Abstract
Objectives
The objective of this study was to evaluate the impact of a well-developed theory-based
function-focused care for cognitively impaired (FFC-CI) intervention on eating performance
among long-term care (LTC) residents with moderate-to-severe cognitive impairment.
Design
A secondary analysis of longitudinal data from 2 cluster-randomized controlled trials
that originally tested the impact of FFC-CI on all function and physical activities.
Participants and Setting
Participants were 199 residents with moderate-to-severe cognitive impairment from
4 nursing homes and 4 assisted living facilities.
Measurements
Data at baseline, and 3 and 6 months were used. Resident outcome data used in this
analysis included eating performance conceptualized using the single self-care “feeding”
item in the Barthel Index, cognitive function by Mini-Mental State Examination, sitting
balance conceptualized using the single “chair sit-sitting balance” item in the Tinetti
Gait and Balance scale, physical capability by Physical Capability Scale, depression
by Cornell Scale for Depression in Dementia, and agitation by Cohen-Mansfield Agitation
Inventory (short form).
Results
At baseline, almost one-third (32.2%) of the 199 residents needed help with eating.
There was no significant change with regard to eating performance over time in both
groups, and no significant treatment by time difference between groups in eating performance
(P = .195).
Conclusion
Current findings support a need to revise the FFC-CI to better address eating performance.
Future work may benefit from a stronger focus on eating performance rather than the
more commonly addressed functional tasks, such as bathing, dressing, and ambulation.
In addition, the inclusion of a more heterogeneous group of LTC residents with regard
to eating performance is needed to test the impact of the revised approach on eating
performance.
Keywords
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Article info
Publication history
Published online: August 05, 2015
Footnotes
The authors declare no conflicts of interest.
The authors acknowledge that the 2 original intervention studies were supported by the Alzheimer's Association New Investigator Research Grant NIRG-09–131261, and the Robert Wood Johnson Foundation Nurse Faculty Scholar Program 66520.
Identification
Copyright
© 2015 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.
