Show simple item record

dc.contributor.authorBunn, Diane K
dc.contributor.authorAbdelhamid, Asmaa
dc.contributor.authorCopley, Maddie
dc.contributor.authorCowap, Vicky
dc.contributor.authorDickinson, Angela
dc.contributor.authorHowe, Amanda
dc.contributor.authorKillett, Anne
dc.contributor.authorPoland, Fiona
dc.contributor.authorPotter, John F
dc.contributor.authorRichardson, Kate
dc.contributor.authorSmithard, David
dc.contributor.authorFox, Chris
dc.contributor.authorHooper, Lee
dc.date.accessioned2016-11-07T17:06:16Z
dc.date.available2016-11-07T17:06:16Z
dc.date.issued2016-05-04
dc.identifier.citationBunn , D K , Abdelhamid , A , Copley , M , Cowap , V , Dickinson , A , Howe , A , Killett , A , Poland , F , Potter , J F , Richardson , K , Smithard , D , Fox , C & Hooper , L 2016 , ' Effectiveness of interventions to indirectly support food and drink intake in people with dementia : Eating and Drinking Well IN dementiA (EDWINA) systematic review ' , BMC Geriatrics , vol. 16 , no. 1 , pp. 89 . https://doi.org/10.1186/s12877-016-0256-8
dc.identifier.issn1471-2318
dc.identifier.otherPURE: 10148780
dc.identifier.otherPURE UUID: c17cd008-2829-42c8-a6d1-4b6f9498652e
dc.identifier.otherPubMed: 27142469
dc.identifier.otherScopus: 84979071562
dc.identifier.otherORCID: /0000-0001-7681-2732/work/62749221
dc.identifier.urihttp://hdl.handle.net/2299/17297
dc.description© 2016 Bunn et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.description.abstractBACKGROUND: 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. TRIAL REGISTRATION: The systematic review protocol was registered (CRD42014007611) and is published, with the full MEDLINE search strategy, on Prospero (http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014007611).en
dc.language.isoeng
dc.relation.ispartofBMC Geriatrics
dc.rightsOpen
dc.subjectdementia
dc.subjectaged
dc.subjecteating
dc.subjectdrinking
dc.subjectmeta-analysis
dc.subjectdiet
dc.subjectmalnutrition
dc.subjectdehydration
dc.titleEffectiveness of interventions to indirectly support food and drink intake in people with dementia : Eating and Drinking Well IN dementiA (EDWINA) systematic reviewen
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionNursing, Midwifery and Social Work
dc.contributor.institutionOlder People's Health and Complex Conditions
dc.contributor.institutionPublic Health and Communities
dc.contributor.institutionWeight and Obesity Research Group
dc.contributor.institutionCommunities, Young People and Family Lives
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Published version
dcterms.dateAccepted2016-05-04
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1186/s12877-016-0256-8
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeOpen


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record