J Korean Acad Nurs.  2018 Apr;48(2):167-181. 10.4040/jkan.2018.48.2.167.

Development and Effects of a Coping Skill Training Program for Caregivers in Feeding Difficulty of Older Adults with Dementia in Long-Term Care Facilities

Affiliations
  • 1Department of Nursing, College of Health Sciences, Kyungnam University, Changwon, Korea.
  • 2College of Nursing · Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University, Jinju, Korea. mogu@gnu.ac.kr

Abstract

PURPOSE
We developed and tested the effects of a coping skill training program for caregivers in feeding difficulty among older adults with dementia in long-term care facilities.
METHODS
A non-equivalent control group pretest-posttest design was used. The subjects comprised 34 caregivers (experimental group: 17, control group: 17) and 40 older adults with dementia (experimental group: 20, control group: 20). The developed program was delivered in 4-hour sessions over 6 weeks (including 2 weeks of lectures and lab practice on feeding difficulty coping skills, and 4 weeks of field practice). Data were collected before, immediately after, and 4 weeks after the program (January 3 to April 6, 2016). The data were analyzed using t-test and repeated measures ANOVA using SPSS/WIN 20.0.
RESULTS
Compared to their counterparts in the control group, caregivers in the experimental group showed a significantly greater improvement in feeding knowledge and feeding behavior, while older adults with dementia showed greater improvements in feeding difficulty and Body Mass Index.
CONCLUSION
The study findings indicate that this coping skill training program for caregivers in feeding difficulty is an effective intervention for older adults with dementia in long-term care facilities.

Keyword

Long-Term Care; Dementia; Feeding Behavior; Education

MeSH Terms

Adaptation, Psychological*
Adult*
Body Mass Index
Caregivers*
Dementia*
Education*
Feeding Behavior
Humans
Lectures
Long-Term Care*

Figure

  • Figure 1. Flow diagram of the study participants.


