biostudies-literatureBatchelor-Murphy MKNational Center for Gerontological Nursing Excellence Claire M. Fagin FellowNIA NIH HHSNational Institute of Nursing ResearchNINR NIH HHSDuke University School of Nursing (DUSON)DUSON Center for Nursing ResearchNational Institute on AgingRobert Wood Johnson Foundatione89-e94https://www.ebi.ac.uk/biostudies/studies/S-EPMC5397360biostudies-literatureUnknown65(4)<h4>Background</h4>Nursing home (NH) residents who require assistance during mealtimes are at risk for malnutrition. Supportive handfeeding is recommended, yet there is limited evidence supporting use of a specific handfeeding technique to increase meal intake.<h4>Objectives</h4>To compare efficacy of three handfeeding techniques for assisting NH residents with dementia with meals: Direct Hand (DH), Over Hand (OH), and Under Hand (UH).<h4>Design</h4>A prospective pilot study using a within-subjects experimental Latin square design with randomization to one of three handfeeding technique sequences.<h4>Setting and participants</h4>30 residents living with advanced dementia in 11 U.S. NHs.<h4>Measurements</h4>Time required for assistance; meal intake (% eaten); and feeding behaviors, measuredJournal of the American Geriatrics SocietyExperimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia.PMC5397360K24 AG049077K24 AG049077-01A112-2012P30AG028716-06P30NR014139P30 AG028716P30 NR014139Bales CWBatchelor-Murphy MKAmella EJBeck CColon-Emeric CSAnderson RABarnes AMcConnell ESSilva SfalseExperimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia.<h4>Background</h4>Nursing home (NH) residents who require assistance during mealtimes are at risk for malnutrition. Supportive handfeeding is recommended, yet there is limited evidence supporting use of a specific handfeeding technique to increase meal intake.<h4>Objectives</h4>To compare efficacy of three handfeeding techniques for assisting NH residents with dementia with meals: Direct Hand (DH), Over Hand (OH), and Under Hand (UH).<h4>Design</h4>A prospective pilot study using a within-subjects experimental Latin square design with randomization to one of three handfeeding technique sequences.<h4>Setting and participants</h4>30 residents living with advanced dementia in 11 U.S. NHs.<h4>Measurements</h4>Time required for assistance; meal intake (% eaten); and feeding behaviors, measured2017-01-01T00:00:00Z2017 Apr2025-04-05T15:17:45.917Z2019-06-06T17:20:44ZS-EPMC53973602816561810.1111/jgs.14728