CHOICE+ Program

CHOICE+ is an innovative program that aims to improve the mealtime experience for residents in long-term care. It focuses on developing relationship-centred practices and enhancing the dining environment.

CHOICE+ Principles

The program is made up of six principles:

Connecting having meaningful conversations and socializing
Honouring Dignity respecting decisions, choices and preferences
Offering Support supporting residents based on individual needs
Identity knowing and accepting residents as unique individuals
Creating Opportunities supporting active mealtime participation
Enjoyment creating a warm and welcoming dining environment

CHOICE+ Tools

As part of the program, two user-friendly checklists and six online education modules were created to help teams in long-term care work towards achieving the CHOICE+ principles.

Teams can use the CHOICE+ tools to:

  • Understand their current strengths in supporting residents at mealtimes
  • Get ideas of simple strategies to try in their day-to-day practice
  • Spark discussion at team meetings and help develop plans for practice change

Explore the links below to learn more.


1. Mealtime Practices Checklist

Encourages person-centred practices at mealtimes

Mealtime Practices Checklist   |   Instructions


2. Dining Room Checklist

Helps to make dining rooms welcoming, comfortable, and enjoyable

Dining Room Checklist   |   Instructions


3. Online Education Modules

Introduces the CHOICE+ principles using videos, checklists and self-reflection.

Includes 6 modules. Each module takes less than 3 minutes to complete.

CHOICE+ Online Education Modules   |   Also available in PDF Format

Screenshot of the "Connecting" module. Shows a team member assisting a resident in a long-term care home.


These tools were funded in part by the Government of Ontario to the Schlegel Centre for Learning, Research and Innovation in Long-Term Care, and the University of Waterloo.

© Schlegel-UW Research Institute for Aging 2018