TY - JOUR
T1 - Implementation of the Evidence Integration Triangle for behavioral and psychological symptoms of dementia (EIT-4-BPSD) in care communities
AU - Resnick, Barbara
AU - Van Haitsma, Kimberly
AU - Kolanowski, Ann
AU - Galik, Elizabeth
AU - Boltz, Marie
AU - Zhu, Shijun
AU - Ellis, Jeanette
AU - Behrens, Liza
AU - Eshraghi, Karen
N1 - Funding Information:
The study was supported by the National Institute of Nursing Research through grant 1R01NR015982 awarded to the first three authors. The National Institute of Nursing Research had no role in the design and conduct of the study; collection, management, analysis, and interpretation of data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication.
Publisher Copyright:
© 2021 Elsevier Inc.
PY - 2021/11/1
Y1 - 2021/11/1
N2 - Background: Federal regulations stipulate that behavioral interventions be used for behavioral and psychological symptoms of distress in dementia (BPSD). Care community staff have difficulty implementing these approaches. Purpose: This study tested an implementation strategy, the Evidence Integration Triangle for BPSD (EIT-4-BPSD), for assisting staff in the use of evidence-based behavioral approaches for BPSD. Methods: About 55 care communities were randomized to EIT-4-BPSD or usual care; 553 residents were enrolled. The implementation strategy was delivered by research facilitators, staff, stakeholders, and champions over 12 months. It involved four components: Environment and policy assessments; Staff education; Establishment of person-centered care plans; and Mentoring and motivating staff. The implementation strategy was evaluated using the Reach, Effectiveness, Adoption, Implementation, Maintenance model. Findings: There was no evidence for resident or care community effectiveness. There was evidence of adoption and implementation. Discussion: EIT-4-BPSD was helpful as an implementation strategy and staff altered how care was provided.
AB - Background: Federal regulations stipulate that behavioral interventions be used for behavioral and psychological symptoms of distress in dementia (BPSD). Care community staff have difficulty implementing these approaches. Purpose: This study tested an implementation strategy, the Evidence Integration Triangle for BPSD (EIT-4-BPSD), for assisting staff in the use of evidence-based behavioral approaches for BPSD. Methods: About 55 care communities were randomized to EIT-4-BPSD or usual care; 553 residents were enrolled. The implementation strategy was delivered by research facilitators, staff, stakeholders, and champions over 12 months. It involved four components: Environment and policy assessments; Staff education; Establishment of person-centered care plans; and Mentoring and motivating staff. The implementation strategy was evaluated using the Reach, Effectiveness, Adoption, Implementation, Maintenance model. Findings: There was no evidence for resident or care community effectiveness. There was evidence of adoption and implementation. Discussion: EIT-4-BPSD was helpful as an implementation strategy and staff altered how care was provided.
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U2 - 10.1016/j.outlook.2021.06.004
DO - 10.1016/j.outlook.2021.06.004
M3 - Article
C2 - 34332762
AN - SCOPUS:85111523006
SN - 0029-6554
VL - 69
SP - 1058
EP - 1071
JO - Nursing Outlook
JF - Nursing Outlook
IS - 6
ER -