CHOICE Plus Program: Supporting Relationship-centred Mealtimes for Long-term Care

NCT03634774 | Completed

• 1 other identifier: ORE22635
• Study Type: interventional
• Target: 153
• Locations: 1 country
• Sites: 3

Brief Summary

Enhancing the mealtime experience through changing the social and physical aspects of dining holds the potential to not only improve food intake among residents, but enhance their quality of life. The CHOICE+ Program is designed to support relationship-centred mealtimes in long-term care (LTC). This current study will pilot the CHOICE+ Program over the course of 18 months in three LTC homes with the support of a single external facilitator. The research team will collect data at mealtimes and from staff, residents and family members to determine what changes occurred and how this impacted the mealtime experience. The results of this study will provide insight into the efficacy of the CHOICE+ Program and if the program holds potential to improve mealtimes for residents in LTC through relationship-centered dining, as well as capacity building among those who live and work in the home to identify areas for improvement and work together to make change.

Conditions

Dementia; Long-term Care

Keywords

meals; staff training

Outcome Measures

Primary Outcomes (1)

• Mealtime Scan

  Observational instrument that objectively measures the mealtime experience

  16 months

Secondary Outcomes (2)

• Team member Mealtime Experience

  Before /after 12 months of intervention

• Resident/Family member dining quality

  Baseline/after 12 months of intervention

Study Arms (3)

Step 1 CHOICE+

EXPERIMENTAL

Receives the intervention first

Other: CHOICE+ Training Program

Step 2 CHOICE+

OTHER

Received intervention four months after baseline

Other: CHOICE+ Training Program

Step 3 CHOICE+

OTHER

Receives intervention eight months after baseline

Other: CHOICE+ Training Program

Interventions

CHOICE+ Training Program OTHER

CHOICE+ is a program where team members and other stakeholders are engaged in making changes to dining in a long term care home to improve the experience. An external coach supports behaviour change.

Step 1 CHOICE+; Step 2 CHOICE+; Step 3 CHOICE+

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Residents living in the CHOICE+ study units at three long-term care homes in South-Western Ontario

You may not qualify if:

• Residents who do not live in the chosen area for these homes, or live in different homes

Sponsors & Collaborators

• University of Waterloo: lead

Study Sites (3)

Erin Mills Lodge

Mississauga, Canada

Location

Extendicare Bayview

North York, Canada

Location

Christie Gardens

Toronto, Canada

Location

MeSH Terms

Conditions

Dementia

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Study Officials

• Heather Keller, PhD

  University of Waterloo

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Mealtime observations are completed by assessors who are blinded to the order in which sites receive the intervention
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Step-wedge design; all three groups receive the intervention but two are wait list control for varied amounts of time

Study Record Dates

• First Submitted: August 14, 2018
• First Posted: August 16, 2018
• Study Start: April 1, 2018
• Primary Completion: August 30, 2019
• Study Completion: September 30, 2019
• Last Updated: December 20, 2019

Record last verified: 2019-12

Data Sharing

• IPD Sharing: Will not share

Locations

CA (3)