Predictive Factors of Mealtime Difficulties in Older Adults with Dementia: A cross-sectional design

2.50
Hdl Handle:
http://hdl.handle.net/10755/308523
Category:
Abstract
Type:
Presentation
Title:
Predictive Factors of Mealtime Difficulties in Older Adults with Dementia: A cross-sectional design
Author(s):
Liu, Wen; Lou, Feng-lan
Lead Author STTI Affiliation:
Pi
Author Details:
Wen Liu, MMed, BMed, wen.liu@umaryland.edu; Feng-lan Lou, Bmed
Abstract:

Session presented on: Saturday, November 16, 2013

Background Mealtime difficulties in older adults with dementia indicates any difficulty or problem occurred during mealtimes associated with physical, cognitive, behavioral, social, environmental and cultural factors1-2 and effective strategies are needed to alleviate difficulties and reduce adverse outcomes3-5. This study aims to determine predictors of mealtime difficulties to provide information for developing interventions.

Methods A cross sectional design was conducted among a purposive sampling of 104 residents diagnosed with dementia in two nursing homes in China. The Edinburgh Feeding Evaluation in Dementia scale (EdFED), ADL-Barthel Index, Mini-Mental State Examination, Global Deterioration Scale and California Dementia Behavioral Questionnaire were used to measure mealtime difficulties, independence level, cognitive function, level of functioning and behavioral disturbance respectively.

Results The residents aged 77.35 (SD=11.66) years with low independence (36.01±34.36), moderate-to-severe cognitive impairment (9.86±7.32) and moderately low level of mealtime difficulties (6.79±5.60, median=6). The median of EdFED was used as cut-off point to classify residents as having mealtime difficulty or not. Mealtime difficulties were significantly associated with education, comorbidities, BMI, independence level, cognitive function and level of functioning. Generalized linear model, which explained 66.3% of total variance in mealtime difficulties with good fit, showed that severe level of functioning (OR=25.195, 95% CI: 1.947, 326.015), comorbidities (OR=10.122, 95% CI: 1.446, 70.84) and depression (OR=1.069, 95% CI: 1.011, 1.13) were risk factors, while independence level (OR=.932, 95% CI: .904, .961) a protective factor.

Conclusions Level of functioning, comorbidities and depression, increase risk of mealtime difficulties in dementia, while ADL independence reduces such risk. Nursing staff should evaluate residents’ level of functioning, depression and independence regularly to examine potential risks of mealtime difficulties.

Implications Results will provide information that can be used to develop effective strategies or interventions to promote mealtime care in older adults with dementia, alleviate risk of mealtime difficulties and thus reduce related adverse outcomes.

Keywords:
mealtime difficulties; dementia; older adults
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePredictive Factors of Mealtime Difficulties in Older Adults with Dementia: A cross-sectional designen_GB
dc.contributor.authorLiu, Wenen_GB
dc.contributor.authorLou, Feng-lanen_GB
dc.contributor.departmentPien_GB
dc.author.detailsWen Liu, MMed, BMed, wen.liu@umaryland.edu; Feng-lan Lou, Bmeden_GB
dc.identifier.urihttp://hdl.handle.net/10755/308523-
dc.description.abstract<p>Session presented on: Saturday, November 16, 2013</p><b>Background </b>Mealtime difficulties in older adults with dementia indicates any difficulty or problem occurred during mealtimes associated with physical, cognitive, behavioral, social, environmental and cultural factors<sup>1-2</sup> and effective strategies are needed to <a href="https://www.google.com/search?hl=en&rls=com.microsoft:en-us&sa=X&ei=YUQtULatEoTm0QHptYHQCw&ved=0CE4QvwUoAQ&q=alleviate&spell=1">alleviate</a> difficulties and reduce adverse outcomes<sup>3-5</sup>. This study aims to determine predictors of mealtime difficulties to provide information for developing interventions. <p><b>Methods </b>A cross sectional design was conducted among a purposive sampling of 104 residents diagnosed with dementia in two nursing homes in China. The Edinburgh Feeding Evaluation in Dementia scale (EdFED), ADL-Barthel Index, Mini-Mental State Examination, <i>Global Deterioration</i> Scale and California <i>Dementia</i> Behavioral Questionnaire were used to measure mealtime difficulties, independence level, cognitive function, level of functioning and behavioral disturbance respectively. <p><b>Results </b>The residents aged 77.35 (SD=11.66) years with low independence (36.01±34.36), moderate-to-severe cognitive impairment (9.86±7.32) and moderately low level of mealtime difficulties (6.79±5.60, median=6). The median of EdFED was used as cut-off point to classify residents as having mealtime difficulty or not. Mealtime difficulties were significantly associated with education, <a href="https://www.google.com/search?hl=en&tbo=d&rls=com.microsoft:en-us&spell=1&q=comorbidities&sa=X&ei=fU3KUKLKHZGo0AHJ64HYCg&ved=0CC0QvwUoAA">comorbidities</a>, BMI, independence level, cognitive function and level of functioning. Generalized linear model, which explained 66.3% of total variance in mealtime difficulties with good fit, showed that severe level of functioning (OR=25.195, 95% CI: 1.947, 326.015), <a href="https://www.google.com/search?hl=en&tbo=d&rls=com.microsoft:en-us&spell=1&q=comorbidities&sa=X&ei=fU3KUKLKHZGo0AHJ64HYCg&ved=0CC0QvwUoAA">comorbidities</a> (OR=10.122, 95% CI: 1.446, 70.84) and depression (OR=1.069, 95% CI: 1.011, 1.13) were risk factors, while independence level (OR=.932, 95% CI: .904, .961) a protective factor. <p><b>Conclusions</b> Level of functioning, <a href="https://www.google.com/search?hl=en&tbo=d&rls=com.microsoft:en-us&spell=1&q=comorbidities&sa=X&ei=fU3KUKLKHZGo0AHJ64HYCg&ved=0CC0QvwUoAA">comorbidities</a> and depression, increase risk of mealtime difficulties in dementia, while ADL independence reduces such risk. Nursing staff should evaluate residents’ level of functioning, depression and independence regularly to examine potential risks of mealtime difficulties. <p><b>Implications </b>Results will provide information that can be used to develop effective strategies or interventions to promote mealtime care in older adults with dementia, <a href="https://www.google.com/search?hl=en&rls=com.microsoft:en-us&sa=X&ei=YUQtULatEoTm0QHptYHQCw&ved=0CE4QvwUoAQ&q=alleviate&spell=1">alleviate</a> risk of mealtime difficulties and thus reduce related adverse outcomes.en_GB
dc.subjectmealtime difficultiesen_GB
dc.subjectdementiaen_GB
dc.subjectolder adultsen_GB
dc.date.available2013-12-19T17:32:28Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:28Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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