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

• ClinicalTrials.gov Identifier: NCT02800304
• Recruitment Status: Completed
• First Posted: June 15, 2016
• Last Update Posted: February 5, 2019
• Sponsor: University of Waterloo
• Collaborator: University of Western Ontario, Canada
• Information provided by (Responsible Party): Heather Keller, University of Waterloo

Tracking Information

• First Submitted Date: June 7, 2016
• First Posted Date: June 15, 2016
• Last Update Posted Date: February 5, 2019
• Study Start Date: September 1, 2015
• Actual Primary Completion Date: March 31, 2017 (Final data collection date for primary outcome measure)

Current Primary Outcome Measures (submitted: June 9, 2016)

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.

• Original Primary Outcome Measures: Same as current
• Current Secondary Outcome Measures: Not Provided
• Original Secondary Outcome Measures: Not Provided
• Current Other Pre-specified Outcome Measures: Not Provided
• Original Other Pre-specified Outcome Measures: Not Provided

Descriptive Information

• Brief Title: More-2-Eat; Implementation of INPAC
• Official Title: Not Provided
• 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.
• Detailed Description: Not Provided
• Study Type: Observational
• Study Design: Observational Model: Cohort; Time Perspective: Prospective
• Target Follow-Up Duration: Not Provided
• Biospecimen: Not Provided
• Sampling Method: Non-Probability Sample
• Study Population: medical patients over the age of 18 years
• Condition: Acute Care Medical
• Intervention: Not Provided
• Study Groups/Cohorts: Not Provided

Publications *

• 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.

Recruitment Information

• Recruitment Status: Completed
• Actual Enrollment (submitted: April 18, 2017): 5995
• Original Estimated Enrollment (submitted: June 9, 2016): 2000
• Actual Study Completion Date: March 31, 2017
• Actual Primary Completion Date: March 31, 2017 (Final data collection date for primary outcome measure)

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

Sex/Gender

• Sexes Eligible for Study: All

• Ages: 18 Years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Contacts: Contact information is only displayed when the study is recruiting subjects
• Listed Location Countries: Canada

Administrative Information

• NCT Number: NCT02800304
• Other Study ID Numbers: 20590
• Has Data Monitoring Committee: No
• U.S. FDA-regulated Product: Not Provided

IPD Sharing Statement

• Plan to Share IPD: No

• Current Responsible Party: Heather Keller, University of Waterloo
• Original Responsible Party: Same as current
• Current Study Sponsor: University of Waterloo
• Original Study Sponsor: Same as current
• Collaborators: University of Western Ontario, Canada

Investigators

• Principal Investigator: Heather Keller, PhD; University of Waterloo

• PRS Account: University of Waterloo
• Verification Date: February 2019