P-30: Making the Most of Mealtimes (M3): Differences in person-centered care (PCC) delivery during mealtime eating assistance among residents living in long-term care facilities located across Canada
Sarah Wu*, Susan Slaughter, Jill Morrison & Heather Keller
University of Waterloo
Introduction: PCC can improve the mealtime experience for residents, yet practices specific to mealtimes are poorly understood. The Meal Time Scan (MTS) is a face valid and reliable instrument for assessing these interactions.
Objectives: It was hypothesized that residents who require eating assistance would receive fewer positive mealtime interactions and care practices than those who do not require assistance.
Methods: M3 is a cross-sectional study based in 32 long-term care homes across AB, MB, ON and NB. Mealtime practices were observed by one of eight trained assessors for 637 randomly selected residents at three meals on non-consecutive days. Observation ratings were averaged across the three meals. An Edingburgh Feeding Evaluation in Dementia Questionnaire item determined if assistance was required ("never/rarely", "sometimes", "often"). A summary score from MTS was calculated based on the ratio of positive to negative mealtime specific interactions, with higher scores indicating more positive interactions. ANOVA determined if frequency of physical eating assistance a resident received was associated with the ratio of positive-to-negative PCC interactions.
Results: Almost one-quarter (23%) of residents required some level of assistance (11% sometimes; 12% often). Frequency of eating assistance was negatively associated with the ratio of positive to negative mealtime interactions [F(2, 632)=34.72, p=< 0.001; never/rarely=2.3, sometimes= 1.6, often=1.5].
Conclusions: Residents requiring more physical eating assistance received fewer positive interactions with staff compared to those requiring no assistance. Further work will examine the independence of this association and if it influences food intake. (Funding from Canadian Institutes of Health Research)