TY - JOUR
T1 - Testing the evidence integration triangle for implementation of interventions to manage behavioral and psychological symptoms associated with dementia
T2 - Protocol for a pragmatic trial
AU - Resnick, Barbara
AU - Kolanowski, Ann
AU - Van Haitsma, Kimberly
AU - Galik, Elizabeth
AU - Boltz, Marie
AU - Ellis, Jeanette
AU - Behrens, Liza
AU - Flanagan, Nina M.
AU - Eshraghi, Karen J.
AU - Zhu, Shijun
N1 - Funding Information:
In this paper we describe a National Institute of Nursing Research-funded research protocol for a Hybrid III pragmatic cluster randomized clinical trial (Curran, Bauer, Mittman, Pyne, & Stetler,) designed to enable staff in nursing homes to reduce BPSD using behavioral approaches while optimizing function, preventing adverse events,and improving quality of life of residents.
Publisher Copyright:
© 2018 Wiley Periodicals, Inc.
PY - 2018/6
Y1 - 2018/6
N2 - Behavioral and psychological symptoms of dementia (BPSD) include aggression, agitation, resistiveness to care, depression, anxiety, apathy, and hallucinations. BPSD are common in nursing home residents and can be ameliorated using person-centered approaches. Despite regulatory requirements, less than 2% of nursing homes consistently implement person-centered behavioral approaches. In a National Institute of Nursing Research-funded research protocol, we are implementing a pragmatic cluster randomized clinical trial designed to enable staff in nursing homes to reduce BPSD using behavioral approaches while optimizing function, preventing adverse events, and improving quality of life of residents. The implementation is based on use of the Evidence Integration Triangle (EIT), a parsimonious, community-engaged participatory framework that is well suited to the complexity and variability in the nursing home environment. A total of 50 nursing home communities will be randomized to EIT-4-BPSD or education only. Primary Aim 1 is to determine if communities exposed to EIT-4-BPSD demonstrate evidence of implementation evaluated by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) criteria. Primary Aim 2 is to evaluate the feasibility, utility, and cost of the EIT approach in EIT-4-BPSD communities.
AB - Behavioral and psychological symptoms of dementia (BPSD) include aggression, agitation, resistiveness to care, depression, anxiety, apathy, and hallucinations. BPSD are common in nursing home residents and can be ameliorated using person-centered approaches. Despite regulatory requirements, less than 2% of nursing homes consistently implement person-centered behavioral approaches. In a National Institute of Nursing Research-funded research protocol, we are implementing a pragmatic cluster randomized clinical trial designed to enable staff in nursing homes to reduce BPSD using behavioral approaches while optimizing function, preventing adverse events, and improving quality of life of residents. The implementation is based on use of the Evidence Integration Triangle (EIT), a parsimonious, community-engaged participatory framework that is well suited to the complexity and variability in the nursing home environment. A total of 50 nursing home communities will be randomized to EIT-4-BPSD or education only. Primary Aim 1 is to determine if communities exposed to EIT-4-BPSD demonstrate evidence of implementation evaluated by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) criteria. Primary Aim 2 is to evaluate the feasibility, utility, and cost of the EIT approach in EIT-4-BPSD communities.
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U2 - 10.1002/nur.21866
DO - 10.1002/nur.21866
M3 - Article
C2 - 29485197
AN - SCOPUS:85048610867
SN - 0160-6891
VL - 41
SP - 228
EP - 242
JO - Research in Nursing and Health
JF - Research in Nursing and Health
IS - 3
ER -