CHOICE+ Quality Improvement for Long Term Care Homes

Enrolling by invitation

Conditions studied: Long Term Care Homes, Malnutrition Elderly, Malnutrition Risk in Elder

In brief

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.

Key facts

Study ID

NCT07505407

Run by

University of Waterloo

People needed

800

Starts

2026-06-01

Expected to finish

2028-12-30

Last updated by the study team

2026-08-06

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• residents will eat in the intervention dining room on a routine basis
• team members will work in the intervention dining room
• champions will be home leaders who can support the implementation effort

You may not qualify if…

• residents not in the intervention dining room
• team members who rarely work in the intervention dining room

Where it is running

• University of Manitoba — Winnipeg, Manitoba, Canada
• St Francis Xavier University — Antigonish Nova Scotia, Nova Scotia, Canada
• University of Waterloo — Waterloo, Ontario, Canada
• University of Saskatchewan — Saskatoon, Saskatchewan, Canada

Full record on ClinicalTrials.gov

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