The moderating effect of nutritional status on depressive symptoms in veteran elders with dementia: a spaced retrieval combined with Montessori‐based activities

Wu, Hua-Shan; Lin, Li‐Chan

doi:10.1111/jan.12097

Cited by 12 publications

(43 citation statements)

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“…Longer meal-times ? Increased independence 2 weeks Wu 2013 [ 57 ] Fixed intervention Taiwan CCT Dementia unit. Spaced retrieval & Montessori activities I = 25 C = 27 Yes Mild-severe NR ↑ BMI ↑ MNA NR → Depression 6 months Wu 2013 [ 57 ] Individualised intervention Taiwan CCT Dementia units.…”

Section: Resultsmentioning

confidence: 99%

“…Increased independence 2 weeks Wu 2013 [ 57 ] Fixed intervention Taiwan CCT Dementia unit. Spaced retrieval & Montessori activities I = 25 C = 27 Yes Mild-severe NR ↑ BMI ↑ MNA NR → Depression 6 months Wu 2013 [ 57 ] Individualised intervention Taiwan CCT Dementia units. Individualised spaced retrieval & Montessori activities I = 38 C = 27 Yes Mild-severe NR ↑ BMI ↑ MNA NR ↓ Depression 6 months For abbreviations see below Table 2 …”

Section: Resultsmentioning

confidence: 99%

“…Lin 2011 [ 56 ] (RCT) reported no effect of Montessori activities on BMI or mini-nutritional assessment (MNA), but improved functional and eating ability, self-feeding frequency and unaltered eating time) while Lin 2010 [ 55 ] (RCT) reported no effects of either 8 weeks of spaced retrieval or Montessori activities on weight or BMI (but improved nutritional risk with spaced retrieval only and improved eating difficulty for both) in people with dementia and eating difficulties. Wu 2013 [ 57 ] was not randomised (CCT) and found significant improvements in BMI and MNA (reduced nutritional risk) for fixed and individualised spaced retrieval combined with Montessori-type activities for people living in dementia units over 6 months.…”

Section: Resultsmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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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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“…Twenty-three studies (66%) did not specify whether participants had clinical signs or a diagnosis of dysphagia. 41,42,[44][45][46][47][48][49][50][51][53][54][55][56]60,61,64,[66][67][68][69] One study included a subset of individuals with dysphagia, but did not report diagnostic criteria. 65 Seven studies excluded participants with dysphagia, defined as requiring modified food and liquids 38,52,62,63 or speech pathology services 39 .…”

Section: Assessment Of Dysphagiamentioning

confidence: 99%

Efficacy of Mealtime Interventions for Malnutrition and Oral Intake in Persons With Dementia

Borders

Blanke

Johnson³

et al. 2020

Alzheimer Disease &Amp; Associated Disorders

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Malnutrition and weight loss are highly prevalent in persons with Alzheimer's and related dementias. Oral intake is an important interventional target for addressing these nutritional consequences. However, the efficacy of interventions remains poorly understood as prior syntheses have failed to examine the impact of intervention approaches on malnutrition and hypothesized mechanisms of action in persons with dementia. This review aimed to determine the efficacy of mealtime interventions to improve oral intake and nutritional outcomes in persons with dementia. Four databases yielded 1712 studies, resulting in 32 studies that met inclusion criteria. Studies included education, environmental modifications, feeding, oral supplementation, and other pharmacologic/ecopsychological interventions. While the majority of studies reported statistically significant improvements in at least one nutritional outcome, study design and outcome measures were heterogeneous with many lacking adequate statistical power or blinding. Collectively, we found moderate evidence to suggest the efficacy of oral supplementation, and preliminary evidence to suggest that feeding interventions, education, and environmental modifications may confer improvements. Findings clarify the state of existing evidence regarding various

