Comparison of Hand Feeding Techniques for Persons With Dementia Living in the Nursing Home
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 22
- 主要终点
- Change in frequency of aversive feeding behaviors
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Change in frequency of aversive feeding behaviors
时间窗: 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
时间窗: 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
时间窗: Day 6
Changes in meal intake for a person with dementia being assisted with 3 meals daily over 6 days
次要结局
- 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)