dementia: Eating and Drinking Well IN dementiA (EDWINA) systematic review

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