Evidence map›Paper›PMID 24405641›Full record

SynthesisJournal of the American Medical Directors Association2014

Effectiveness of mealtime interventions on behavior symptoms of people with dementia living in care homes: a systematic review.

Rebecca Whear, Rebecca Abbott, Jo Thompson-Coon, Alison Bethel, Morwenna Rogers, Anthony Hemsley, Will Stahl-Timmins, Ken Stein

Open access · hybridAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of the American Medical Directors Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 6 syntheses or guidelines pooled it, 89 citations in OpenAlex.

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  15. Individualized Music Program is Associated with Improved Outcomes for U.S. Nursing Home Residents with Dementia.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017
    Article
  16. BMJ open · 2017
    Article
  17. Article
  18. Article
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  20. [Nutrition in dementia].Der Internist · 2017
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Rebecca WhearPenCLAHRC, University of Exeter Medical School, University of Exeter, Exeter, UK. Electronic address: r.s.whear@exeter.ac.uk.
Rebecca AbbottPenCLAHRC, University of Exeter Medical School, University of Exeter, Exeter, UK.
Jo Thompson-CoonPenCLAHRC, University of Exeter Medical School, University of Exeter, Exeter, UK.
Alison BethelPenCLAHRC, University of Exeter Medical School, University of Exeter, Exeter, UK.
Morwenna RogersPenCLAHRC, University of Exeter Medical School, University of Exeter, Exeter, UK.
Anthony HemsleyRoyal Devon & Exeter NHS Foundation Trust, Exeter, UK.
Will Stahl-TimminsEuropean Centre for Environment and Human Health, University of Exeter Medical School, University of Exeter, Knowledge Spa, Royal Cornwall Hospital, Truro, Cornwall, UK.
Ken SteinPenCLAHRC, University of Exeter Medical School, University of Exeter, Exeter, UK.
University of Exeter · GBRoyal Devon & Exeter NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveElderly residents with dementia commonly exhibit increased agitation at mealtimes. This interferes with eating and can be distressing for both the individual and fellow residents. This review examines the effectiveness of mealtime interventions aimed at improving behavioral symptoms in elderly people living with dementia in residential care.

designSystematic review. DATA SOURCES: Medline, PsycINFO, Embase, HMIC, AMED (OvidSP); CDSR, CENTRAL, DARE (Cochrane Library, Wiley); CINAHL (EBSCOhost); British Nursing Index (NHS Evidence); ASSIA (ProQuest); Social Science Citation Index (Web of Knowledge); EThOS (British Library); Social Care Online and OpenGrey from inception to November 2012. Forward and backward citation chases, hand searches of other review articles identified in the search, and key journals. TYPES OF STUDY: All comparative studies were included. Articles were screened for inclusion independently by 2 reviewers. Data extraction and quality appraisal were performed by one reviewer and checked by a second with discrepancies resolved by discussion with a third if necessary. Data were not suitable for meta-analysis so narrative synthesis was carried out.

resultsA total of 6118 articles were identified in the original search. Eleven articles were finally included. Mealtime interventions were categorized into 4 types: music, changes to food service, dining environment alteration, and group conversation. Study quality was poor, making it difficult to reach firm conclusions. Although all studies showed a trend in favor of the intervention, only 6 reported a statistically significant improvement in behavioral symptoms. Four studies suggest cumulative or lingering effects of music on agitated and aggressive behaviors.

conclusionThere is some evidence to suggest that mealtime interventions improve behavioral symptoms in elderly people with dementia living in residential care, although weak study designs limit the generalizability of the findings. Well designed, controlled trials are needed to further understand the utility of mealtime interventions in this setting.

Indexed as

Behavior ControlMealsNursing HomesAgedDementiaHumansProgram EvaluationDementiamealtimeresidential caresystematic review

Identifiers

PMID24405641
OpenAlexW2164778773

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.