Research Activities by Heather Keller

Ongoing Research Projects

CHOICE: Development and evaluation of a training program to improve the mealtime experience in LTC | 2015 – Present

A-HA Team Lead Partners Description
Keller, H
(Principal Investigator)
Dunn, H (Co-Investigator)
Wu, S (Co-Investigator)
CHOICE is a training program designed to support relationship-centred dining in long-term care. [ Learn more ]

Developing Nutrient Dense Menus for LTC | 2015 – Present

A-HA Team Lead Partners Description
Duizer, L
(Principal Investigator)
 Keller, H (Co-Investigator) Previous research has shown that the nutrient density of menus in long-term care can be improved.  By using various strategies during the menu planning process, the result is a menu better able to meet nutritional needs. [ Learn more ]

More 2 Eat: Implementation of INPAC in 5 test sites | 2015 – Present

A-HA Team Lead Partners Description
Keller, H
(Principal Investigator)
 Laur, C (PhD Student) The Canadian Malnutrition Task Force developed the Integrated Nutrition Pathway for Acute Care (INPAC). It is an evidence-based process for detecting, treating and monitoring malnutrition for acute acre patients.  This project will test the implementation of INPAC in five hospitals across Canada. [ Learn More ]

Making the Most of Mealtimes (M3) | 2014 – Present

A-HA Team Lead Partners Description
Keller, H
(Principal Investigator)
Carrier, C (Co-PI)
Duizer, L (Co-PI)
Lengyel, C (Co-PI)
Slaughter, S (Co-PI)
Steele, C (Co-PI)
Boscart, V (Co-Applicant)
Brown, S (Co-Applicant)
Chaudhury, H (Co-Applicant)
Duncan, A (Co-Applicant)
Heckman, G (Co-Applicant)
Villalon, L (Co-Applicant)
Yoon, M (Co-Applicant)
Making the Most of Mealtimes (M3) is a national program of research that will identify the key, amenable factors affecting poor food intake in long-term care. [ Learn More ]

Canadian Malnutrition Task Force | 2010 – Present

A-HA Team Lead Partners Description
Keller, H
(Co-Chair)
Johane Allard (Co-Chair)
Paule Bernier
Khursheed Jeejeebhoy
Leah Gramlich
Donald R. Duerksen
Manon Laporte
Helene Payette
Claude Roy
The Canadian Malnutrition Task Force (CMTF) has a four-pronged approach to improving nutrition care:

  1. Knowledge creation to influence best practices through hospital-based research efforts.
  2. Aggregation of data on current rate, health impact and causes of malnutrition to support knowledge creation efforts across the continuum of care.
  3. Development of best practices in nutrition care, involving key stakeholders, influencers and decision-makers in the process.
  4. Sharing research knowledge to effect a culture change in nutrition care.

[ Learn More ]

Completed Research Projects

Relational Care in Long-Term Care Dining | 2013 – 2015

A-HA Team Lead Partners Description
Keller, H
(Principal Investigator)
Ducak, K (PhD Student) Using a case study approach in long-term care, the research team explored the challenges, opportunities, and benefits of transitioning from prescriptive dining practices to providing relational care at mealtimes. [ Learn More ]

Vitamin B12 for Healthy Aging | 2012 – 2015

A-HA Team Lead Partners Description
Keller, H
(Co-Principal Investigator)
Heckman, G (Co-Principal Investigator)
Pfisterer, K (MSc Student)
Vitamin B12 is an important nutrient for older adults and they are often at risk for deficiency. This project explored current practices related to B12 screening and treatment. [ Learn More ]

Enhancing Food in Long-Term Care: Micronutrient Status of Foods Served and How We Can Do Better | 2012 – 2015

A-HA Team Lead Partners Description
Keller, H
(Co-Investigator)
Duizer, L (Principal Investigator)
Stark, K (Co-Investigator)
Lam, I (MSc Student)
Currently, menu planning in long-term care is based on Canada’s Food Guide, which doesn’t always mean residents’ nutrient requirements are being met. A “super-menu” will be developed to provide long-term care homes with menu planning guidance to help optimize nutritional intake. [ Learn More ]

Development of the NAK50+ to assess nutrition knowledge and attitudes of older adults | 2014 – 2015

A-HA Team Lead Partners Description
Keller, H
(Principal Investigator)
Ducak, K (Co-Investigator) This project developed a questionnaire to assess nutrition knowledge and attitudes of older adults living independently in the community. [ Learn more ]

Nutri-eSCREEN | 2012 – 2015

A-HA Team Lead Partners Description
Keller, H
(Principal Investigator)
Nutri-eSCREEN is an online tool that assesses older adults’ appetite, eating habits, and changes in weight to identify those who may be at nutritional risk. [ Learn More ]

SCREENIII | 2013 – 2015

A-HA Team Lead Partners Description
Keller, H
(Principal Investigator)
SCREENIII is a short, 3-item questionnaire that may help health care practitioners identify risk factors and create action plans for their older adult clients. [ Learn More ]

Tablemates: How do Residents Feel About Their Dining Partners? | 2012

A-HA Team Lead Partners Description
Keller, H
(Principal Investigator)
Feedback was sought from residents in retirement/long-term care homes to better understand how they feel about the tablemates they dine with and the social interactions that occur during mealtimes. [ Learn More ]

Developing a Mealtime Satisfaction Questionnaire | 2011 – 2013

A-HA Team Lead Partners Description
Keller, H
(Principal Investigator)
Martos, Z
Pizzola, L
A Mealtime Satisfaction Questionnaire (MSQ) was developed and tested for validity and reliability to help long-term care and retirement homes understand residents’ preference and assess improvements in mealtime experience. [ Learn More ]

Social Interactions at Mealtime: An Exploratory Study & Development of an Assessment Tool | 2010 – 2012

A-HA Team Lead Partners Description
Keller, H
(Principal Investigator)
Curle, L
Brooke, C
Ridgeway, N
McLeod, J
Exploratory research observing residents at mealtimes in retirement/long-term care homes helped to identify the types of social interactions that take place. This work informed the second phase of the project, where an observational tool was created to help track changes in experience before and after intervention. [ Learn More ]

Menu Planning in Long-Term Care: Towards Resident-Centred Menus | 2010 – 2011

A-HA Team Lead Partners Description
Keller, H
(Principal Investigator)
Ducak, K (PhD Student) Key informant interviews shed light on both the opportunities and challenges when creating resident-centred menus. [ Learn More ]

Eating Together: Transitions in Care for Families with Dementia | 2005 – 2011

A-HA Team Lead Partners Description
Keller, H
(Co-Investigator)
Dupuis, S (Co-Investigator)
Schindel Martin, L (Co-Investigator)
The “Eating Together” project provided a better understanding of the issues faced by families experiencing dementia, specifically related to food and mealtimes, and informed the development of educational tools to better assist families with these issues. [ Learn More ]