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“…Fyksen (2015) je s študijo primera, ki je potekala v negovalni ustanovi, dokazala, da izvajanje metode montessori predstavlja učinkovit ukrep, ki ljudem z demenco pomaga izboljšati sposobnost samostojnega hranjenja, pozitivno vpliva na vedenje med obroki in poveča količino zaužite hrane. Rezultati raziskave potrjujejo ugotovitve prejšnjih randomiziranih raziskav (Lin, et al, 2010(Lin, et al, , 2011Nightingale, 2011;Wu & Lin, 2013), ki so pokazale pozitiven vpliv na vedenje v času obrokov in na uživanje hrane pri osebah z demenco. Zgoraj navedene raziskave so potrdile tudi skrajšanje časa prehranjevanja.…”

Section: Vpliv Metode Montessori Na S Hranjenjem Povezano Vedenje Oseunclassified

Prednosti metode Montessori pri obravnavi oseb z demenco

Ljubič

Kolnik

2017

Obzor Zdrav Neg

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IZVLEČEKUvod: Demenca je kronično obolenje s tendenco upadanja kognitivnih sposobnosti obolelega. Uporaba metod za obvladovanje in trening osnovnih življenjskih aktivnosti, ki omogočajo daljše obdobje samostojnega življenja pacienta z demenco, je v tujini uveljavljena z različnimi novejšimi komplementarnimi pristopi. Ena izmed uveljavljenih metod je pristop Marie Montessori, prilagojen odraslim pacientom z demenco. V članku je predstavljena metoda montessori pri obravnavi pacienta z demenco in njeni učinki na kakovost življenja pacienta z demenco. Metode: Uporabljena je bila deskriptivna raziskovalna metodologija s pregledom domače in tuje literature. Za prikaz pregleda petih preko spleta dostopnih podatkovnih baz in odločanja o uporabnosti pregledanih virov je bila uporabljena metoda PRISMA. V končni pregled literature je bilo vključenih 19 člankov, objavljenih do maja 2016. Za obdelavo podatkov je bil uporabljen model analize konceptov. Večina zajetih raziskav je bila izvedena v Združenih državah Amerike. Rezultati: Po pregledu raziskav so bila identificirana tri tematska področja: (1) vpliv metode montessori na sodelovanje in prizadevanje, (2) vpliv metode montessori na vedenje, povezano s hranjenjem, in (3) vpliv metode montessori na širšo skupino kognitivnih sposobnosti. Diskusija in zaključek: Kljub majhnemu številu člankov, ki opisujejo uporabo metode montessori pri obravnavi pacientov z demenco, metodo lahko predstavimo kot učinkovito. Avtorji raziskav ugotavljajo, da pristop ne le omogoča ohranjanje kognitivnih sposobnosti, temveč le-te celo izboljšuje. ABSTRACTIntroduction: Dementia is a chronic disease with the tendency of declining patient's cognitive and mental abilities. Treatment is primarily focused on prolonging the period of independent life. Various newer complementary approaches and methods that are aimed at maintaining and encouraging cognitive abilities have been implemented across the globe. One of these methods is the approach of Maria Montessori, which has been adapted to adult persons suffering from dementia. The article presents the Montessori Method in the treatment of people with dementia and its effects on the patient's quality of life. Methods: The descriptive research methodology was used to review of domestic and foreign literature. The PRISMA method was used to review five databases accessible online and make decisions on the applicability of the reviewed sources. The conceptual model by Walker and Avant was used for data analysis. The final review included 19 studies published before May 2016. The included studies have been conducted mainly in the United States of America. Results: The three thematic areas have been identified based on reviews: (1) the effects of the Montessori-based activities on engagement and effort, (2) the impact of the Montessori-based activities on eating behaviours and (3) the benefits of the Montessori-based activities on the broader group of cognitive abilities. Discussion and conclusions: Despite the small number of publications that describe the use...

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The moderating effect of nutritional status on depressive symptoms in veteran elders with dementia: a spaced retrieval combined with Montessori‐based activities

Cited by 12 publications

References 41 publications

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

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

Efficacy of Mealtime Interventions for Malnutrition and Oral Intake in Persons With Dementia

Prednosti metode Montessori pri obravnavi oseb z demenco

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