More-2-Eat Phase 2: Scaling and Spread of the Integrated Nutrition Pathway for Acute Care
More-2-Eat Phase 2: Spread/Scaling up Improved Nutrition Care to Detect and Treat Hospital Malnutrition.
1 other identifier
observational
5,158
1 country
9
Brief Summary
More-2-Eat Phase 2 provides the opportunity to extend the implementation of the Integrated Nutrition Pathway to a total of 10 hospitals and more than 20 medical/surgical units. Building on the success of More-2-Eat Phase 1, key components of this implementation study will be a registry for self-managed data entry and reports and a community of practice to support implementation of nutrition screening at admission to hospital, subjective global assessment to diagnose and triage patients to care pathways and medication pass of a small amount of nutrient dense oral nutritional supplement. Success with implementation and impact on key patient outcomes will be determined.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started May 2018
9 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 1, 2018
CompletedFirst Posted
Study publicly available on registry
January 5, 2018
CompletedStudy Start
First participant enrolled
May 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2019
CompletedFebruary 11, 2020
February 1, 2020
1.7 years
January 1, 2018
February 9, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
success with implementation
rates of screening, diagnosis and treatment with medication pass per month of the study
19 months
Secondary Outcomes (3)
Adverse events while in hospital (fall, new infection etc.)
19 months
Length of stay
19 months
Readmission rate
19 months
Study Arms (9)
Royal Alexandria
Administrative records
Pasqua Regional hospital
Administrative records
Concordia Hospital
Administrative records
Niagara General Hospital
Administrative records
Hospital 6
Administrative Records
Hospital 7
Administrative Records
Hospital 8
Administrative Records
Hospital 9
Administrative Records
Hospital 10
Administrative records
Interventions
algorithm to guide care processes with respect to nutrition e.g. screening on admission, diagnosis with subjective global assessment, early treatment with medication pass of oral nutritional supplement
Eligibility Criteria
all patients admitted to study units in one of the 10 hospitals included will be subject to the improved nutrition care processes; those that are malnourished will be offered a variety of treatments including medication pass
You may qualify if:
- Patient on the study unit
You may not qualify if:
- patients not on the study unit
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Waterloolead
- Canadian Malnutrition Task Forcecollaborator
- Canadian Frailty Networkcollaborator
Study Sites (9)
Royal Alexander Hospital
Edmonton, Alberta, Canada
Brandon Regional Health Centre
Brandon, Manitoba, Canada
Concordia Hospital
Winnipeg, Manitoba, Canada
Victoria General Hospital
Halifax, Nova Scotia, Canada
London Health Sciences Centre
London, Ontario, Canada
Lennox Addington County General Hospital
Napanee, Ontario, Canada
Niagara Health Systems
Niagara Falls, Ontario, Canada
Thunder Bay Regional Health Sciences Centre
Thunder Bay, Ontario, Canada
Pasqua Hospital
Regina, Saskatchewan, Canada
Related Publications (1)
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.
PMID: 35028514DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Heather Keller, PhD
University of Waterloo
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Schlegel-University of Waterloo Research Chair, Nutrition & Aging
Study Record Dates
First Submitted
January 1, 2018
First Posted
January 5, 2018
Study Start
May 1, 2018
Primary Completion
December 30, 2019
Study Completion
December 31, 2019
Last Updated
February 11, 2020
Record last verified: 2020-02
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- ANALYTIC CODE
- Time Frame
- 2020
UWSpace at the University of Waterloo