More-2-Eat; Implementation of INPAC (m2E)

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ClinicalTrials.gov Identifier: NCT02800304

Recruitment Status : Completed

First Posted : June 15, 2016

Last Update Posted : February 5, 2019

View this study on Beta.ClinicalTrials.gov

Sponsor:

Collaborator:

University of Western Ontario, Canada

Information provided by (Responsible Party):

Heather Keller, University of Waterloo

Study Description

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.

Condition or disease
Acute Care Medical

Study Design

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Study Type :	Observational
Actual Enrollment :	5995 participants
Observational Model:	Cohort
Time Perspective:	Prospective
Study Start Date :	September 1, 2015
Actual Primary Completion Date :	March 31, 2017
Actual Study Completion Date :	March 31, 2017

Resource links provided by the National Library of Medicine

Genetic and Rare Diseases Information Center resources: Acute Graft Versus Host Disease

U.S. FDA Resources

Groups and Cohorts

Outcome Measures

Primary Outcome Measures :

Implementation success of Integrated Nutrition Pathway for Acute Care (INPAC) [ Time Frame: admission ]
INPAC is an evidence based pathway to improve detection, prevention and treatment of malnutrition in acute care. The primary outcome of this study is the trajectory and proportion of care activities that happen for a given population e.g. % screened, assessed with SGA, have standard care strategies provided etc.

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:	18 Years and older (Adult, Older Adult)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No
Sampling Method:	Non-Probability Sample

Study Population

medical patients over the age of 18 years

Criteria

Inclusion Criteria:

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

Exclusion Criteria:

unable to communicate in English or French

Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02800304

Locations

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Canada, Alberta
Royal Alexander Hospital
Edmonton, Alberta, Canada
Canada, Manitoba
Concordia Hospital
Winnipeg, Manitoba, Canada
Canada, Ontario
Niagara Health Systems
Niagara Falls, Ontario, Canada
The Ottawa Hospital
Ottawa, Ontario, Canada
Canada, Saskatchewan
Pasqua Hospital
Regina, Saskatchewan, Canada

Sponsors and Collaborators

University of Waterloo

University of Western Ontario, Canada

Investigators

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Principal Investigator:	Heather Keller, PhD	University of Waterloo

Study Documents (Full-Text)

Documents provided by Heather Keller, University of Waterloo:

Study Protocol [PDF] June 1, 2017

More Information

Additional Information:

Primary analysis on implementation process This link exits the ClinicalTrials.gov site

Primary analysis on patient outcomes resulting from implementation This link exits the ClinicalTrials.gov site

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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.

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.

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.

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.

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.

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.

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Responsible Party:	Heather Keller, Research Chair, Nutrition & Aging, University of Waterloo
ClinicalTrials.gov Identifier:	NCT02800304
Other Study ID Numbers:	20590
First Posted:	June 15, 2016 Key Record Dates
Last Update Posted:	February 5, 2019
Last Verified:	February 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD:	No

Keywords provided by Heather Keller, University of Waterloo:


malnutrition food intake frailty

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