Journal article
Mealtime nonverbal behaviors in nursing home staff and residents with dementia: Behavioral analyses of videotaped observations
Geriatric nursing (New York), Vol.44, pp.112-124
03/01/2022
DOI: 10.1016/j.gerinurse.2022.01.009
PMCID: PMC8995379
PMID: 35131660
Abstract
•The refined Cue Utilization and Engagement in Dementia (CUED) Mealtime Video-Coding Scheme was used to code both staff person-centered and task-centered care approaches as well as resident positive and challenging behaviors during mealtime care interactions using 110 video-taped observations.•Residents primarily exhibited challenging behaviors including resistive behaviors (35.7%), chewing/swallowing difficulties (33.5%), and functional impairments (9.9%), followed by positive/neutral behaviors (20.9%).•Staff primarily used person-centered behavioral strategies, including modifications of resident abilities (41.9%), care approaches (35.1%), and dining environment (13.6%), followed by task-centered behaviors (9.3%).•Mealtime dyadic nonverbal interactions were dynamic, inter-related, and correlated with multiple individual characteristics.
This study characterized mealtime nonverbal behaviors of nursing home staff and residents with dementia and examined the relationships between individual characteristics and nonverbal behaviors. Videotaped observations (N=110) involving 25 residents and 29 staff (42 unique staff-resident dyads) in 9 nursing homes were coded using the refined Cue Utilization and Engagement in Dementia Mealtime Video-Coding Scheme. Wilcoxon rank-sum test or Kruskal-Wallis test were used for continuous characteristics, and Fisher's exact test for categorical characteristics. Residents primarily exhibited challenging behaviors including resistive behaviors (35.7%), chewing/swallowing difficulties (33.5%), and functional impairments (9.9%), followed by positive/neutral behaviors (20.9%). Staff primarily used person-centered behavioral strategies, including modifications of: 1) resident abilities (41.9%), 2) care approaches (35.1%), and 3) dining environment (13.6%), followed by task-centered behaviors (9.3%). Residents challenging behaviors were correlated with staff person-centered behavioral strategies. Dyadic nonverbal behaviors were correlated with multiple individual characteristics. Understanding dyadic nonverbal interactions facilitates use of person-centered, multilevel, behavioral strategies to optimize mealtime outcomes.
Details
- Title: Subtitle
- Mealtime nonverbal behaviors in nursing home staff and residents with dementia: Behavioral analyses of videotaped observations
- Creators
- Wen Liu - The University of Iowa College of Nursing, Iowa City, IA, United StatesYelena Perkhounkova - University of IowaKristine Williams - University of KansasMelissa Batchelor - George Washington UniversityMaria Hein - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Geriatric nursing (New York), Vol.44, pp.112-124
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.gerinurse.2022.01.009
- PMID
- 35131660
- PMCID
- PMC8995379
- ISSN
- 0197-4572
- eISSN
- 1528-3984
- Language
- English
- Date published
- 03/01/2022
- Academic Unit
- Nursing
- Record Identifier
- 9984370744802771
Metrics
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