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

Lin, L.C., Huang, Y.J., Su, S.G., Watson, R., Tsai, B.W.J. and 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). pp. 953-959. ISSN 0885-6230

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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. Copyright (c) 2010 John Wiley & Sons, Ltd.

Item Type: Article
Keywords: spaced retrieval; Montessori-based activities; eating difficulty; dementia
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Nursing and Midwifery (Sheffield)
Depositing User: Miss Anthea Tucker
Date Deposited: 22 Feb 2010 15:52
Last Modified: 13 May 2014 09:35
Published Version: http://dx.doi.org/10.1002/gps.2433
Status: Published
Publisher: John Wiley & Sons
Identification Number: 10.1002/gps.2433
URI: http://eprints.whiterose.ac.uk/id/eprint/10369

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