ArticleJournal of the American Geriatrics Society2017
Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia.
Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05898139 (Describe to Better Understand, the Mealtime of People With Parkinson's Disease Dependent on Food Intake), which is not on this map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Describe to Better Understand, the Mealtime of People With Parkinson's Disease Dependent on Food Intake
Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Optimizing mealtime care and outcomes for people with dementia and their caregivers: A systematic review and meta-analysis of intervention studies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Pooled it
- How do we provide good mealtime care for people with dementia living in care homes? A systematic review of carer-resident interactions.Dementia (London, England) · 2021Pooled it
- Efficacy of Mealtime Interventions for Malnutrition and Oral Intake in Persons With Dementia: A Systematic Review.Alzheimer disease and associated disordersPooled it
- Feasibility of a nurse-led online video intervention for mealtime assistance in dementia care: a quasi-experimental mixed-methods study.BMC geriatrics · 2025Article
- Supporting Mealtime Participation Among People Living With Dementia at Home: Challenges and Strategies for Caregivers.The Gerontologist · 2024Article
- Nutritional Care for Institutionalized Persons with Dementia: An Integrative Review.International journal of environmental research and public health · 2023Review
- Article
- A Biopsychosocial Model of Mealtime Management in Persons with Dementia, an Asset-Based Approach to Patient-Centered Care.Geriatrics (Basel, Switzerland) · 2022Article
- Mealtime caregiving approaches and behavioral symptoms in persons living with dementia: a longitudinal, observational study.BMC nursing · 2021Article
- Assessing Caregivers' Skills in Assisting People with Dementia during Mealtime: Portuguese Cultural Adaptation of the Feeding Skills Checklist.International journal of environmental research and public health · 2021Article
- Ease of use, feasibility and inter-rater reliability of the refined Cue Utilization and Engagement in Dementia (CUED) mealtime video-coding scheme.Journal of advanced nursing · 2020Article
- Feasibility of a Mobile Meal Assistance Program for Direct Care Workers in Long-Term Care Facilities in South Korea.Clinical interventions in aging · 2020Article
- Eating performance in relation to intake of solid and liquid food in nursing home residents with dementia: A secondary behavioral analysis of mealtime videos.International journal of nursing studies · 2019Article
- Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff mealtime assistance and environmental stimulation.Nursing open · 2019Article
- Interventions maintaining eating Independence in nursing home residents: a multicentre qualitative study.BMC geriatrics · 2018Article
- Impact of Cognition and Handfeeding Assistance on Nutritional Intake for Nursing Home Residents.Journal of nutrition in gerontology and geriatricsArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundNursing home (NH) residents who require assistance during mealtimes are at risk for malnutrition. Supportive handfeeding is recommended, yet there is limited evidence supporting use of a specific handfeeding technique to increase meal intake.
objectivesTo compare efficacy of three handfeeding techniques for assisting NH residents with dementia with meals: Direct Hand (DH), Over Hand (OH), and Under Hand (UH).
designA prospective pilot study using a within-subjects experimental Latin square design with randomization to one of three handfeeding technique sequences. SETTING AND
participants30 residents living with advanced dementia in 11 U.S. NHs. MEASUREMENTS: Time required for assistance; meal intake (% eaten); and feeding behaviors, measured by the Edinburgh Feeding Evaluation in Dementia (EdFED) scale.
interventionResearch Assistants provided feeding assistance for 18 video-recorded meals per resident (N = 540 meals). Residents were assisted with one designated technique for 6 consecutive meals, changing technique every 2 days.
resultsMean time spent providing meal assistance did not differ significantly between techniques. Mean meal intake was greater for DH (67 ± 15.2%) and UH (65 ± 15.0%) with both significantly greater than OH (60 ± 15.1%). Feeding behaviors were more frequent with OH (8.3 ± 1.8%), relative to DH (8.0 ± 1.8) and UH (7.7 ± 1.8).
conclusionAll three techniques are time neutral. UH and DH are viable options to increase meal intake among NH residents with advanced dementia and reduce feeding behaviors relative to OH feeding.
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