Ease of use, feasibility and inter-rater reliability of the refined Cue Utilization and Engagement in Dementia (CUED) mealtime video-coding scheme.
Wen Liu, Melissa Batchelor, Kristine Williams
PMID 32996629WHAT IT FOUND
A refined video-coding tool for dementia mealtime interactions showed high reliability between coders.
It captures second-by-second staff and resident behaviors but is very time-intensive, requiring 10.81 hours to code one hour of video.
Key findings
01The refined tool demonstrated adequate inter-rater reliability across all three parts, with Cohen's Kappa scores ranging from 0.93 to 0.99.
02Coding is highly time-intensive, requiring an average of 10.81 hours to code a single one-hour video clip, excluding transcription time.
03The refinement added 24 staff and 14 resident nonverbal behaviors to better capture negative staff actions and positive resident responses.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used video clips of varying durations (mean 4.5 minutes) rather than whole mealtimes, which may miss broader context. The sample was limited to one-on-one interactions, excluding group dining scenarios. All residents were White, and all staff were Certified Nursing Assistants in US nursing homes, limiting generalizability. The tool is extremely time-intensive, making it impractical for most clinical settings. This is a secondary analysis of archived data, so the videos were not originally collected for this specific refined coding scheme.
Declared interests
No conflict of interest was declared by the authors.
The easy way to misread this
Do not use this tool for routine patient assessment. It is a research instrument designed for detailed video analysis, requiring over 10 hours of work per hour of video, which is not feasible in a clinical setting.