Journal of Alzheimer's Disease xx (2023)x-xxD0I10.32331AD-230079IOS PressSystematic ReviewNon-Pharmacological Interventions forFeeding and Eating Disorders in Personswith Dementia:Systematic Review andEvidence SummaryHong-Li Chen.,Cheng Li.,Jing Wang",Yang Fei,Min Minb,Yue Zhao,En-Fang Shan",Yue-Heng Yin",Chong-Yuan Liue.*and Xian-Wen Lia.*a School of Nursing,Nanjing Medical University,Nanjing,PR ChinabLandsea Long-term Care Facility,Nanjing,PR ChinaCenter of Clinical Reproductive Medicine,the First Affiliated Hospital of Nanjing Medical University,Nanjing,培PR China八12Accepted 26 April 2023Pre-press 18 May 2023Abstract.Background:Feeding and eating disorders related to cognitive and psycho-behavioral symptoms are strongly associatedwith health status in persons with dementia (PWD).Non-pharmacological interventions have been the priority selection to17address this significant issue.However,the direct targets of non-pharmacological interventions are unclear and there is no18consistent evidence of recommendations on the intervention of different dementia stages and the settings of intervention19practice.20Objective:To provide caregivers with a set of self-help non-pharmacological interventions for feeding and eating disordersin PWD.Methods:Based on the process of evidence summary,a systematic literature search was performed on dementia websites23and seven databases.Two researchers screened the studies independently and appraise the quality.The evidence was graded24by Joanna Briggs Institute Grades of Recommendation.名Results:Twenty-eight articles were included.Twenty-three non-pharmacological intervention recommendations were cat-26egorized into six themes containing oral nutritional supplementation,assistance with eating and drinking,person-centeredmealtime care,environmental modification,education or training,and multi-component intervention.These interventions28corresponded to three direct targets including improving engagement,making up for loss ability,and increasing food intakedirectly.They were applied to different stages of dementia and most interventions were targeted at PWD in long-term care29institutions.30IThese authors contributed equally to this work.*Correspondence to:Xian-Wen Li,Associate Professor ofxwli0201@njmu.edu.cnb.and Chong-Yuan Liu,Nurse Supervi-Nursing.School of Nursing.Nanjing Medical University,sor,Center of Clinical Reproductive Medicine,the First Affiliated#101 Longmian Dadao,Jiangning District,Nanjing,JiangsuHospital of Nanjing Medical University,Nanjing.PR China.Province,211166,PR China.Tel.:13770512501;E-mail:E-mail:xueke0771@163.com.ISSN 1387-2877/$35.00 2023-IOS Press.All rights reserved.
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