Heather H Keller1, Habib Chaudhury2, Kaylen J Pfisterer1,3, Susan E Slaughter4. 1. Schlegel-University of Waterloo Research Institute for Aging, University of Waterloo. 2. Department of Gerontology, Simon Fraser University. 3. Applied Health Sciences, University of Waterloo. 4. Faculty of Nursing, University of Alberta.
Abstract
Background and Objectives: Poor food intake is common in long-term care (LTC). The mealtime experience has been identified as influential, yet, research has been limited by lack of quality, standardized measures. The purpose of this study was to develop and test for inter-rater reliability the Mealtime Scan (MTS), an observational measure. Research Design and Methods: MTS was derived from the literature on ambiance, mealtime experience, social interactions at mealtimes, and social models of care. Three scales on person-centered care and physical and social environments are used to summarize key aspects observed with MTS. Two raters assessed MTS for reliability at 30 different meals conducted in 10 dining rooms, within three LTC residences. Intraclass correlation coefficient (ICC) was used to assess reliability. Results: MTS demonstrated good to excellent reliability on the three summative scales (physical ICC = 0.73, social ICC = 0.81, person-centered care ICC = 0.83) and other scalable items had good to excellent reliability (e.g., background noise ICC = 0.65, Mealtime Relational Care checklist: negative interactions ICC = 0.85). Discussion and Implications: MTS is reliable and face valid for assessing mealtime experience. Future work will explore construct validity of this measure. MTS can be used to support improving the mealtime experience for residents living in LTC.
Background and Objectives: Poor food intake is common in long-term care (LTC). The mealtime experience has been identified as influential, yet, research has been limited by lack of quality, standardized measures. The purpose of this study was to develop and test for inter-rater reliability the Mealtime Scan (MTS), an observational measure. Research Design and Methods: MTS was derived from the literature on ambiance, mealtime experience, social interactions at mealtimes, and social models of care. Three scales on person-centered care and physical and social environments are used to summarize key aspects observed with MTS. Two raters assessed MTS for reliability at 30 different meals conducted in 10 dining rooms, within three LTC residences. Intraclass correlation coefficient (ICC) was used to assess reliability. Results: MTS demonstrated good to excellent reliability on the three summative scales (physical ICC = 0.73, social ICC = 0.81, person-centered care ICC = 0.83) and other scalable items had good to excellent reliability (e.g., background noise ICC = 0.65, Mealtime Relational Care checklist: negative interactions ICC = 0.85). Discussion and Implications: MTS is reliable and face valid for assessing mealtime experience. Future work will explore construct validity of this measure. MTS can be used to support improving the mealtime experience for residents living in LTC.
Authors: Heather Keller; Natalie Carrier; Lisa Duizer; Christina Lengyel; Susan Slaughter; Catriona Steele Journal: J Am Med Dir Assoc Date: 2014-03 Impact factor: 4.669
Authors: Elaheh Aghdassi; Margaret McArthur; Barbara Liu; Alison McGeer; Andrew Simor; Johane P Allard Journal: Rejuvenation Res Date: 2007-09 Impact factor: 4.663
Authors: Heather H Keller; Natalie Carrier; Susan Slaughter; Christina Lengyel; Catriona M Steele; Lisa Duizer; K Steve Brown; Habib Chaudhury; Minn N Yoon; Alison M Duncan; Veronique M Boscart; George Heckman; Lita Villalon Journal: BMC Geriatr Date: 2017-01-13 Impact factor: 3.921