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 and Wu, Shiao-Chi (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.

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Author Lin, Li-Chan
Huang, Ya-Ju
Su, Su-Gen
Watson, Roger
Tsai, Belina W-J
Wu, Shiao-Chi
Title Using spaced retrieval and Montessori-based activities in improving eating ability for residents with dementia
Journal name International Journal of Geriatric Psychiatry   Check publisher's open access policy
ISSN 0885-6230
1099-1166
Publication date 2010-10
Sub-type Article (original research)
DOI 10.1002/gps.2433
Volume 25
Issue 10
Start page 953
End page 959
Total pages 7
Place of publication Bognor Regis, West Sussex, United Kingdom
Publisher John Wiley & Sons
Collection year 2011
Language eng
Formatted 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 © 2010 John Wiley & Sons, Ltd.
Keyword Spaced retrieval
Montessori-based activities
Eating difficulty
Dementia
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Sub-type: Article (original research)
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