{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T08:50:09Z","timestamp":1768207809092,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"19-20","license":[{"start":{"date-parts":[[2017,4,25]],"date-time":"2017-04-25T00:00:00Z","timestamp":1493078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To investigate the effectiveness of spaced retrieval for improving hyperphagia in patients with dementia in residential care settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Although 10\u201330% of patients with dementia have hyperphagia, most studies have focused on eating difficulties. Only a few studies have focused on hyperphagia. Various memory problems cause hyperphagia in patients with dementia. Spaced retrieval, a cognitive technique for information learning, can be used as a training method to improve memory loss. Recent studies showed that patients who received the training successfully memorised information learned in the training and correctly applied it to their daily lives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Single\u2010blind experiments were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The 97 subjects with dementia were recruited from seven institutions. All research participants were stratified into three groups according to cognitive impairment severity and Hyperphagic Behavior Scale scores and then randomly assigned to the experimental and control groups. The experimental group received a six\u2010week one\u2010by\u2010one spaced retrieval training for hyperphagia behaviour. The control group received routine care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After the intervention, the frequency and severity of hyperphagia in the patients with dementia, and food intake were significantly lower in the experimental group than in the control group. However, body mass index did not significantly differ.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results suggest that the spaced retrieval training could decrease the frequency and severity of hyperphagia in patients with dementia. The content of this training programme is consistent with the normal manner of eating in daily life and is easy for patients to understand and perform. Therefore, it can be applied in residents\u2019 daily lives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>This study confirms the efficacy of the spaced retrieval training protocol for hyperphagia in patients with dementia. In future studies, the follow\u2010up duration can be increased to determine the long\u2010term effectiveness of the intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13671","type":"journal-article","created":{"date-parts":[[2016,11,23]],"date-time":"2016-11-23T03:36:49Z","timestamp":1479872209000},"page":"3224-3231","source":"Crossref","is-referenced-by-count":10,"title":["The effects of spaced retrieval training in improving hyperphagia of people living with dementia in residential settings"],"prefix":"10.1111","volume":"26","author":[{"given":"Chia\u2010Ning","family":"Hsu","sequence":"first","affiliation":[{"name":"Nursing Department National Cheng Kung University Hospital Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010Chan","family":"Lin","sequence":"additional","affiliation":[{"name":"Institute of Clinical Nursing National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiao\u2010Chi","family":"Wu","sequence":"additional","affiliation":[{"name":"Institute of Health and Welfare National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,4,25]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"113","article-title":"Nutritional risk factors for institutional placement in Alzheimer's disease after one year follow\u2010up","volume":"5","author":"Andrieu S","year":"2001","journal-title":"The Journal of Nutrition Health and Aging"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1176\/jnp.2008.20.2.248","article-title":"Marked hyperphagia associated with total loss of satiety in Alzheimer's disease","volume":"20","author":"Bhagavati S","year":"2008","journal-title":"The Journal of Neuropsychiatry & Clinical Neurosciences"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9924(03)00051-0"},{"key":"e_1_2_10_5_1","volume-title":"A Therapy Technique for Improving Memory: Spaced Retrieval","author":"Brush JA","year":"1998"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610213001233"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1166(199705)12:5<559::AID-GPS550>3.0.CO;2-W"},{"key":"e_1_2_10_8_1","unstructured":"Executive Yuan Department of Health and Welfare(2013)Adult Health Postural Standard. 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