{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T18:34:14Z","timestamp":1773167654136,"version":"3.50.1"},"reference-count":20,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T00:00:00Z","timestamp":1731369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Aramark"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Inadequate fluid intake is prevalent among older adults living in care settings and can lead to dehydration-related events such as falls and hospitalization. Staff knowledge and confidence using diverse strategies is needed to provide adequate hydration to residents. PROMOTE is a multicomponent intervention designed to support staff to increase resident fluid intake between meals. This study evaluated the educational components of PROMOTE. Methods: Participants (n = 87) working in long-term care or retirement homes completed an online pre-\/post-test evaluation of a 7 min educational video. Key informant participants (n = 13) reviewed all educational materials, evaluated their usefulness and feasibility, and were interviewed to identify how to improve the materials. Results: The educational video improved knowledge (e.g., self-rating of knowledge pre-test median 8, standard error of the mean (SEM) 0.18; post-test median 9, SEM 0.13) and confidence. Participants intended to use PROMOTE strategies in their work with residents (1 [very likely] to 10 [very unlikely] median 2.0 SEM 0.27). Key informants rated the hydration of residents as an organizational priority (median 9.0 SEM 0.42) and all indicated that they would use the educational video in their future training. Less feasible educational components as rated by key informants included huddle discussions and email pushes. Posters were seen as feasible (54%) but only somewhat useful (77%). Conclusions: Brief educational videos can improve staff knowledge and confidence regarding providing adequate hydration to residents. Having several educational components that can be used with this video was viewed positively. Recommendations were made to improve the materials.<\/jats:p>","DOI":"10.3390\/nu16223861","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T09:36:51Z","timestamp":1731404211000},"page":"3861","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of the Staff Educational Components of the PROMOTE Program to Improve Resident Hydration"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7782-8103","authenticated-orcid":false,"given":"Heather H.","family":"Keller","sequence":"first","affiliation":[{"name":"Kinesiology and Health Sciences, University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raksha","family":"Aravind","sequence":"additional","affiliation":[{"name":"Kinesiology and Health Sciences, University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9092-712X","authenticated-orcid":false,"given":"Kristina","family":"Devlin","sequence":"additional","affiliation":[{"name":"Kinesiology and Health Sciences, University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Safura","family":"Syed","sequence":"additional","affiliation":[{"name":"Kinesiology and Health Sciences, University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0699-0610","authenticated-orcid":false,"given":"Sophia","family":"Werden Abrams","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science, McMaster University, 1280 Main St W, Hamilton, ON HSC 3H9, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Lengyel","sequence":"additional","affiliation":[{"name":"Department of Food and Human Nutritional Sciences, University of Manitoba, 35 Chancellors Circle, Winnipeg, MB R3T 2N2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1949-793X","authenticated-orcid":false,"given":"Minn N.","family":"Yoon","sequence":"additional","affiliation":[{"name":"Mike Petryk School of Dentistry, University of Alberta, 5-575 Edmonton Clinic Health Academy, 11405-87 Avenue NW, Edmonton, AB T6G 1C9, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9473-8844","authenticated-orcid":false,"given":"Ashwini","family":"Namasivayam-MacDonald","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science, McMaster University, 1280 Main St W, Hamilton, ON HSC 3H9, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6482-5632","authenticated-orcid":false,"given":"Susan E.","family":"Slaughter","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, University of Alberta, 11405-87 Ave, Edmonton, AB T6G 1C9, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5244-5330","authenticated-orcid":false,"given":"Phyllis","family":"Gaspar","sequence":"additional","affiliation":[{"name":"Independent Consultant, 27020 Rolling Thunder Lane, Sioux Falls, SD 57108, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1491-7384","authenticated-orcid":false,"given":"Wen","family":"Liu","sequence":"additional","affiliation":[{"name":"College of Nursing, The University of Iowa, 50 Newton Road, Iowa City, IA 52317, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"260","DOI":"10.3928\/19404921-20171013-03","article-title":"Dehydration of older patients in institutional care and the home environment","volume":"10","author":"Lesnik","year":"2017","journal-title":"Res. Gerontol. Nurs."