Comparison of Hand Feeding Techniques for Persons With Dementia Living in the Nursing Home
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Dementia
- Sponsor
- Duke University
- Enrollment
- 30
- Locations
- 11
- Primary Endpoint
- Change in frequency of aversive feeding behaviors
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The purpose of this study is to test three hand feeding techniques that can be used to provide feeding assistance to persons with dementia - direct hand feeding, hand-over-hand feeding, and hand-under-hand feeding.
Detailed Description
Proposed Aim 1: To collect pilot data related to using three hand feeding techniques for feeding persons with dementia (PWD) in the nursing home (NH) setting: (1) direct hand feeding; (2) hand-over-hand feeding; and, (3) hand-under-hand feeding. Primary outcomes are impact on frequency of aversive feeding behaviors, meal intake, and time spent assisting with feeding. Proposed Aim 2: Evaluate implementation of the hand feeding intervention for larger randomized study of feeding techniques. Aim 2a: Conduct a process evaluation for method of recruiting, screening, and obtaining informed consent of legally authorized representatives (LARs)/ assent of PWD. Aim 2b: Establish fidelity to treatment for all three hand feeding interventions.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Resident of nursing home 6 weeks prior to intervention delivery
- •60+ years old
- •Have a legally authorized representative to provide informed consent
- •medical diagnosis of dementia
- •required extensive assistance to total dependence for feeding
- •Brief Interview for Mental Status (BIMS) score of 0-12
Exclusion Criteria
- •Positive diagnosis of Human Immunodeficiency Virus (HIV), Parkinson's, and/or Traumatic Brain Injury
- •Any swallowing disorder
- •Presence of feeding tube that is sole source for meal delivery
- •Significant auditory or visual impairment
Outcomes
Primary Outcomes
Change in frequency of aversive feeding behaviors
Time Frame: Day 6
Changes in behaviors of person with dementia being assisted with 3 meals daily over 6 days
Changes in time spent providing feeding assistance
Time Frame: Day 6
Changes in time spent providing feeding assistance to a person with dementia being assisted with 3 meals daily over 6 days
Changes in meal intake
Time Frame: Day 6
Changes in meal intake for a person with dementia being assisted with 3 meals daily over 6 days
Secondary Outcomes
- Develop decision-making algorithm of adaptive approaches used by feeding assistant(6 days)
- Functional ability and feeding behaviors exhibited by person with dementia(Day 6)
- Characterize feeding assistant responses to functional ability and feeding behaviors(6 days)