Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children.
Jessie M Hulst, Henrike Zwart, Wim C Hop...
https://pubmed.ncbi.nlm.nih.gov/19682776Actively Recruiting
Age: 30Days - 18Years
All Genders
Healthy Volunteers
ID06645639
Towards Implementation of the Pediatric Integrated Nutrition Pathway for Acute Care Pathway (P-INPAC) - Pilot Study
Led by The Hospital for Sick Children · Updated on 2024-10-17
600
Participants Needed
3
Research Sites
39 weeks
Total Duration
On this page
Sponsors
T
The Hospital for Sick Children
Lead Sponsor
M
McMaster Children's Hospital
Collaborating Sponsor
AI-Summary
What this Trial Is About
This research aims to implement and evaluate the Pediatric Integrated Nutrition Pathway for Acute Care (P-INPAC), an evidence-based algorithm designed to improve nutrition care for hospitalized children at risk of malnutrition. The study is a pilot conducted at three Canadian pediatric hospitals to assess feasibility and staff training effectiveness. It focuses on malnutrition identification, assessment, and early intervention to enhance routine nutrition care in pediatric wards. The study involves three phases. Phase 1 includes auditing health records of all hospitalized patients at selected wards every other week for 8 weeks to track existing nutrition care practices. A subgroup of patients will receive detailed malnutrition screening and assessment, with follow-up one month post-discharge. Healthcare staff knowledge and workload are also assessed. Phase 2 trains ward staff on P-INPAC procedures, including nutrition screening and the Subjective Global Nutrition Assessment. Phase 3 monitors implementation over 4 months, auditing patient care changes and reassessing staff knowledge and dietitian workload. Participants will undergo nutrition risk screenings using tools like STRONGkids and PNST, along with measurements such as weight, height, and head circumference. Healthcare providers complete knowledge and attitude questionnaires before and after implementation. Detailed patient data and follow-ups are collected to assess nutrition care improvements. The study measures acceptability, adoption, and coverage of nutrition practices, with participation lasting through the study phases including post-discharge follow-up.
CONDITIONS
Brief Title
Implementation of P-INPAC
Who Can Participate
Age: 30Days - 18Years
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- Child is at least 30 days old and less than 18 years old on the day of assessment
- Anticipated hospital stay of 24 hours or more from day of assessment
- Admitted to a general medical or surgical ward (for detailed patient group)
- Speaks English or French (at Quebec site), or has a family proxy available to provide information
- Patient or caregiver provides written consent to participate (for detailed patient group)
- Healthcare providers providing clinical service on the selected ward who complete the questionnaire (implied consent)
You will not qualify if you...
- Patients with eating disorders, somatization disorders, ARFID, FORM 1, or similar conditions where study interaction might interfere with treatment plans
AI-Screening
AI-Powered Screening
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1
2
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 to 2 visits depending on cohort assignment
Monitoring
Duration - 2 months for initial audit and 4 months post-implementation
Participants' routine nutrition care is audited on selected days to track nutrition care practices before and after implementation of P-INPAC.
One day of every other week for up to 6 months
Diagnostic Evaluation
Duration - 2 months for initial detailed assessments plus 4 months post-implementation
Participants in the detailed patient group receive malnutrition screening and assessment including the Subjective Global Nutrition Assessment (SGNA).
1 baseline visit and 1 follow-up visit one month after discharge
Long-term Monitoring
Duration - 1 month after hospital discharge
Participants are followed up one month after discharge to assess nutrition status and care outcomes.
1 follow-up visit (phone call) one month after discharge
Trial Site Locations
Total: 3 locations
1
McMaster Children's Hospital
Hamilton, Ontario, Canada, L8N 3Z5
Actively Recruiting
2
The Hospital for Sick Children
Toronto, Ontario, Canada, M5G 1X8
Actively Recruiting
3
Ste-Justine UHC
Montreal, Quebec, Canada, H3T 1C5
Not Yet Recruiting
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Research Team
J
Jessie Hulst
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
3
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Published Research Related To This Trial
How to perform Subjective Global Nutritional assessment in children.
Donna J Secker, Khursheed N Jeejeebhoy
https://pubmed.ncbi.nlm.nih.gov/22717202Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals.
Koen Huysentruyt, Kim Brunet-Wood, Robert Bandsma...
https://pubmed.ncbi.nlm.nih.gov/34444796Update on the Integrated Nutrition Pathway for Acute Care (INPAC): post implementation tailoring and toolkit to support practice improvements.
Heather Keller, Celia Laur, Marlis Atkins...
https://pubmed.ncbi.nlm.nih.gov/29304866