Testing the evidence integration triangle for implementation of interventions to manage behavioral and psychological symptoms associated with dementia: Protocol for a pragmatic trial

Research in Nursing & Health
Barbara ResnickShijun Zhu

Abstract

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 eva...Continue Reading

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Citations

Aug 28, 2019·Research in Gerontological Nursing·Ann KolanowskiKaren Eshraghi
Jun 27, 2020·Journal of the American Geriatrics Society·Laura N GitlinJoseph E Gaugler
Jun 27, 2020·Journal of the American Geriatrics Society·Susan L MitchellEllen P McCarthy
Oct 24, 2020·Journal of Gerontological Nursing·Justine S SefcikAnn Kolanowski
Jan 10, 2021·Journal of the American Medical Directors Association·Caroline MadrigalKimberly VanHaitsma
Sep 21, 2020·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Ann Kolanowski
Aug 11, 2019·Journal of the American Medical Directors Association·Helen C KalesConstantine G Lyketsos
Mar 30, 2021·Perspectives in Public Health·G J SandersP Gately
Oct 18, 2020·Journal of Nursing Measurement·Barbara ResnickCaroline Madrigal
May 28, 2021·Journal of Gerontological Nursing·Rachel McPhersonKimberly Van Haitsma
Aug 7, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Barbara ResnickSusan G Dorsey
Sep 24, 2021·BMC Health Services Research·Liza BehrensKimberly Van Haitsma

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