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Implementation of the Evidence Integration Triangle for behavioral and psychological symptoms of dementia
Barbara Resnick1, Kimberly Van Haitsma2, Ann Kolanowski2
1University of Maryland School of Nursing, Baltimore, MD.
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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