NCT01168128|Completed
PERFormance Enhancement of the Canadian Nutrition Guidelines by a Tailored Implementation Strategy: The PERFECTIS Study
PERFECTIS
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PERFECTIS
Sponsor study identifier
interventional
278
2 countries
5
Study Start
September 16, 2009
Actual (reported)Primary Completion
September 2011
Actual (reported)Study Completion
September 2011
Actual (reported)Canadian Critical Care Nutrition Guidelines assist health practitioners in identifying best practices for feeding critically ill patients. However, guidelines have resulted in little change in Intensive Care Unit (ICU) practices, possibly because barriers to change differ between ICUs. Change may be facilitated if strategies specifically address identified barriers. The investigators hypothesize that barriers are inversely related to nutrition performance. Tailoring change strategies to overcome barriers to change will reduce the presence of these barriers and lead to improvements in nutrition practice.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
September 2011
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
September 16, 2009
Actual (reported)July 21, 2010
Actual (reported)July 23, 2010
Actual (reported)September 2011
Actual (reported)September 2011
Actual (reported)Feasibility of the study design and intervention
Assessed by rate of completion of barriers questionnaires, development of unique tailored action plans at each site, compliance and satisfaction with the tailored action plans, and other user feedback.
12 months post implementation of intervention
Change in nutrition performance score
20-24 months
Change in barriers to implementation of critical care nutrition clinical practice guidelines
12 months post implementation of intervention
A Tailored Action Plan is an intervention selected to overcome barriers identified before the design and delivery of the intervention.
e.g. Education, decision support tools
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Anne Arundel Medical Center
Annapolis, Maryland, United States
Spartanburg Regional Medical Center
Spartanburg, South Carolina, United States
Peter Lougheed
Calgary, Alberta, Canada
Capital Health - University of Alberta Hospital (hospital general systems)
Edmonton, Alberta, Canada
Southlake Regional Health Centre
Newmarket, Ontario, Canada
Jones NE, Dhaliwal R, Day AG, Ouellette-Kuntz H, Heyland DK. Factors predicting adherence to the Canadian Clinical Practice Guidelines for nutrition support in mechanically ventilated, critically ill adult patients. J Crit Care. 2008 Sep;23(3):301-7. doi: 10.1016/j.jcrc.2007.08.004. Epub 2007 Dec 11.
Jones NE, Suurdt J, Ouelette-Kuntz H, Heyland DK. Implementation of the Canadian Clinical Practice Guidelines for Nutrition Support: a multiple case study of barriers and enablers. Nutr Clin Pract. 2007 Aug;22(4):449-57. doi: 10.1177/0115426507022004449.
Daren K Heyland, MD
Clinical Evaluation Research Unit
Heather Stuart, PhD
Queen's University
Naomi E Cahill, RD, MSc
Queen's University, Clinical Evaluation Research Unit
278 participants (actual enrollment reported by the registry).
First Submitted
July 21, 2010
First Posted
July 23, 2010
Study Start
September 16, 2009
Actual (reported)Dose of Early Therapeutic Mobility: Does Type or Frequency Matter?
Contact the study team to confirm eligibility.
Cahill NE, Heyland DK. Bridging the guideline-practice gap in critical care nutrition: a review of guideline implementation studies. JPEN J Parenter Enteral Nutr. 2010 Nov-Dec;34(6):653-9. doi: 10.1177/0148607110361907.
Cahill NE, Suurdt J, Ouellette-Kuntz H, Heyland DK. Understanding adherence to guidelines in the intensive care unit: development of a comprehensive framework. JPEN J Parenter Enteral Nutr. 2010 Nov-Dec;34(6):616-24. doi: 10.1177/0148607110361904.
Cahill NE, Murch L, Cook D, Heyland DK; Canadian Critical Care Trials Group. Implementing a multifaceted tailored intervention to improve nutrition adequacy in critically ill patients: results of a multicenter feasibility study. Crit Care. 2014 May 11;18(3):R96. doi: 10.1186/cc13867.
Cahill NE, Murch L, Cook D, Heyland DK; Canadian Critical Care Trials Group. Barriers to feeding critically ill patients: a multicenter survey of critical care nurses. J Crit Care. 2012 Dec;27(6):727-34. doi: 10.1016/j.jcrc.2012.07.006. Epub 2012 Sep 13.
Primary Completion
September 2011
Actual (reported)Study Completion
September 2011
Actual (reported)Last Updated
December 17, 2020
Record last verified: 2020-12
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Source: ClinicalTrials.gov.
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