Measuring mealtime difficulties: Eating, feeding and meal behaviours in older adults with dementia

Journal of Clinical Nursing

Volumn 19, Issue 5-6, 2010, Pages 621-631

  Aselage, Melissa B ^a,b  

^a MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

^b UNIVERSITY OF NORTH CAROLINA WILMINGTON   (United States)

Author keywords

Dementia; Eating behaviour; Feeding behaviour; Instruments; Mealtime difficulties; Measurement

Indexed keywords

DEMENTIA; EATING; HUMAN; PATHOPHYSIOLOGY; REVIEW;

DEMENTIA; EATING; HUMANS;

EID: 77955751446     PISSN: 09621067     EISSN: 13652702     Source Type: Journal    
DOI: 10.1111/j.1365-2702.2009.03129.x     Document Type: Review

References (41)

1. Alzheimer's Disease Facts and Figures [Electronic Version]. 2009, http://www.alz.org/national/documents/report_alzfactsfigures2009.pdf, Alzhiemer's Association, Alzheimer's & Dementia, 5. Retrieved June 1, 2009 from
2. Amella EJ. Resistance at mealtimes for persons with dementia. The Journal of Nutrition, Health & Aging 2002, 6:117-122.
3. Amella EJ. Feeding and hydration issues for older adults with dementia. Nursing Clinics of North America 2004, 39:607-623.
4. Amella EJ. Mealtime difficulties. Evidence-Based Geriatric Nursing Protocols for Best Practice 2008, 337-351. Capezuti EZwicker DMezey MFulmer TGray-Miceli DKluger M. In, 3rd edn, eds, Springer Publishing Company, LLC, New York, pp
5. Amella EJ, Lawrence JF. Try this. Eating and feeding issues in older adults with dementia: part I: assessment [Electronic Version]. 2007a, http://consultgerirn.org/uploads/File/trythis/issue11_1.pdf, Retrieved September 30, 2008 from
6. Amella EJ, Lawrence JF. Eating and feeding issues in older adults with dementia: Part II: interventions [Electronic Version]. 2007b, http://consultgerirn.org/uploads/File/trythis/issue11_2.pdf, Retrieved September 30, 2008 from
7. Amella EJ, Grant AP, Mulloy C. Eating behavior in persons with moderate to late-stage dementia: assessment and interventions. Journal of the American Psychiatric Nurses Association 2007, 13:360-367.
8. Aselage M, Amella EJ. An evolutionary analysis of mealtime difficulties in older adults with dementia. Journal of Clinical Nursing 2009
9. Berkhout AM, Cools JM, van Houwelingen HC. The relationship between difficulties in feeding oneself and the loss of weight in nursing-home patients with dementia. Age and Ageing 1998, 27:637-641.
10. Brush JA, Meehan RA, Calkins MP. Using the environment to improve intake for people with dementia. Alzheimer's Care Quarterly 2002, 330-339. Fall
11. Chang C, Lin L. Effects of feeding skills training programme on nursing assistants and dementia patients. Journal of Clinical Nursing 2005, 14:1185-1192.
12. Chang C, Roberts BL. Cultural perspectives in feeding difficulty in Taiwanese elderly with dementia. Journal of Nursing Scholarship 2008, 40:235-240.
13. Cleary S. Current approaches to managing feeding and swallowing disorders for residents with dementia. Canadian Nursing Home 2007, 18:11-16.
14. Coyne ML, Hoskins L. Improving eating behaviors in dementia using behavioral strategies. Clincial Nursing Research 1997, 6:275-290.
15. Durnbaugh T, Haley B, Roberts S. Assessing problem feeding behaviors in mid-stage Alzhiemer's disease. Geriatric Nursing 1996, 17:63-67.
16. DiLorio CK. Measurement in Health Behavior: Methods for Research and Evaluation 2005, Jossey-Bass, San Francisco, CA
17. Farrell MK. Using functional assessment and screening tools with frail older adults. Topics in Geriatric Rehabilitation 2004, 20:14-20.
18. Ferri C, Prince M, Brayne C, Brodaty H, Fratiglioni L, Ganguli M, Hall K, Hasegawa K, Hendrie H, Huang Y, Jorm A, Mathers C, Menezes P, Rimmer E, Scazufca M. Global prevalence of dementia: a delphi consensus study. Lancet 2005, 366:2112-2217.
19. Harris DG, Davies C, Wardt H, Haboubi NY. An observational study of screening for malnutrition in elderly people living in sheltered accommodation. Journal of Human Nutrition and Dietetics 2007, 21:3-9.