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1177\/0141076814566260","article-title":"Are patients admitted to hospitals from care homes dehydrated? A retrospective analysis of hypernatraemia and in-hospital mortality","volume":"108","author":"Wolff","year":"2015","journal-title":"J. R. Soc. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1093\/geront\/45.suppl_1.74","article-title":"Characteristics associated with low food and fluid intake in long-term care residents with dementia","volume":"45","author":"Reed","year":"2005","journal-title":"Gerontologist"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"S22","DOI":"10.1111\/j.1753-4887.2005.tb00151.x","article-title":"Strategies for ensuring good hydration in the elderly","volume":"63","author":"Ferry","year":"2005","journal-title":"Nutr. Rev."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.ijnurstu.2018.03.020","article-title":"Risk factors associated with dehydration in older people living in nursing homes: Scoping review","volume":"82","author":"Masot","year":"2018","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.jamda.2018.08.011","article-title":"Prevalence and risk factors associated with low fluid intake in institutionalized older residents","volume":"20","author":"Masot","year":"2019","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_7","unstructured":"Institute of Medicine (2005). Dietary Reference Intakes for Electrolytes and Water. Dietary Reference Intakes for Water, Potassium, Sodium, Chloride and Sulfate, National Academies Press."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.jamda.2014.10.016","article-title":"Increasing fluid intake and reducing dehydration risk in older people living in long-term care: A systematic review","volume":"16","author":"Bunn","year":"2015","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"27","DOI":"10.3928\/19404921-20211209-02","article-title":"Feasibility and acceptability testing of evidence-based hydration strategies for residential care","volume":"15","author":"Keller","year":"2022","journal-title":"Res. Gerontol. Nur."},{"key":"ref_10","unstructured":"Lengyel, C., Martin, L., Pidborchynski, H., Wei, C., Namasivayam-MacDonald, A., Syed, S., Yoon, M.N., Slaughter, S.E., Gaspar, P., and Heckman, G. Refining PROMOTE: Using provider feedback to hone a multicomponent intervention model for improving hydration in residential care, J. Gerontol. Nurs, under review."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1111\/jan.15032","article-title":"Dehydration in the nursing home: Recognition and interventions taken by Dutch nursing staff","volume":"78","author":"Paulis","year":"2022","journal-title":"J. Adv. Nurs."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Bruno, C., Collier, A., Holyday, M., and Lambert, K. (2021). Interventions to improve hydration in older adults: A systematic review and meta-analysis. Nutrients, 13.","DOI":"10.3390\/nu13103640"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Abdelhamid, A., Bunn, D., Copley, M., Cowap, V., Dickinson, A., Gray, L., Howe, A., Killett, A., Lee, J., and Li, F. (2016). Effectiveness of interventions to directly support food and drink intake in people with dementia: Systematic review and meta-analysis. BMC Ger., 16.","DOI":"10.1186\/s12877-016-0196-3"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1016\/j.archger.2008.10.006","article-title":"Can an individualized and comprehensive care strategy improve urinary incontinence (UI) among nursing home residents?","volume":"49","author":"Tanaka","year":"2009","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.nutos.2024.05.006","article-title":"Think Drink: Feasibility trial of a multicomponent hydration care intervention for people living with dementia in care homes","volume":"56","author":"Cook","year":"2024","journal-title":"Clin. Nutr. Open Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.nedt.2018.05.014","article-title":"I-Hydrate training intervention for staff working in a care home setting: An observational study","volume":"68","author":"Greene","year":"2018","journal-title":"Nur. Educ. Today"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"85","DOI":"10.4103\/1357-6283.101603","article-title":"E-learning education solutions for caregivers in long-term care (LTC) facilities: New Possibilities","volume":"20","author":"MacDonald","year":"2007","journal-title":"Educ. Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"107","DOI":"10.31389\/jltc.219","article-title":"Wet your Whistle with Water (W3) to improve water intake in seniors\u2019 care","volume":"2024","author":"Syed","year":"2024","journal-title":"J. Long-Term Care"},{"key":"ref_19","first-page":"16","article-title":"Supporting care home residents with hydration","volume":"28","author":"Cole","year":"2016","journal-title":"Nurs. Older People"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"Hsieh","year":"2005","journal-title":"Qual. Health Res."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/22\/3861\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:30:52Z","timestamp":1760113852000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/22\/3861"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,12]]},"references-count":20,"journal-issue":{"issue":"22","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["nu16223861"],"URL":"https:\/\/doi.org\/10.3390\/nu16223861","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,12]]}}}