[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-427772-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-427772-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","staff-care-approaches-are-associated-with-mealtime-behaviors-in-older-adults-with-dementia","STAFF CARE APPROACHES ARE ASSOCIATED WITH MEALTIME BEHAVIORS IN OLDER ADULTS WITH DEMENTIA","","Staff mealtime caregiving supports nursing home residents with dementia, who often show reduced eating performance and challenging behaviors that disrupt engagement and food intake. This secondary analysis examined associations between staff care approaches and resident behaviors during mealtimes using 241 full-meal video recordings from the OPTIMAL study. Videos were coded with the CUED mealtime scheme for staff person-centered and task-centered care and resident cueing and engagement behaviors. Positive behaviors related to person-centered verbal care and dining environment modification, while challenging behaviors related to person-centered verbal care, task-centered nonverbal care, and dining environment modification, emphasizing anticipatory person-centered strategies.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & Report",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/staff-care-approaches-are-associated-with-mealtime-behaviors-in-older-adults-with-dementia/427772/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/staff-care-approaches-are-associated-with-mealtime-behaviors-in-older-adults-with-dementia/427772.png","ImageObject",300,407,{"name":42,"@type":43},"Maya Linwood","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-12","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What was the purpose of the study?","Question",{"text":63,"@type":64},"To examine how staff care approaches are associated with residents’ behaviors during mealtimes in older adults with dementia.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What data source and sample were used?",{"text":68,"@type":64},"A secondary analysis used 241 full-meal videos covering 17 residents with dementia and 54 direct care staff from the OPTIMAL study.",{"name":70,"@type":61,"acceptedAnswer":71},"Which staff strategies were linked to positive versus challenging behaviors?",{"text":72,"@type":64},"Positive mealtime behaviors were associated with person-centered verbal care and dining environment modification, while challenging behaviors were associated with person-centered verbal care, task-centered nonverbal care, and dining environment modification.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},427772,1790764962,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,105,110,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},7,"Healthcare",40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":112,"slug":113},8,30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":111,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":30},962084928432,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","864 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.2925  \nSTAFF CARE APPROACHES ARE ASSOCIATED WITH MEALTIME BEHAVIORS IN OLDER ADULTS WITH DEMENTIA  \nKyuri Lee1, and Wen Liu2, 1. The University of Iowa, Iowa City, Iowa, United States, 2. Penn State University, University Park, Pennsylvania, United States  \nStaff mealtime caregiving is essential to support nursing home residents with dementia, who often experience declines in eating performance and challenging behaviors that interfere with their engagement and food intake during mealtimes. This study examined the associations between staff care approaches and resident behaviors during mealtimes. This study is a secondary analysis of observational data from the OPTIMAL study that tested the impact of a person-centered mealtime care intervention in nursing home dementia care. The sample included 241 full-meal videos, capturing 17 residents with dementia (age 73.9±7.9 years; 88.2% male; 88.2% white, 41.2% married) and 54 direct care staff (age mean ± SD = 44.5±11.6 years; 93.3% female; 80.0% white; 15.8±12.3 years worked as a caregiver) . Videos were coded for staff person-centered and task-centered care approaches and resident mealtime behaviors using the refined Cue Utilization and Engagement in Dementia (CUED) mealtime video coding scheme. Resident positive mealtime behaviors were associated with staff person-centered verbal care (β = 0.18, p\u003C.001) and modification of the dining environment (β = 0.41, p=.045), controlling for resident demographic characteristics. Resident challenging mealtime behaviors were associated with staff person-centered verbal care (β = 0.12, p=.019), task-centered nonverbal care (β = 0.98, p\u003C.001), and modification of the dining environment (β = 0.85, p=.004) . Staff person-centered care may help promote resident positive behaviors. Minimizing task-centered care may improve resident mealtime challenging behaviors. The association between challenging behaviors, person-centered care, and environmental modifications suggests these strategies may often be reactive rather than proactive. Findings highlight the need for anticipatory care strategies to better support residents who experience mealtime challenges.","cbCaimuL0hhsX2gE","https://ap.wps.com/l/cbCaimuL0hhsX2gE","pdf",780089,"English","# Abstract\n## Study design and data\n## Coding approach and variables\n## Associations with positive behaviors\n## Associations with challenging behaviors\n## Implications for care strategies","[{\"question\":\"What was the purpose of the study?\",\"answer\":\"To examine how staff care approaches are associated with residents’ behaviors during mealtimes in older adults with dementia.\"},{\"question\":\"What data source and sample were used?\",\"answer\":\"A secondary analysis used 241 full-meal videos covering 17 residents with dementia and 54 direct care staff from the OPTIMAL study.\"},{\"question\":\"Which staff strategies were linked to positive versus challenging behaviors?\",\"answer\":\"Positive mealtime behaviors were associated with person-centered verbal care and dining environment modification, while challenging behaviors were associated with person-centered verbal care, task-centered nonverbal care, and dining environment modification.\"}]","STAFF CARE APPROACHES ARE ASSOCIATED WITH MEALTIME BEHAVIORS IN OLDER ADULTS WITH DEMENTIA | PDF",1790644781]