20. Katz S, AB F, Moskowitz RW, Jackson B, Jaffe M. The index of ADL: a standardized measure of biological and psychosocial function. Journal of the American Medical Society 1963, 185:914-919.
21. Keller H, Gibbs-Ward A, Randall-Simpson J, Bocock M, Dimon E. Meal rounds: an essential aspect of quality nutrition services in long-term care. JAMA 2006, 7:40-45.
22. Keller H, Edward G, Cook C. Mealtime experiences of families with dementia. American Journal of Alzheimer's Disease and Other Dementias 2007, 21:431-438.
23. Lambert HC, Gisel EG, Groher ME, Wood-Dauphinee S. McGill ingestive skills assessment (MISA): development and first field test of an evaluation of functional ingestive skills of elderly persons. Dysphagia 2003, 18:101-113.
24. Lambert HC, Gisel EG, Groher ME, Abrahamowicz M, Wood-Dauphinee S. Psychometric testing of the mcgill ingestive skills assessment. American Journal of Occupational Therapy 2006, 60:409-419.
25. LeClerc CM, Wells DL, Sidani S, Dawson P, Fay J. A feeding abilities assessment for persons with dementia. Alzheimer's Care Quarterly 2004, 5:123-133.
26. Lin L, Watson R, Lee Y, Chou Y, Wu S. Edinburgh feeding evaluation in dementia (EdFED-Q) scale: cross-cultural validation of the Chinese version. Journal American Nurse Research Methodology 2008, 62:116-123.
27. Martin CT, Kayser-Jones J, Stotts NA, Porter C, Froelicher ES. Risk for low weight in community-dwelling older adults. Clinical Nurse Specialist 2007, 21:203-212.
28. Phillips LR, Van Ort S. Measurement of mealtime interactions among persons with dementing disorders. Journal of Nursing Measurement 1993, 1:41-55.
29. Reed PS, Zimmerman S, Sloane P, Williams CS, Boustani M. Characteristics associated with low food and fluid intake in long-term care residents with dementia. The Gerontologist 2005, 45:74-80.
30. Riviere S, Gillette-Guyonnet S, Andrieu S, Nourhashemi F, Lauque S, Cantet C, Salva A, Frisoni G, Vellas B. Cognitive function and caregiver burden: predictive factors for eating behavior disorders in Alzhiemer's disease. International Journal of Geriatric Psychiatry 2002, 17:950-955.
31. Scott TM, Peter I, Tucker KL, Arsenault L, Bergethon P, Bhadelia R, Buell J, Collins L, Dashe JF, Griffith J, Hibberd P, Leins D, Liu T, Ordovas JM, Patz S, Price LL, Qiu WQ, Sarnak M, Selhub J, Smaldone L, Wagner C, Wang L, Weiner D, Yee J, Rosenburg I, Folstein M. The Nutrition, aging, and memory in elders (NAME) study: design and methods for a study of micronutrients and cognitive function in a homebound elderly population. International Journal of Geriatric Psychiatry 2006, 21:519-528.
32. Simpson JA, Weiner ES. The Oxford English Dictionary 1989, eds, 2nd edn, Vol. IX, Clarendon Press, Oxford
33. Stockdell R, Amella EJ. The Edinburgh feeding evaluation in dementia scale: determining how much help people with dementia need at mealtime. American Journal of Nursing 2008, 108:46-54.
34. Waltz CF, Strickland OL, Lenz ER. Measurement in Nursing and Health Research 2005, 3rd edn, Springer Publishing Company, Inc, New York, NY
35. Watson R. Measuring feeding difficulties in patients with dementia: perspectives and problems. Journal of Advanced Nursing 1993, 18:25-31.
36. Watson R. The Mokken scaling procedure (MSP) applied to the measurement of feeding difficulty in elderly people with dementia. International Journal of Nursing Studies 1996, 33:385-393.
37. Watson R. Construct validity of a scale to measure feeding difficulty in elderly patients with dementia. Clinical Effectiveness in Nursing 1997, 1:114-115.
38. Watson R, Deary IJ. Feeding difficulty in elderly patients with dementia: confirmatory factor analysis. International Journal of Nursing Studies 1997, 34:405-414.
39. Watson R, Green SM. Feeding and dementia: a systematic literature review. Journal of Advanced Nursing 2006, 54:86-93.
40. Watson R, Green SM, Legg L. The edinburgh feeding evaluation in dementia scale #2: convergent and discriminant validity. Clinical Effectiveness in Nursing 2001a, 5:44-46.
41. Watson R, MacDonald J, McReady T. The edinburgh feeding evaluation in dementia scale #2: inter- and intra-rater reliability. Clinical Effectiveness in Nursing 2001b, 5:184-186.