Projects per year
Abstract
Background: Risks and prevalence of malnutrition and dehydration are high in older people but even higher in older people with dementia. In the EDWINA (Eating and Drinking Well IN dementiA) systematic review we aimed to assess effectiveness of interventions aiming to improve, maintain or facilitate food/drink intake indirectly, through food service or dining environment modification, education, exercise or behavioural interventions in people with cognitive impairment or dementia (across all settings, levels of care and support, types and degrees of dementia).
Methods: We comprehensively searched Medline and twelve further databases, plus bibliographies, for intervention studies with ≥3 cognitively impaired adult participants (any type/stage). The review was conducted with service user input in accordance with Cochrane Collaboration’s guidelines. We duplicated assessment of inclusion, data extraction, and validity assessment, tabulating data. Meta-analysis (statistical pooling) was not appropriate so data were tabulated and synthesised narratively.
Results. We included 56 interventions (reported in 51 studies). Studies were small and there were no clearly effective, or clearly ineffective, interventions. Promising interventions included: eating meals with care-givers, family style meals, soothing mealtime music, constantly accessible snacks and longer mealtimes, education and support for formal and informal care-givers, spaced retrieval and Montessori activities, facilitated breakfast clubs, multisensory exercise and multicomponent interventions.
Conclusions. We found no definitive evidence on effectiveness, or lack of effectiveness, of specific interventions but studies were small and short term. A variety of promising indirect interventions need to be tested in large, high-quality RCTs, and may be approaches that people with dementia and their formal or informal care-givers would wish to try.
Systematic review registration: The systematic review protocol was registered (CRD42014007611) and is published, with the full MEDLINE search strategy, on Prospero.[1]
Methods: We comprehensively searched Medline and twelve further databases, plus bibliographies, for intervention studies with ≥3 cognitively impaired adult participants (any type/stage). The review was conducted with service user input in accordance with Cochrane Collaboration’s guidelines. We duplicated assessment of inclusion, data extraction, and validity assessment, tabulating data. Meta-analysis (statistical pooling) was not appropriate so data were tabulated and synthesised narratively.
Results. We included 56 interventions (reported in 51 studies). Studies were small and there were no clearly effective, or clearly ineffective, interventions. Promising interventions included: eating meals with care-givers, family style meals, soothing mealtime music, constantly accessible snacks and longer mealtimes, education and support for formal and informal care-givers, spaced retrieval and Montessori activities, facilitated breakfast clubs, multisensory exercise and multicomponent interventions.
Conclusions. We found no definitive evidence on effectiveness, or lack of effectiveness, of specific interventions but studies were small and short term. A variety of promising indirect interventions need to be tested in large, high-quality RCTs, and may be approaches that people with dementia and their formal or informal care-givers would wish to try.
Systematic review registration: The systematic review protocol was registered (CRD42014007611) and is published, with the full MEDLINE search strategy, on Prospero.[1]
Original language | English |
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Article number | 89 |
Journal | BMC Geriatrics |
Volume | 16 |
DOIs | |
Publication status | Published - 4 May 2016 |
Keywords
- Dementia
- Aged
- Eating
- Drinking
- meta-analysis
- Diet
- malnutrition
- DEHYDRATION
Profiles
-
Diane Bunn
- School of Health Sciences - Associate Professor of Nursing Research
- Lifespan Health - Member
- Water Security Research Centre - Member
- Volunteering and Health and Social Care - Member
- UEA Hydrate Group - Member
- Health Promotion - Member
Person: Research Group Member, Research Centre Member, Academic, Teaching & Research
-
Chris Fox
- Norwich Medical School - Honorary Professor
- Institute for Volunteering Research - Member
- Norwich Epidemiology Centre - Member
- Mental Health - Member
Person: Honorary, Research Group Member, Research Centre Member
-
Lee Hooper
- Norwich Medical School - Reader
- Population Health - Member
- UEA Hydrate Group - Member
- Epidemiology and Public Health - Member
- Health Services and Primary Care - Member
Person: Research Group Member, Research Centre Member, Academic, Teaching & Research
Projects
- 2 Finished
-
CLAHRC - Eating and Drinking in Dementia (linked to R22140)
Hooper, L., Fox, C., Hooper, L., Killett, A., Potter, J. & Abdelhamid, A.
National Institute for Health and Care Research
22/01/14 → 31/01/15
Project: Research
Research output
- 67 Citations (Scopus)
- 1 Article
-
Effectiveness of interventions to directly support food and drink intake in people with dementia: systematic review and meta-analysis
Abdelhamid, A., Bunn, D. K., Copley, M., Cowap, V., Dickinson, A., Gray, L., Howe, A., Killett, A., Lee, J., Li, F., Poland, F., Potter, J. F., Richardson, K., Smithard, D., Fox, G. & Hooper, L., 22 Jan 2016, In: BMC Geriatrics. 16, 26.Research output: Contribution to journal › Article › peer-review
Open AccessFile122 Citations (Scopus)24 Downloads (Pure)