Using spaced retrieval and Montessori-based activities in improving eating ability for residents with dementia†
Article first published online: 6 JAN 2010
Copyright © 2010 John Wiley & Sons, Ltd.
International Journal of Geriatric Psychiatry
Volume 25, Issue 10, pages 953–959, October 2010
How to Cite
Lin, L.-C., Huang, Y.-J., Su, S.-G., Watson, R., Tsai, B. W.-J. and Wu, S.-C. (2010), Using spaced retrieval and Montessori-based activities in improving eating ability for residents with dementia. Int. J. Geriat. Psychiatry, 25: 953–959. doi: 10.1002/gps.2433
This article was published online on 6 January 2010. An error was subsequently identified in the Key points section. This notice is included in the online and print versions to indicate that both have been corrected [26 January 2010].
- Issue published online: 6 JAN 2010
- Article first published online: 6 JAN 2010
- Manuscript Accepted: 16 SEP 2009
- Manuscript Received: 23 NOV 2008
- spaced retrieval;
- Montessori-based activities;
- eating difficulty;
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.
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.
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.
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.