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Int J Geriatr Psychiatry. 2010 Oct;25(10):953-9. doi: 10.1002/gps.2433.

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

Author information

1
Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan, ROC. lichan@ym.edu.tw

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.

PMID:
20054841
DOI:
10.1002/gps.2433
[Indexed for MEDLINE]

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