Using spaced retrieval and Montessori-based activities in improving eating ability for residents with dementia

Lin, Li-Chan; Huang, Ya-Ju; Su, Su-Gen; Watson, Roger; Tsai, Belina W-J; Wu, Shiao-Chi

Abstract

Objectives To construct a training protocol for spaced retrieval (SR) and to investigate the effectiveness of SR and Montessori-based activities in decreasing eating difficulty in older residents with dementia. Methods A single evaluator, blind, and randomized control trial was used. Eighty-five residents with dementia were chosen from three special care units for residents with dementia in long-term care facilities in Taiwan. To avoid any confounding of subjects, the three institutions were randomized into three groups: spaced retrieval, Montessori-based activities, and a control group. The invention consisted of three 30-40 min sessions per week, for 8 weeks. Results After receiving the intervention, the Edinburgh Feeding Evaluation in Dementia (EdFED) scores and assisted feeding scores for the SR and Montessori-based activity groups were significantly lower than that of the control group. However, the frequencies of physical assistance and verbal assistance for the Montessori-based activity group after intervention were significantly higher than that of the control group, which suggests that residents who received Montessori-based activity need more physical and verbal assistance during mealtimes. In terms of the effects of nutritional status after intervention, Mini-Nutritional Assessment (MNA) in the SR group was significantly higher than that of the control group. Conclusion This study confirms the efficacy of SR and Montessori-based activities for eating difficulty and eating ability. A longitudinal study to follow the long-term effects of SR and Montessori-based activities on eating ability and nutritional status is recommended. © 2010 John Wiley & Sons, Ltd.

Citation

Lin, L.-C., Huang, Y.-J., Su, S.-G., Watson, R., Tsai, B. W.-J., & Wu, S.-C. (2010). Using spaced retrieval and Montessori-based activities in improving eating ability for residents with dementia. International journal of geriatric psychiatry, 25(10), 953-959. https://doi.org/10.1002/gps.2433

• Journal Article Type: Article
• Acceptance Date: Sep 16, 2009
• Online Publication Date: Jan 6, 2010
• Publication Date: 2010-10
• Deposit Date: Nov 13, 2014
• Journal: International Journal Of Geriatric Psychiatry
• Print ISSN: 0885-6230
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 25
• Issue: 10
• Pages: 953-959
• DOI: https://doi.org/10.1002/gps.2433
• Keywords: Spaced retrieval; Montessori-based activities; Eating difficulty; Dementia
• Public URL: https://hull-repository.worktribe.com/output/465326
• Publisher URL: https://onlinelibrary.wiley.com/doi/abs/10.1002/gps.2433
• Contract Date: Nov 13, 2014