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Testing the evidence integration triangle for implementation of interventions to manage behavioral and psychological symptoms associated with dementia: Protocol for a pragmatic trial
Author(s) -
Resnick Barbara,
Kolanowski Ann,
Van Haitsma Kimberly,
Galik Elizabeth,
Boltz Marie,
Ellis Jeanette,
Behrens Liza,
Flanagan Nina M.,
Eshraghi Karen J.,
Zhu Shijun
Publication year - 2018
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.21866
Subject(s) - apathy , dementia , nursing , psychological intervention , randomized controlled trial , anxiety , medicine , protocol (science) , psychiatry , psychology , cognition , alternative medicine , disease , surgery , pathology
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.