More 2 Eat: implementation of the INPAC in 5 test sites


A-HA Team Lead

Keller, H (Principal Investigator)


Rahman, A (Principal Investigator)
Carlota Basualdo-Hammond (Co-I)
Jack Bell (Co-I)
Paule Bernier (Co-I)
Lori Curtis (Co-I)
Pauline Douglas (Co-I)
Donald Duerksen (Co-I)
Joel Dublin (Co-I)
Leah Gramlich (Co-I)
Daren Heyland (Co-I)
Manon Laporte (Co-I)
Barbara Liu (Co-I)
Marko Mrkobrada (Co-I)
Sumantra Ray (Co-I)
Laur, C (PhD Student)

Project Date

2015 – Present

Malnutrition is common in older adults (> 65 yrs) admitted to Canadian acute care hospitals, affecting up to 45% of patients and having significant consequences on their quality of life and use of the healthcare system. The research team developed and validated an evidence-informed nutrition care pathway called INPAC (Integrated Nutrition Pathway for Acute Care). INPAC outlines a process to improve nutrition care by 1) implementing nutrition screening at point-of-admission and introducing preventative measures to promote food intake; 2) optimizing nutritional care in malnourished patients with liberal high energy and protein diets; 3) ensuring malnourished patients receive timely individualized assessment and treatment; and 4) standardizing the process of monitoring food intake early and systematically.

In this project, the research team is developing, implementing, and evaluating a program that will support the adoption of the INPAC in Canadian hospitals. Additionally, the team will explore whether an enhanced energy and protein supplementĀ  for 3 months effects function and muscle mass in a subset of older adults with low food intake. Piloting the implementation of INPAC will take place in 5 Canadian hospitals.

At the end of this project, the team hopes to have an effective implementation program consisting of staff training and patient education, and other materials to support broad dissemination/implementation of INPAC.

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