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Feasibility of implementing a web-based dementia feeding skills training module for nursing home staff.

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  • Author(s): Aselage, Melissa Batchelor
  • Source:
    Medical University of South Carolina 2011; Ph.D. 155 p-155 p. (1p)
  • Publication Type:
    Doctoral Dissertation - research, randomized controlled trial
  • Language:
    English
  • Additional Information
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: For an event that occurs three times daily and offers the most opportunity for socialization, mealtimes warrant careful hand feeding implementation by NH staff. PWD may exhibit aversive feeding behaviors that are misinterpreted. This vital misinterpretation can lead to malnutrition in the PWD and increase the risk of mortality.Objective: The goal of this two-month study was to test clinical feasibility and collect pilot data for an intervention to train nursing home (NH) staff via a web-based dementia feeding skills training module with group coaching. The goal of training was to alleviate mealtime difficulties in persons with dementia (PWD) who require mealtime assistance.Methods: Two southeastern US nursing homes were randomized by cluster for implementation of the training module. Pre- and post-tests assessed NH staff knowledge and self-efficacy via web-based module. Meal observations assessed staff feeding skills and PWD behaviors during meal times at baseline, 2 and 8 weeks.Results: Baseline knowledge and self-efficacy scores were similar for both groups. Post-intervention, these scores showed a significant improvement within the intervention group. Feeding skill behaviors trended toward improvement for both groups. Despite increased aversive feeding behaviors in the intervention PWDs, more time was spent feeding and the food intake for the PWDs increased. In the control, aversive feeding behaviors also increased but less time was spent feeding and food intake decreased.Discussion & Conclusions: NH staff increased knowledge and self-efficacy after training. While feeding skill behaviors did not change in either group, with NH staff training, the intervention PWDs were given more time to eat and consumed more food; despite an increase in aversive feeding behaviors. The opposite occurred in the control group. This finding has the potential to negatively impact the morbidity and mortality in this vulnerable population that requires careful hand-feeding. Continued work is needed to test and implement the current clinical practice guidelines in the nursing home setting.Keywords: feeding, dementia, nursing home, training, recruitment, mealtime difficulties
    • ISBN:
      9781267016102
    • Accession Number:
      UMI Order AAI3485013
    • Publication Date:
      20130621
    • Publication Date:
      20150923
    • Accession Number:
      109858044
  • Citations
    • ABNT:
      ASELAGE, M. B. Feasibility of implementing a web-based dementia feeding skills training module for nursing home staff. 2011. Ph.D. - Medical University of South Carolina, [s. l.], 2011. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109858044. Acesso em: 24 set. 2020.
    • AMA:
      Aselage MB. Feasibility of implementing a web-based dementia feeding skills training module for nursing home staff. Feasibility of Implementing a Web-based Dementia Feeding Skills Training Module for Nursing Home Staff. January 2011:155 p. Accessed September 24, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109858044
    • APA:
      Aselage, M. B. (2011). Feasibility of implementing a web-based dementia feeding skills training module for nursing home staff [Ph.D., Medical University of South Carolina]. In Feasibility of Implementing a Web-based Dementia Feeding Skills Training Module for Nursing Home Staff (p. 155 p).
    • Chicago/Turabian: Author-Date:
      Aselage, Melissa Batchelor. 2011. “Feasibility of Implementing a Web-Based Dementia Feeding Skills Training Module for Nursing Home Staff.” Feasibility of Implementing a Web-Based Dementia Feeding Skills Training Module for Nursing Home Staff. Ph.D., Medical University of South Carolina. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109858044.
    • Harvard:
      Aselage, M. B. (2011) Feasibility of implementing a web-based dementia feeding skills training module for nursing home staff, Feasibility of Implementing a Web-based Dementia Feeding Skills Training Module for Nursing Home Staff. Ph.D. Medical University of South Carolina. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109858044 (Accessed: 24 September 2020).
    • Harvard: Australian:
      Aselage, MB 2011, ‘Feasibility of implementing a web-based dementia feeding skills training module for nursing home staff’, Ph.D. thesis, Medical University of South Carolina, Feasibility of Implementing a Web-based Dementia Feeding Skills Training Module for Nursing Home Staff, p. 155 p, viewed 24 September 2020, .
    • MLA:
      Aselage, Melissa Batchelor. “Feasibility of Implementing a Web-Based Dementia Feeding Skills Training Module for Nursing Home Staff.” Feasibility of Implementing a Web-Based Dementia Feeding Skills Training Module for Nursing Home Staff, Medical University of South Carolina, Jan. 2011, p. 155 p. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109858044.
    • Chicago/Turabian: Humanities:
      Aselage, Melissa Batchelor. “Feasibility of Implementing a Web-Based Dementia Feeding Skills Training Module for Nursing Home Staff.” Feasibility of Implementing a Web-Based Dementia Feeding Skills Training Module for Nursing Home Staff. Ph.D., Medical University of South Carolina, 2011. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109858044.
    • Vancouver/ICMJE:
      Aselage MB. Feasibility of implementing a web-based dementia feeding skills training module for nursing home staff [Internet] [Ph.D.]. Feasibility of Implementing a Web-based Dementia Feeding Skills Training Module for Nursing Home Staff. Medical University of South Carolina; 2011 [cited 2020 Sep 24]. p. 155 p. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109858044