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Mealtimes are an important aspect of quality of life for residents in long-term care (LTC), yet little attention has been directed to improving the quality of relationships between care staff and residents or the physical dining environment. C.H.O.I.C.E. is a multi-component (i.e., education, training, leadership, communication) intervention to improve relationship-centred care (RCC) and overall mealtime experience for residents. This study used the Mealtime Scan (MTS), a comprehensive and reliable tool, to evaluate the potential of C.H.O.I.C.E. to improve physical, social and RCC mealtime practices over time. C.H.O.I.C.E. was implemented (April-November 2016) within two units of a LTC home in Southern Ontario, Canada. Data were collected by two trained, assessors (one per unit) at baseline, 8, 16, and 24 weeks (5 mealtime observations per assessor per time point). Linear regression analysis determined the association of time, unit, and time*unit interaction with 4 MTS summary scales (physical or social environment, RCC, overall atmosphere; 8-point scale). Units differed on number of residents in the dining room at meals (mean=22 ± 2 vs. 26 ± 2; p |
