CHOICE+ Quality Improvement for Long Term Care Homes

Summary

CHOICE+ is an eLearning program that empowers staff to improve the mealtime experience of long-term care (LTC) residents. This program is based on principles that align with relationship-centered care and promote resident quality of life and food intake. In a prior study, the investigators have showed that this program can improve the mealtime experience; eLearning has been created to promote spreading of this training. The investigators have created an implementation model that supports uptake of this eLearning. Designated home staff Champions will complete the eLearning, be provided four virtual training sessions to reinforce key concepts and be mentored in monthly virtual community of practice sessions around making improvements. Champions will work with a small team of staff, residents, and family to identify and make improvements (e.g., less rushed mealtime). This study will evaluate this model of implementation in 13-18 LTC homes. Homes in the region of research centres are invited to apply, and where required, will be randomly selected. Investigators will also determine if the mealtime experience, resident health (body weight and food intake), resident/family food and care satisfaction, and staff job satisfaction improve. This implementation study is designed to sustain improvements that the Champions and their team make and build capacity to improve the quality of care in their home. The research team will track implementation activities and influences on implementation through champion diaries, monthly meetings, and end of study interviews. Researchers will measure the mealtime experience with a standardized observational tool and aggregate food waste (to assess food intake). Resident body weight to determine nutritional status will be collected monthly. Questionnaires will be used with staff, residents, and family members for other outcomes. Outcomes will be measured six months before, during, and six months after the one year of implementation. Findings and learnings about implementation will support the scaling of CHOICE+ to other LTC homes.

Conditions

• Long Term Care Homes
• Malnutrition Elderly
• Malnutrition Risk in Elder

Interventions

OTHER

CHOICE+ virtual training program

The CHOICE+ virtual training program consists of three components a) an elearning course for home champions, b) virtual training of key concepts for home champions, and c) a monthly virtual community of practice to support implementation and mentor home champions.

Sponsors & Collaborators

• University of Saskatchewan

  collaborator OTHER

• University of Manitoba

  collaborator OTHER

• St. Francis Xavier University

  collaborator UNKNOWN

• University of Waterloo

  lead OTHER

Principal Investigators

• Heather H Keller, PhD · University of Waterloo

Eligibility

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-06-01

Primary Completion

2028-12-30

Completion

2028-12-30

Countries

• Canada

Study Locations