Clinical trial NCT02800304: More-2-Eat; Implementation of INPAC
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Acute Care Medical
Keywords: malnutrition
food intake
frailty
Lead sponsor: University of Waterloo
Sponsor class: OTHER
Collaborators: name: University of Western Ontario, Canada
First posted: 2016-06-15
Enrollment: 5995
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: medical patients over the age of 18 years

Brief summary: M2E is a developmental evaluation of the implementation of the Integrated Nutrition Pathway for Acute Care, in five medical units in five hospitals in Canada.


Eligibility criteria: Inclusion Criteria:

* admitted to study unit
* no delirium or dementia
* return to community anticipated

Exclusion Criteria:

* unable to communicate in English or French

Primary outcomes:
measure: Implementation success of Integrated Nutrition Pathway for Acute Care (INPAC)
timeFrame: admission
Secondary outcomes:
Other outcomes:
Locations:
city: Edmonton
country: Canada
facility: Royal Alexander Hospital
state: Alberta
city: Winnipeg
country: Canada
facility: Concordia Hospital
state: Manitoba
city: Niagara Falls
country: Canada
facility: Niagara Health Systems
state: Ontario
city: Ottawa
country: Canada
facility: The Ottawa Hospital
state: Ontario
city: Regina
country: Canada
facility: Pasqua Hospital
state: Saskatchewan
Study officials:
affiliation: University of Waterloo
name: Heather Keller, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Laur C, Bell J, Valaitis R, Ray S, Keller H. The role of trained champions in sustaining and spreading nutrition care improvements in hospital: qualitative interviews following an implementation study. BMJ Nutr Prev Health. 2021 Sep 28;4(2):435-446. doi: 10.1136/bmjnph-2021-000281. eCollection 2021.
citation: Laur C, Bell J, Valaitis R, Ray S, Keller H. The Sustain and Spread Framework: strategies for sustaining and spreading nutrition care improvements in acute care based on thematic analysis from the More-2-Eat study. BMC Health Serv Res. 2018 Dec 4;18(1):930. doi: 10.1186/s12913-018-3748-8.
citation: Keller HH, Xu Y, Dubin JA, Curtis L, Laur CV, Bell J; More-2-Eat Team. Improving the standard of nutrition care in hospital: Mealtime barriers reduced with implementation of the Integrated Nutrition Pathway for Acute Care. Clin Nutr ESPEN. 2018 Dec;28:74-79. doi: 10.1016/j.clnesp.2018.09.075. Epub 2018 Oct 11.
citation: Keller HH, Valaitis R, Laur CV, McNicholl T, Xu Y, Dubin JA, Curtis L, Obiorah S, Ray S, Bernier P, Gramlich L, Stickles-White M, Laporte M, Bell J. Multi-site implementation of nutrition screening and diagnosis in medical care units: Success of the More-2-Eat project. Clin Nutr. 2019 Apr;38(2):897-905. doi: 10.1016/j.clnu.2018.02.009. Epub 2018 Mar 22.
citation: Laur C, Valaitis R, Bell J, Keller H. Changing nutrition care practices in hospital: a thematic analysis of hospital staff perspectives. BMC Health Serv Res. 2017 Jul 19;17(1):498. doi: 10.1186/s12913-017-2409-7.
citation: Valaitis R, Laur C, Keller H, Butterworth D, Hotson B. Need for the Integrated Nutrition Pathway for Acute Care (INPAC): gaps in current nutrition care in five Canadian hospitals. BMC Nutr. 2017 Jul 14;3:60. doi: 10.1186/s40795-017-0177-8. eCollection 2017.