Reference

References

1. Ministry of Health & Welfare. 3rd comprehensive plan for dementia management (’16-’20) [Internet]. Seoul: Author;c2015. [cited 2015 Dec 21]. Available from:. http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=329062&page=1.
2. Choi ID, Lee YM. Study on the efficient integration of longterm care facilities and geriatric hospitals by using NHIC survey data. Journal of the Korean Gerontological Society. 2010; 30(3):855–869.
3. Chang CC, Roberts BL. Feeding difficulty in older adults with dementia. Journal of Clinical Nursing. 2008; 17(17):2266–2274. https://doi.org/10.1111/j.1365-2702.2007.02275.x.
Article
4. Watson R, Green SM. Feeding and dementia: A systematic literature review. Journal of Advanced Nursing. 2006; 54(1):86–93. https://doi.org/10.1111/j.1365-2648.2006.03793.x.
Article
5. Volicer L, Seltzer B, Rheaume Y, Fabiszewski K, Herz L, Shapiro R, et al. Progression of Alzheimer type dementia in institutionalized patients: A cross-sectional study. Journal of Applied Gerontology. 1987; 6(1):83–94. https://doi.org/10.1177/073346488700600107.
6. Jansen S, Ball L, Desbrow B, Morgan K, Moyle W, Hughes R. Nutrition and dementia care: Informing dietetic practice. Nutrition & Dietetics. 2015; 72(1):36–46. https://doi.org/10.1111/1747-0080.12144.
Article
7. Amella EJ. Factors influencing the proportion of food consumed by nursing home residents with dementia. Journal of the American Geriatrics Society. 1999; 47(7):879–885. https://doi.org/10.1111/j.1532-5415.1999.tb03849.x.
8. Simmons SF, Osterweil D, Schnelle JF. Improving food intake in nursing home residents with feeding assistance: A staffing analysis. Journal of Gerontology: Medical Sciences. 2001; 56(12):M790–M794. https://doi.org/10.1093/gerona/56.12.M790.
Article
9. Amella EJ. Feeding and hydration issues for older adults with dementia. Nursing Clinics of North America. 2004; 39(3):607–623. https://doi.org/10.1016/j.cnur.2004.02.014.
Article
10. Liu W, Galik E, Boltz M, Nahm ES, Resnick B. Optimizing eating performance for older adults with dementia living in long-term care: A systematic review. Worldviews on Evidence Based Nursing. 2015; 12(4):228–235. https://doi.org/10.1111/wvn.12100.
Article
11. Oh JJ. Assisting demented patients with feeding in nursing homes. Journal of the Korean Gerontological Society. 2006; 26(2):315–328.
12. Batchelor-Murphy M, Amella EJ, Zapka J, Mueller M, Beck C. Feasibility of a web-based dementia feeding skills training program for nursing home staff. Geriatric Nursing. 2015; 36(3):212–218. https://doi.org/10.1016/j.gerinurse.2015.02.003.
Article
13. Chang CC, Lin LC. Effects of a feeding skills training programme on nursing assistants and dementia patients. Journal of Clinical Nursing. 2005; 14(10):1185–1192. https://doi.org/10.1111/j.1365-2702.2005.01240.x.
Article
14. Chang CC, Wykle ML, Madigan EA. The effect of a feeding skills training program for nursing assistants who feed dementia patients in Taiwanese nursing homes. Geriatric Nursing. 2006; 27(4):229–237. https://doi.org/10.1016/j.gerinurse.2006.03.007.
Article
15. Chang CC. Effects of a feeding skills training program on knowledge, attitude, perceived behavior control, intention, and behavior of formal caregivers toward feeding dementia patients in Taiwan nursing homes [dissertation]. Cleveland (OH): Case Western Reserve University;2005. p. 1–230.
16. Watson R. Measuring feeding difficulty in patients with dementia: Perspectives and problems. Journal of Advanced Nursing. 1993; 18(1):25–31. https://doi.org/10.1046/j.1365-2648.1993.18010025.x.
Article
17. Liu W, Cheon J, Thomas SA. Interventions on mealtime difficulties in older adults with dementia: A systematic review. International Journal of Nursing Studies. 2014; 51(1):14–27. https://doi.org/10.1016/j.ijnurstu.2012.12.021.
Article
18. Chang CC, Roberts BL. Strategies for feeding patients with dementia. American Journal of Nursing. 2011; 111(4):36–44. https://doi.org/10.1097/01.naj.0000396553.01996.5e.
Article
19. Hong HH, Gu MO. Feeding difficulty and its influencing factors of elders with dementia in long-term care facilities. Journal of the Korea Academia-Industrial Cooperation Society. 2015; 16(2):1240–1252. https://doi.org/10.5762/kais.2015.16.2.1240.
Article
20. Lee J, Ryu SA. Factors associated with feeding difficulty in long-term care facility older adults with dementia. Journal of Korean Gerontology Nursing. 2017; 19(1):1–12. https://doi.org/10.17079/jkgn.2017.19.1.1.
Article
21. Baek SY. Effects of a feeding assistance education on care providers for elderly patients in a geriatric hospital [master’s thesis]. Busan: Busan University;2014. p. 1–98.
22. Park MS, Choi-Kwon S. The effects of oral care education on caregivers’ knowledge, attitude, & behavior toward oral hygiene for elderly residents in a nursing home. Journal of Korean Academy of Nursing. 2011; 41(5):684–693. https://doi.org/10.4040/jkan.2011.41.5.684.
23. Coleman P. Improving oral health care for the frail elderly: A review of widespread problems and best practices. Geriatric Nursing. 2002; 23(4):189–199. https://doi.org/10.1067/mgn.2002.126964.
Article
24. MacEntee MI, Wyatt CCL, Beattie BL, Paterson B, Levy-Milne R, McCandless L, et al. Provision of mouth-care in long-term care facilities: An educational trial. Community Dentistry and Oral Epidemiology. 2007; 35(1):25–34. https://doi.org/10.1111/j.1600-0528.2007.00318.x.
Article
25. Ajzen I, Fishbein M. Understanding attitudes and predicting social behavior. Englewood Cliffs (NJ): Prentice-Hall;1980. p. 1–278.
26. Hui J, Wenqin Y, Yan G. Family-paid caregivers in hospital health care in China. Journal of Nursing Management. 2013; 21(8):1026–1033. https://doi.org/10.1111/jonm.12017.
Article
27. Suominen MH, Kivisto SM, Pitkala KH. The effects of nutrition education on professionals’ practice and on the nutrition of aged residents in dementia wards. European Journal of Clinical Nutrition. 2007; 61(10):1226–1232. https://doi.org/10.1038/sj.ejcn.1602639.
Article
28. Inoue S, Zimmet P. The Asia-Pacific perspective: Redefining obesity and its treatment. International Obesity Task Force. Melbourne: Health Communications Australia;2000. Feb. Report No.: 0-9577082-1-1.
29. Lorefält B, Wilhelmsson S. A multifaceted intervention model can give a lasting improvement of older peoples’ nutritional status. Journal of Nutrition Health & Aging. 2012; 16(4):378–382. https://doi.org/10.1007/s12603-011-0362-4.
Article
Full Text Links
  • JKAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr