Mixed methods developmental evaluation of the CHOICE program: a relationship-centred mealtime intervention for...

Area of Science:

• Gerontology
• Healthcare Management
• Patient Experience

Background:

• Mealtimes significantly impact the quality of life for residents in long-term care (LTC).
• The CHOICE Program is a multi-component intervention designed to enhance relationship-centred care (RCC) and the overall mealtime experience for LTC residents.
• Developmental evaluation is crucial for assessing and refining interventions in real-world settings.

Purpose of the Study:

• To evaluate the effectiveness of the CHOICE Program in modifying the dining experience, including physical, social, and RCC aspects.
• To identify necessary adaptations and potential new components for the CHOICE Program based on implementation insights.

Main Methods:

• A mixed-methods developmental evaluation was conducted in two LTC home areas.
• Quantitative data from the Mealtime Scan (MTS) were collected at four time points to assess changes in the dining environment.
• Qualitative data from semi-structured interviews with 9 staff members provided insights into program implementation and areas for improvement.

Main Results:

• Physical and overall mealtime environment ratings demonstrated significant improvement over time.
• One home area also showed significant improvement in social ratings.
• Staff interviews highlighted the importance of understanding context, gaining buy-in, maintaining communication, sharing accountability, and empowering staff.

Conclusions:

• The CHOICE Program shows potential value in improving LTC mealtime experiences.
• Findings indicate a need for extended timelines to tailor program components.
• Empowering LTC staff in change management and providing increased coaching are essential for successful implementation.